HomeMy WebLinkAboutAaron Gomez - Form 470 - Officeholder Campaign Statement 2017Officeholder and Candidate - Date stamp CALIFORNIA
Campaign Statement - �� Ii EC)FORM
Short Form Date of election if applicable: ❑ Amendment (Explain Below)+ FDFOffidal Use
(Month, Day, Year) J�� ^
1. Statement Covers Calendar Year 20 _ -7- .
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
C
STREET ADDRESS
CIT Y
STATE 2IF CODE
5 GCG�fl I c
C/4- '�'3111b/
AREA CODE/DAYTIME PHONE NUMBER R
OPTIONAL. FAX 1 E-MAIL ADDRESS
3. Office Sought or Held
OFFICE SOUGHT OR HELD
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.
COMMrTEE 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 $2 ,000 and that I ill sp io 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 al' is t the foregoing is true and correct.
Executed on�-�C � By
DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
Clear Form Print Form
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
wwwJppc.ca.gov