Kevin Kennedy 470Type or print in ink. Officeholder and Candidate
Campaign Statement -
Short Form
(Government Code Section 84206) Date of election if applicable: D Amendment (Explain Below)
(Month, Day, Year)
AUG 1 Z 2002
1. Statement Covers Calendar Year 2oil_.
2. Officeholder or Candidate Information
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX I E-MAIL ADDRESS
J1 D +CJ t' /f~f'
4. Committee Information
Ci Clerk's Offic
3. Office Sought or Held
OFFICE SOUGHT.OR HELD
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/ 7tvaJ'v~/
JURISDICTION (L CATJPN~,/f I I Ci I-etf l'fia {A/'(~
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 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 penalty of perjury under the laws of the State of
California that the fof oing i_s true and correct.
Executed on Y J 1
( () '\...
DATE
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/candidate listed below has received contributions totaling
$1,000 or more or has made expenditures of $1,000 or more during the calendar year.
)fficeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
STREET ADDRESS
CITY
AREA CODE/DAYTIME PHONE NUMBER
2. Office Sought
lFFICE SOUGHT
DATE OF ELECTION (MONTH, DAY, YEAR)
STATE ZIP CODE
OPTIONAL: FAX I E-MAIL ADDRESS
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
Officeholder and Candidate
Campaign Statement -
Short Form
-AND-
Form 470 Supplement
Who Uses Form 470:
Form 470 is for use by officeholders and
candidates who:
• do not have a controlled committee;
io not anticipate receiving contributions totaling
$1,000 or more during the calendar year; and
• do not anticipate spending $1,000 or more during
the calendar year.
Officeholders whose salaries are less than $200 per
month, judges, and judicial candidates should refer
to Manual A to determine their filing obligations.
Officeholders and candidates who have a
controlled committee or who have raised or spent
$1,000 or more or anticipate raising or spending
$1,000 or more during the calendar year must file
the Recipient Committee Statement -Form 460.
Period Covered:
· period covered iS always the calendar year
(January 1 through Di:!cember 31 ).
$1,000 Threshold:
To determine if $1,000 has been raised or spent, or
will be raised or spent, the candidate's personal
funds for the filing fee or statement of
qualifications are excluded.
If the Form 470 is filed by an officeholder or
candidate with a declaration of candidacy, or on or
before the filing deadline for the first campaign
statement required for the current calendar year, no
additional campaign statements need be filed for
that calendar year as long as total contributions
received remain less than $1,000 and total
expenditures made remain less than $1 ,000. In
most cases, July 31 is the filing deadline for the
first campaign statement required to be filed by
officeholders and candidates not being voted upon.
Amendments: If you are filing an amendment to
a previously filed statement, give a brief
explanation of the amendment. Be sure to enter
the calendar year covered by the statement you
are amending and the date of election, if
applicable.
Form 470 Supplement:
An officeholder/candidate who has filed Form 470
in connection with an election and subsequently
receives contributions (including monetary and
non-monetary contributions, loans, and the
candidate's personal funds} totaling $1,000 or
more or makes expenditures totaling $1,000 or
more prior to the election, is required to send
written notification. The notification must be sent
within 48-hours of receiving contributions totaling
$1,000 or more or making expenditures of $1,000
or more. The notification must include the name
and address of the candidate, the elective office,
and the date of election for which the Form 470
was filed and the date contributions or
expenditures totaling $1,000 or more were
received or made. The Form 470 Supplement
may be used as the written notification.
CAl...IE'ORNIA 1~1
E'ORM 01$0
For information on when and where to file
statements, recordkeeping requirements,
prohibitions, and more, refer to the FPPC
Information Manual on Campaign Disclosure
Provisions (available from your filing officer or the
FPPC). Also see the manual for information
required to be provided to you pursuant to the
Information Practices Act of 1977.
Copies of FPPC forms and informational materials
are also available on the FPPC website
(www.fppc.ca.gov).
This form was prepared by the Fair Political
Practices Commission (FPPC).
FPPC Form 470/470 Supplement (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC