Kevin Kennedy 470Officeholder and Candidate
Campaign Statement -
Short form
(Government Code Section 84206)
Type or print In ink.
Date of election if applicable: D Amendment (Explain Below)
(Month, Day, Year)
11/Z0oy
1. Statement Covers Calendar Year 20 -Ci-{ •
STRE ADDRESS
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CITY ;4ta~
AREA CODE/DAYTIME PHONE NUMBER
Ou rt/f-~ t Her
4. Committee Information
STATE ZIP CODE
?/rtJ?JI
OPTIONAL: FAX/E-MAILADDRESS
3. Office Sought or Held
OFFICE SOUGHT OR HELD
r"f~Vt-J~
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.
COMMITrEE NAME AND l.D. NUMBER COMMITrEE ADDRESS NAME OF TREASURER
5. Verification
I d~clare 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.v~· ~i 4~J-----==2-.::;;;__,.r--'"2.s-~-=--fcj_· ____ _ J I DATE
FPPC Form 450 (June/01)
FPPC Toll·Free Helpline: 866/ASK·FPPC