HomeMy WebLinkAboutForm 470 - Rachel Kertz for Board of Education 2018Officeholder and Candidate
Campaign Statement -
Short Form
1. Statement Covers Calendar Year 20
Date of election if applicable:
Amendment (Explain Below)
(Month, Day, Year)
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Date Stamp
I ,' AUG G 2018
CLcRK'S OFFIC
For Official Use Only
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
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STREETADDRESS JURISDICTION (LOCATION) DISTRICT NUMBER
STATE ZIP CODE
591' 7 y90.3
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL: FAX/ E-MAIL ADDRESS
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 I COMMITTEE ADDRESS I 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 $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.
Executed on v / r // q. By
DATE
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OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov