HomeMy WebLinkAboutForm 470- Lindsay Lara 2023Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year) Amendment (Explain
1. Statement Covers Calendar Year 20 23 .
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Lindsay Lara San Rafael City Clerk
STREETADDRESS
CITY STATE ZIP CODE
San Rafael CA 94903
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX / E-MAILADDRESS
of San Rafael
For Official Use Only
ulo I ml JI NumlD
(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.
7/31/2023R °^
Executed on 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