HomeMy WebLinkAboutForm 470- Lindsay Lara 2021Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
1. Statement Covers Calendar Year 20 21
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Lindsay Lara
STREETADDRESS
CITY STATE LIP CODE
San Rafael
AREA CODE/DAYTIME PHONE NUMBER
CA 94903
OPTIONAL: FAX/ E-MAILADDRESS
❑ Amendment (Explain Below) 1111111 J U L 2 5 2022
3. Office Sought or Held
OFFICE SOUGHT OR HELD
City Clerk and Assessor
JURISDICTION (LOCATION)
City of San Rafael
CLERK'S OFFICE
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
5. Verification
COMMITTEE ADDRESS
(IF APPLICABLE)
NAME OF TREASURER
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 7/25/2022 BY
DATE OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov