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Bob Reeves 470Officeholder and Candidate Campaign Statement - Short Form Type or print in ink. (Government Code Section 84206) Date of election if applicable: (Month, Day, Year) // LibO 1. Statement Covers Calendar Year 20 __ . 2. Officeholder or Candidate Information NAME OF OFFICEHOL~ANDIDATE g~t~~ 4. Committee Information I ity Clerk's Off ce 3. Office Sought or Held 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. COMMITTEE NAME AND LD. NUMBER COMMITTEE ADDRESS 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 $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 under pena of perjury under the laws of the State of California that the for going is t ue and correct. Executed on __ .,,._/_ 1 .,___--..__=--.1<------------ 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/ ndidate listed below has received contributio11~3" totaling $1,000 or more or has made expenditures of $1,000 or ore during the calendar year. / / . 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) DISTRICT NUMBER (IF APPLICABLE) FORM 470 SUPPLEMENT CALIFORNIA 4 70 FORM SUPPLEMENT Date Stamp 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