HomeMy WebLinkAboutRivoire, Daniel - Form 470 - Officeholder Campaign Statement 2016Officeholder and Candidate
Campaign Statement -
Short Form
Date of election if applicable: Amendment (Explain Below)
(Month, Day, Year)
1. Statement Covers Calendar Year 20 i6
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
VAMiCLL RkNa)f.t
STREETADDRESS
CITY STATE ZIP CODE
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX / E-MAILADDRESS
Date Stamp
RECEIVED
AUG 0 1 20161
LO CITY CLE
3. Office Sought or Held
OFFICE SOUGHT OR HELD
(LOCATION)
For Official Use Only
(I F 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
S.
Verification
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 true and correct.
Executed on 20 t G By
DATE
Clear Form Print Form
OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov