Kevin Kennedy 460Officeholder and Candidate
Campaign Statement -
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable: D Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20 ~ .
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·1ty Clerk's Off eo
2. Officeholder or Candidate Information 3. Office Sought or Held
STATE ZIP CODE
AREA CDEJ AYTIME PHONE NUMBER
CA cr/1So1
OPTIONAL: FAX I E-MAIL ADDRESS
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4. Committee Information
OFFICE SOUGHT OR HELD
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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 c ify under penalty of perjury under the laws of the State of
California that the foregoing is true and correct
Executed on ___ '-:J,,,,_V_~ _ __,_/_,·t,;;:;:_--_,3~-----------
DATE
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC