Kearney 470Officeholder and Candidate
Campaign Statement -
Short Form
1. Statement Covers Calendar Year 20
Date of election if applicable: 0 Amendment (Explain Below)
(Month, Day, Year)
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Kevin Kearney
1516 Oak Street Suite 207
CITY
Alameda
AREA CODE/DAYTIME PHONE NUMBER
510-769-8256
4. Committee Information
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 W. NUMBER COMMITTEE ADDRESS NAME OF TREASURER
11/6/2012
14
STATE ZIP CODE
CA 94501
OPTIONAL: FAX / E-MAIL ADDRESS
SEP 0 2014
CH" Y OF ALAMEDA
cl-ry
Date Stamp
3. Office Sought or Held
OFFICE SOUGHT OR HELD
Auditor
JURISDICTION (LOCATION)
City of Alameda
CALIFORNIA 470
FORM
For Official Use Only
DISTRICT NUMBER
(IF APPLICABLE)
None
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 Galen
used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of Calif milthat the foregoing is true-a0C-Orrect.
Executed on .
Clear For
1 Print Form
2-f
By
SIGNATuREDP0FFTCfl1oLDER oR CANDO E
FPPC Form 470X470 Supplement (Jan/2008)
FPPC Form 470/470 Supplement Inst uctions - Rev. 2 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov