HomeMy WebLinkAboutForm 470 - Lindsay Lara 2025Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year) IElAmendment (Explain Below)
1. Statement Covers Calendar Year 20 2025
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Lindsay Lara
STREETADDRESS
CITY
STATE ZIP CODE
San Rafael
CA 94903
AREA CODE/DAYTIME PHONE NUMBER
OPTIONAL: FAX/ E-MAIL ADDRESS
E C E I V E
Date Stamp ,
I. J U L 1 0 2025
CITY CLERK'S OF ICE
3. Office Sought or Held
OFFICE SOUGHT OR HELD
Official Use Only
San Rafael City Clerk & Assessor
JURISDICTION (LOCATION) DISTRICT NUMBER
City of San Rafael (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 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 correct.
Executed on 07/10/2025 By '-�
DATE 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