Laserfiche WebLink
Officeholder and Candidate <br />Campaign Statement - <br />Short Form Date of election if applicable: <br />(Month, Day, Year) <br />1. Statement Covers Calendar Year 20 l T <br />2. Officeholder or Candidate Information <br />NAME OF OFFICE OLDER OR CAN (DATE <br />S -)U- Cil., r��as�,� <br />STREETADDRESS <br />i Y01-1 <br />CITY <br />AREACODEIDAYTIME PHO E N MBER <br />6 s - �-A �- 03�� <br />11 Amendment (Explain Below) <br />STATE ZIP CODE <br />� -2- <br />OPTIONAL FAX/E-MAILADORESS <br />REGEWED <br />JAN 31 2018 <br />"ity of Redwood City <br />Citv Clerk <br />3. Office Sought or Held <br />OFFICE SOUGHT OR HELD <br />JURISDICTION (LOCATION) <br />i <br />CALIFORNIA <br />FORM 470 <br />For Official Use Only <br />DISTRICT NUMBER <br />(IF APPLICABLE) <br />4. Committee Information <br />List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. <br />COMMITTEE NAME AND ID NUMBER COMMITTEE ADDRESS NAME OF TREASURER <br />S. Verification <br />I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2 ,000 and that I will spend less than $2,000 during the calendar year and that I have <br />used all reasonable diligence In preparing this statement. I certify under penally of perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed on Y GATE By ✓�' S" <br />SIGNAThURE OF OFFICEHOLDER OR CANDIDATE <br />4'.iT=ac 91 --in. I Print Farm <br />FPPC Form 470/470 Supplement (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275.3772) <br />www.fppc.ca.gov <br />