Kennedy 470Officeholder and Candidate
Campaign Statement -
Short Form
1. Statement Covers Calendar Year 20
Date of election if applicable: ❑ Amendment (Explain Below)
(Month, Day, Year)
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Kevin Kennedy
STREET ADDRESS
CITY
Alameda
AREACODE/DAYTIME PHONE NUMBER
510 -748 -1898
MOWN
11/6/2012
14
STATE ZIP CODE
CA 94501
OPTIONAL: FAX / E -MAIL ADDRESS
AUG 1AE201`i
AL.;FORNIA
l ORM
CITY OF ALAI1hFDA
CITY CLERK'S OFFICE
Office Sought or Held
OFFICE SOUGHT OR HELD
Treasurer
JURISDICTION (LOCATION)
City of Alameda
Official Use Only
DISTRICT NUMBER
IF APPLICABLE)
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 I.D. NUMBER COMMITTEE ADDRESS NAME OF TREASURER
None
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 hat the fore ± +' his trtie and correct.
Executed on
Clear Form
DATE
Print Form l
By
SIGNATURE F OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (Jan /2008)
FPPC Form 70/470 Supplement Instructions - Rev. 2 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov