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Bob Reeves 470SHORT FORM Type or print in ink. Officeholder and Candidate Campaign Statement - Short Form (Government Code Section 84206) Date of election if applicable: (Month, Day, Year) ent (Explain;± f'll" .JAN~ 2 /I City Clerk's 1. Statement Covers Calendar Year 20 __ . 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE 73&> j ,!ee1~_s STREET ADDRESS CITY STATE ~ C/j ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS 4. Committee Information 3. Office Sought or Held OFFICE SOUGHT OR HELD _ ,/ ?; D?'Y'J-./ o _,' EC/t.t' C 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 l.D. NUMBER 5. Verification COMMITTEE ADDRESS :i.r~ ;fJ/frJ~/ C'd7/ ·t;~SD/ NAME OF TREASURER 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 penalt perjury under the laws of the State of California that th in 1s true nd c rrect. FPPC Form 450 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC