Janet C. Gibson 470Officeholder and Candidate
Campaign Statement -
Short Form
(Government Code Section 84206)
Type or print in ink.
Dateofolectlonlfappllcabla: 0 Amendment (Explain Balow)
(Monlh, Day, Vear)
1. Statement Covers Calendar Year 20 ~.
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDID.Bl'E -I
UAJVET e. @l:?St::JIV
STREET ADDRESS
~
~..A-
AREA COOE/DPYTIME PHONE NUMBER
STATE ZIP CODE
q~6VI
3. Office Sought or Held
OFFICE SOUGHT OR HELD
JURISDICTION (LOCATION)
AL
676 -or:fll-/3;JDL
OPTIONAL: FAX I E-MAIL ADDRESS _ /
~g;.6,·011 @ear#tlil'tk., .. n<e:r
4. Committee Information
DISTRICT NUMBER
(IF APPLICABLE)
Ust all committees of which you have knowledge that are primarily formed to receive contributions or io make expenditures on behalf of your candidacy.
COMMITTEE NAME AND 1.0. 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 foregoing is true and correct.
Executedon----4-7'----_/&-""-~---'-tJ"--'-t: _____ _
DATE
SIGNlll"URE OF OFFICEHOLDER OR CANOIO!lrE
FPPC Form 470 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC