HomeMy WebLinkAboutForm 470 - Mary-Lynne Bernald 2016Officeholder and Candidate
Campaign Statement -
Short Form
Date of election if applicable:
(Month, Day, Year)
1. Statement Covers Calendar Year 20
2. Officeholder or Candidate Information
0 Amendment (Explao Bei,*
Date Stamp
HUTT
JUL 1 8 2016
CALIFORNIA
FORM 470
For Official Use OiiE;r
NAME OF OFFICEHOLDER OR CA NIPADATE
Mor -'J- Ljrve ber nalci
STREET ADDRESS
C
arci*o
STATE zpri °ODE
CA- q5c)1-C
AREA CODE/DAYTIME PHONE NUMBER
OPTIONAL: FAX f Er MAIL ADDRESS
Office Sought or Held
OFFICE SOUGHT OR HELD
C U nCA NA ent/ ber
JURISDICTION (LOCATION}
DISTRICT NUMBEI,
OF APPLICABLE)
4. Committee Information
List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME AND I.D. NLIMBEE COMMITTEE ADDRESS
IN) A
. Verification
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
used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
NAME OE -MEASURER
Eixecruled on
DATE
Clear Form
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By
DER OP II(E
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov