HomeMy WebLinkAboutForm 470 - Emily Lo 2016Officeholder and Candidate
Campaign Statement -
Short Form
Date of election if applicable:
(Month, Day, Year)
1. Statement Covers Calendar Year 20
0 Amendment (Explain Below)
RECEIVED
JUL 2 i 2016
CITY OF SARATOGA
For Official Use Only
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
STREET ADDRESS
47---7/WiLy
ZIP CODE
OPTIONAL: FAX / E-MAIL ADDRESS
AREACODE/DAYTIM PHONE NUMBER
-
3. Office Sought or Held
OFFICE SOUGHT OR HELD
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JURISDICTION (LOCATION)
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DISTRICT NUMBER
(IF 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 . NUMBER COMMITTEE ADDRESS NAME OF TREASURER
5. 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 foreg4g. is true and correct.
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SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov