HomeMy WebLinkAboutDan Carpenter - Form 470 - 10-01-2010Officeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable: I [� Amendment (Explain Below}
(Month, Day, Year)
November 2, 2010
1. Statement Covers Calendar Year 20 10 .
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Dan Carpenter
STREET ADDRESS
List all committees of which you have knowledge thaf are primarily formed %receive confribufions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME AND I.D. NUMBER
5. Verification
COMMITTEE ADDRESS
NAME OF TREASURER
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 statemer " "` � "' "" ' "' ' " '
that the foregoing is true and correct.
Executed on
October 1, 2010
DATE
FPPC Form 470/470 Supplement (January/48)
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