HomeMy WebLinkAboutForm 470 - John Gamblin 2018Officeholder and Candidate
Campaign Statement -
Short Form
Date of election if applicable:I ❑ Amendment (Explain Below) I ul I� I J U L 3 2o1 a
(Month, Day, Year) i
CIT' CLERK'S OFFICE
1. Statement Covers Calendar Year 20 188
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
John A. Gamblin
STREETADDRESS
CIN STATE ZIP CODE
San Rafael CA 94901
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL FAX ;E-MAILADDRESS
Council Member
JURISDICTION (LOCATION)
San Rafael, CA
For Official Use Only
(IFAPPLICABLE)
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 I NAME OF TREASURER
NA
NA
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
07/27/2018
DATE
By z' .A. a.1 6' ��Q 0
SIGNATURE OY OFFICEHOLDER 9A CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Officeholder and Candidate El D s"I p Uhl
V L.... • -
Amendment (Explain Below)
Campaign Statement - • -
Form 470 Supplement
J U L 3 1 2018 , For Official Use Onty
SEE INSTRUCTIONS ON REVERSE
! CLERK'S
I rpI f
This form is written notification that the officeholder/candidate listed below has received contributions totaling $2,000 or mor TY---
L_ER 1 S OFFICE
or has made expenditures of $2,000 or more during the calendar year.
1. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
STREETADDRESS
CITY
STATE ZIP CODE
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL FAX/ E-MAIL ADDRESS
2. Office Sought
(IFAPPLICABLE)
3. Date Contributions Totaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
(MONTH, DAY, YEAR)
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov