HomeMy WebLinkAboutForm 470- Lindsay Lara 2022Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:I []
(Month, Day, Year) Amendment (Explain Below)
1. Statement Covers Calendar Year 20 22
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Lindsay Lara
STREETADDRESS
CITY
STATE ZIP CODE
San Rafael CA 94903
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/ E-MAILADDRESS
City Clerk and Assessor
JURISDICTION (LOCATION)
City of San Rafael
JUL 2 5 2022
ITY CLERK'S OFFIC
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 Sta7ois that the foregoing is true and correct.
7/25/2022
Executed on B
DATE
y
OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov