HomeMy WebLinkAboutHedrick - Form 470 - 2022-08-12_RedactedOfficeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
I1VoV 8,V22
1. Statement Covers Calendar Year 202
Date Stamp
RECEIVE
❑ Amendment (Explain Below) I I A U G 12 2022
2. Officeholder or Candidate Information 3. Office Sought or Held
N)L OF OFFICEHOLDER OR CANDIDATE
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RK
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 I COMMITTEE ADDRESS
5. Verification
NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2,000 and that I will spend less than $2,000 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 Califomia that the foregoing is true and cnrrert_
Executed on Ak `L � T 11 : -1-0_2,2—
DATE
SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Officeholder and Candidate
Campaign Statement
Form 470 Supplement
SEE INSTRUCTIONS ON REVERSE
❑ Amendment (Explain Below)
This form is written notification that the officeholder/candidate listed below has received contributions totaling $2,000 or more or has
made expenditures of $2,000 or more during the calendar year.
1. Officeholder or Candidate Information j DO
A/A L—P E, ) 1 F Pt? / C
NAME OF OFFICEHOLDER OR CANDIDATE
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STREETADDIRESS 11 J /� L
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CITY STATE ZIP CODE
5-50 - 2 2g1
AREA CODEIDAYTIMEPHONENUMBER OPTIONAL: FAX/ E-MML ADDRESS
2. Office Sought
Vr rlt. e.7VU14M1 D 5T KICI NUMBER
M
A TIV � C 1 TY OF S " L41s
Oplsp,12
(IFAPPLICABLE)
DAT�7(0
ECTION (MONTH. DAY, YEAR)
1_ r 2-
3. r� � 02 DateCFA-AonTotaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
A
(MONTH, DAY, YEAR)
Date Stamp
For Official Use Only
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov