Kennedy 470Officeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print In ink.
Date of election if applicable: 0 Amendment (Explain Belo
(Month, Day, Year)
1. Statement Covers Calendar Year 20
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CA DIDATE I
I 1 (A) L (il 60/1 I
STREET ADDRESS
CITY
AREA CODE/DAYTIME PHONE NUMBER
tHir
4. Committee Information
STATE
18■■■■■■■■■111
ZIP C ) DE
Tat.ceistarE3—
FES 3 20i§
SHORT FORM
4.-Al.fFoRNIA 470
' FORM
CITY OF ALAMEDA
CITY CLERK'S OFFICE
OPTIONAL: FAX! E-MAIL ADDRESS-
3. Office Sought or Held
OFFICE SOUGHT OR HELD
r-7—
JURISDICTION (LOCATION)
(1,(
For Official Use Only
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 I.D. NUMBER 1 COMMITTEE ADDRESS NAME OF TREASURER
tA-
5. Verification
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less AlOn 1,000 and that will spend less than $1,000 during the
calendar year and that I have used all reasonable diligence in preparing this statement. I laws of the State of Califomia
that the foregoing is true and correct.
Executed on
1
DATE
By
SIGNATURE 0 OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (January/08)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)