Reeeves 470-Officeholder and Candidate
Campaign Statement -
Short Form
Type or print in ink.
(Government Code Section 84206) Date of election if applicable:
(Month, Day, Year)
1Jfoo
1. Statement Covers Calendar Year 20 QL .
2. Officeholder or Candidate Information
NA~F OF~CEH~ER OR CANDIDATE
r->~ o l)ee//eS
STREET AD~S /
CITY -STATE ZIP CODE
;M; JJl'L/t!y-C-1/ ? f" s D /
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX I E-MAIL ADDRESS
)/o ·-?6' ~~/SJ£
4. Committee Information
3. Office Sought or Held
OFFICE SOUGHT OR HELD
City Clerk's
~c;?,;(J,;-e/ o-f Ec4c ~
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.
COMMITTEE NAME AND l.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 unzder pe lty of perjury under the laws of the State of
California that the re ing is true and correct.
Executed on By~~:.£-........ =~~~_:::: .... ===------------
DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC