Kevin Kearney 470Officeholder and Candidate
Campaign Statement -
Short Form
Typo or print In Ink.
(Government Code Section 84206) Date of election if applicable: D Amendment (Explain Below)
(Month, Day, Year) JUL 3 2002
ity Clerk's Off ce
1. Statement Covers Calendar Year 20 J-I :6 ~ • 6 .. 3 l> ~ 6 2--
2. Officeholder or Candidate Information 3. Office Sought or Held
7~~Ji~HOLDER; ~ANDIDATE )-<\ ~ ruvt=1
STREET ADDRESS
/
JURISDICTION (LOCATION)
.Kl L. A /1-/L
STATE ZIP CODE
C4 9f56)
OPTIONAL: FAX I E-MAIL ADDRESS
4. Committee Information
DISTRICT NUMBER
(IF APl'LICAULc)
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 LO. 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 wills nd less than $1,000 during
er the laws of the State of the calendar year and that I have used all reasonable diligence in preparing this statemen~. I certif nder penalty of perjury
California that the fore~~ng is true and correct. ~ ~
Executed on 7Jy/ Zt:SD~ BY-----------,,,.,, ---------+------
DATE SIGNArn or OFFICl'HOl.DER on CANlllflA 11
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC