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Bob Reeves 470Officeholder and Candidate Campaign Statement - Short Form Type or print in ink. Date Stamp (Government Code Section 84206) Date of election if applicable: (Month, Day, Year) 1. Statement Covers Calendar Year 20 0--. 2. Officeholder or Candidate Information NA;iS;FzE~~o~::;;J STATE ZIP CODE JUt ~ o ?no~ ,,_____,.___,.__---"--"--=--=:.,...~ty Clerk's 0 ff i 3. Office Sought or Held / OFFICE SOUGHT OR HE~ /' ~-:> / ~ / ~~;-r/ a/ fc/~?47/ JURISDICTION (LOCATION) A~~~"" DISTRICT NUMBER (IF APPLICABLE) ca. fl~.s-o/ AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX I E-MAIL ADDRESS 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 1.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 penalt f perjury under the laws of the State of California that the foregoing is true and correct Executedon 7~ .. 3 I DATE ER OR CANDIDATE FPPC Form 450 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC