Officeholder and Candidate

Campaign Statement
Short Form
Government Code Section 84206

Type or print in ink

1 1 CST q
qt u

SHORT FORM ale Stamp

Q
For Offidal USC Only

Date of election if applicable E Amendment ALin 7 pA1 3 3 PH 2

Month Day Year

1 Statement Covers Calendar Year 20

2 Officeholder or Cand I i ma t ron o nf
NAME OF F

3 Office Sought or Held

OFFICE SOUGHT OR HELD

rzc
STREET
7

ICEHOL

OR CANDIDATE

Ca L
I

Ctg LL nG 1 Yi1 p
JURISDICTION LOCATION

EY
DISTRICT NUMBER

ET 5 C ADDRESS i

IF APPLICAB E

lJ
STATE
ZIP CODE

arrav cr

s rtc t

i I

CITY

4
AREA CODE PHONE NUMBER DAYTIME

7b7

OPTIONAL FAX E ADDRESS MAIL

969

a g 9Vc I

4 Committee Information

List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf ofyour candidacy
COMMITTEE NAMES AND I NUMBER D
COMMITTEE ADDRESS NAME OF TREASURER

eJlindo4 J2

60 2 f 7D

PQ

7 q

Verification

I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than 1 and that I will spend less than 1 during the 000 000 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 2 7 h
DATE

By

FPPC Form 470 Supplement January 08 FPPC TollFree Holpline 866 ASK FPPC 866 3772 275