Kearney 470I ~Officeholder and Candidate
Campaign Statement -
Short Form
Type or printl1n Ink.
I
(Government Code Section 84206) Date of election If applicable:
(Month, Day, Year)
1. Statement Covers Calendar Year 20 J2!/-.
i : D Amendment (Exp1a1 i I
LDED
R 3 1 2005
OF ALAMEDA
LEAK'S OFFICE
2. Officeholder or Candidate Information 3. Offi~e Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE
tGYlr/
OFFIC~1 ~UGHTORHEL~ ". kJlf Dt ~b,~
STREET ADDRESS I t <{'-{:: CA q '15'0 I\
JURIS~ICTION (LOCATION)
OPTIONAL: FAX I E·MAIL ADDRESS AREA CODE/DAYTIME PHONE NUM~ /'
go-'], t,q-'IJ' vu f::,
SHORT FORM
CALIFORNIA 470
FORM .
For Official Use Only
DISTRICT NUMBER
(IF APPLICABLE)
4. Committee Information ,
List all committees of which you have knowledge that are primarily formed to r~eive contriqutions or to make expenditures on behalf of your candidacy.
I I COMMITTEE NAME ANO l.D. NUMBER COl\1MITTEE ADDRESS NAME OF TREASURER
I I
5. Verification
' I declare under penalty of perjury that to the best of my knowledge I anticipate1that I will receive less than $1,000 and that I will sp less than $1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statement. I certify un r penalty of perjury un the laws of the State of
California that the foregoing is true and correct. /
1
h
Executed on M ,,A~ j D l ~t;;;Db I BY--------
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/ASK-f PPC
· Officeholder and Candidate
·Campaign Statement ·
Form 470 Supplement
(Government Code Section 84206)
SEE INSTRUCTIONS ON REVERSE
!
Type or print inl Ink.
0 4mendment :(Explain Below)
This form is written notification that the officeholder/candidate listed below has re9eived contributions totaling
$1,000 or more or has made expenditures of $1,000 or more during the calendar ~ear.
1. Officeholder or Candidate Information
NAllllE OF OFFICEHOLDER OR CANDIDATE
STREET ADDRESS
CITY
AREA CODE/DAYTIME PHONE NUMBER
2. Office Sought
OFFICE SOUGHT
DATE OF ELECTION (MONTH, DAY, YEAR)
'
STATE
OPTIONP,L: FAX/E-MAILtDDRESS
DISTRICT NUMBER
(IF APPLICABLE)
FORM 470 SUPPLEMENT
Date Stamp
CALIFORNIA 470
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