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Kearney 470Officeholder and Candidate Campaign Statement - Short Form Type or print In ink. Date Stamp . , .~L. ,; .. L> (Government Code Section 84206) Date of election if applicable: D Amendment (Explain Below (Month, Day, Vear) JUL 3 1 2007 .:!A 71/ >-.:lLi L-"/ ·z..D'~ 1. Statement Covers Calendar Yeaa: .. ~t'f? __ • 2. Officeholder or Candidate Information 4. Committee Information ITV OF ALAMEDA CLERK'S OFFIC 3. Office Sought or Held OFFICES UGHT OR HELD 11D LTDyL . ., DISTRICT NUMBER IF APPLICABLE) List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITIEE NAME AND 1.0. NUMBER COMMITIEE ADDRESS NAME OF TREASURER tJr>µ£ 5. Verification ' I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend le han $1,000 during the .cale.ndar year and th~t I ~ave used all reasonable diligence in preparing this statement. I cert.IT ifyy u unnayde .· e. nalty of p. erjury u~ s of the State of Cahforrna that the!JEor 01 1s true and correct. ~ ~./ . _.,, ~ 2 .. J!>!> .. ~ / . Executed on -~· By _________ ......,::;.._ _______ +-------- DATE SIGNATURE OF OFRCEHOLOER OR CANDIDAT FPPC Form 450 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Officeholder and Candidate Campaign Statement Form 470 Supplement (Government Code Section 84206) SEE INSTRUCTIONS ON REVERSE Type or print in ink. 0 Amendment (Explain Below) This form is written notification that the officeholder/candidate listed below has received contributions totaling $1,000 or more or has made expenditures of $1,000 or more during the calendar year. 1. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE STREET ADDRESS CITY AREA CODE/DAYTIME PHONE NUMBER 2. Office Sought OFFICE SOUGHT DATE OF ELECTION (MONTH, DAY, YEAR) STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS DISTRICT NUMBER (IF APPLICABLE) FORM 470 SUPPLEMENT Date Stamp CALIFORNIA 4 70 FORM SUPPLEMENT For Official Use Only 3. Date Contributions Totaling $1,000 or More Were Received or Date Expenditures of $1,000 or More Were Made (MONTH, DAY, YEAR) FPPC Form 450 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC