HomeMy WebLinkAboutForm 470 - Maribeth Bushey (exceeded)Officeholder and Candidate
Campaign Statement
Form 470 Supplement
SEE INSTRUCTIONS ON REVERSE
❑ Amendment (Explain Below)
This form is written notification that the officeholder/candidate listed below has received contributions totaling $2,000 or more or
made expenditures of $2,000 or more during the calendar year.
1. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Maribeth Bushey
STREETADDRESS
STATE ZIP CODE
San Rafael CA 94901
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX / E-MAIL ADDRESS
2. Office Sought
City Council, City of San Rafael
(IFAPPLICABLE)
3
S E P 1 2 2022
ITY CLERK'S OFF! E
November 8, 2022
3. Date Contributions Totaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
09/10/2022
(MONTH, DAY, YEAR)
For Official Use Only
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov