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HomeMy WebLinkAboutForm 470- Greg Knell 2015Officeholder and Candidate Campaign Statement - Short Form Date of election if applicable: (Month, Day, Year) November 3, 2015 1. Statement Covers Calendar Year 20 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE Greg Knell 11 Amendment (Explain Below) STREET ADDRESS CITY STATE ZIP CODE San Rafael CA 94903 AREA CODE/DAYTIME PHONE NUMBER OPTIONAL. FAX/ E-MAIL ADDRESS Date 2 5 2015 Clerk's Office 3. Office Sought or Held OFFICE SOUGHT OR HELD Trustee JURISDICTION San Rafael City Schools Use Only (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.D. NUMBER COMMITTEE ADDRESS Greg Knell for San Rafael City Schools 1 681 Del Ganado Rd, San Rafael, CA 94903 1 Vickie Knell 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 used all reasonable diligen in preparin his statement. I certify under penalty of perjury under the laws of the Statl Executed on i By DATE Clear Form I Print Form NAME OF TREASURER I will spend less tW $1,000 during the calendar year and that I have ;alifornia4hvVh oreo6ria is true and correct. SIGNATURE OF OFFICEHOLDER OR CANDIDATE FPPC Form 470/470 Supplement (Jan/2008) FPPC Form 470/470 Supplement Instructions - Rev. 2 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov