HomeMy WebLinkAbout2014_07_17 Form 470 - Emily Lo Officeholder and Candidate _
Campaign Statement - .
Short Form Date of election if applicable: ❑ Amendment (Explain Below) For Official Use Only
(Month,Day,Year) � i n r
1. Statement Covers Calendar Year 20 C 3
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
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(nT —F (IF APPLICABLE)
CITY / STATE ZIP CODE J
AREA COD(EIDDAAYTIMEPHONE NUMBER OPTIONAL: FAX IE-MAIL ADDRESS
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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. NUMBER COMMITTEE ADDRESS NAME OF TREASURER
S. Verification
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than$1,000 and that I will spend less than$1,000 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.
Executed on _j 7, By
DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement(Jan/2008)
FPPC Form 470/470 Supplement Instructions-Rev.2(Dec/2012)
Clear Form Print Form FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov