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HomeMy WebLinkAboutForm 470 - Eli HillSt��en3e�tt-- Short -Fo. n Date of election if applicable: (Month, Day, Year) 1. Statement Covers Calendar Year 20 24 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE Eli Hill STREETADDRESS CITY STATE ZIP CODE San Ratael CA 94901 AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAILADDRESS ❑ Amendment (ExplainBekw) 3. Office Sought or Held OFFICE SOUGHT OR HELD City Councilmember JURISDICTION (LOCATION) DISTRICT NUMBER (IF APPLICABLE) City of San Rafael 2 4. Commii;tee 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 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 foregoing is true and corre t / j�t�Jj FPPC Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov