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HomeMy WebLinkAboutForm 470- Robert Epstein 2022D EaEOWE AUG 0 q 2022 Officeholder and Candidate CITYCLBK'S 101717 Campaign Statement — ° Short Form Date of election if applicable: ❑ AmendroeDf (Explain Bebw) (Month, Day, Year) 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 Robert F. Epstein STREETADDRESS CITY STATE ZIP CODE San Rafael CA 94901 AREA CODWAYTIVE PHONE NUMBER OPTIONAL: FAX I E MAIL AIIDRESS City Attorney JUR404TION ILOCATIONJ aISTRICT San Rafael I F APDL CJdILEI 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 None 5. Verification COMMITTEE ADDRESS NAME OF Use Only I declare under penally of perjury that to the best of my knowledge I anticipate that I will receive less than $ gov