Michael McMahon 470Officeholder and Candidate
Campaign Statement -
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable: D Amendment (Explai
(Month, Day, Year)
1. Statement Covers Calendar Year 20 __Q3_ •
2. Officeholder or Candidate Information , 3. Office Sought or Held
OFFICE SOUGHT OR t@ ' NAME OF OFFICEHOLDER OR CANDIDATE
c l-(oot... 60'4£. 0
STREET ADDRESS JURISDICTION (LOCATION)
CITY STATE ZIP CODE
cA
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX I E-MAIL ADDRESS
4. Committee Information
SHORT FORM • • 'CALIFORNIA 470,
, FORM ,
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.
COMMIITEE NAME AND l.D. NUMBER COMMIITEE 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. -.
Executed on ___ /L ___ """"'A,_11'--?,__,___,2'-'-0"---d-=3'----------~~DATE By ~ /?
SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC