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Kennedy 470Officeholder and Candidate Campaign Statement - Short.Form (Government Code Section 84206) Type or print in ink. Date of election if applicable: O Amendment (Explain Belo (Month, Day, Year) 11/2/2004 1. Statement Covers Calendar Year 20 ~ . ITY OF ALAMEDA CLERK'S OFF/C 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE 3. Office Sought or Held OFFICE SOUGHT OR HELD Kevin Kennedy STREET ADDRESS CITY Alameda AREA CODE/DAYTIME PHONE NUMBER 510-748-1898 4. Committee Information STATE ZIP CODE CA 94501 OPTIONAL: FAX I E-MAIL ADDRESS Treasurer JURISDICTION (LOCATION) City of Alameda DISTRICT NUMBER (IF APPLICABLE) List all committees of which you hawf knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME AND l.D. NUMBER COMMITTEE ADDRESS NAME OF TREASURER NONE NONE N/A 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 less than $1,000 during the calendar year and that I have used all reasonable diligence in preparing this statement. I certify und r alty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on _________ 7_13_1_1_2_00_6 ________ _ DATE LDER OR CANDIDATE FPPC Form 470/470 Supplement (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)