HomeMy WebLinkAboutMatthew Strzepek - Form 470 - 07-30-2012officehoi�er and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable:
(Month, Day, Year)
/Y - Co - /Z
1. Statement Covers Calendar Year 20 /Z
❑ Amendment (EXPlain Below)
Date Stamp
JUL 3 0 2012
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Matlh�w T, S7- I-z�p� K City Cou ,'c //
STREETADDRESS JU
�f RISDICTION (LOCATION) DISTRICTNUMBER
2899 Mc Milla17 / 7L7 -n Ve- —ran [[/!f O/j/f�o (IFAPPLICABLE)
UtIT STATE ZIP CODE
.rarl C uir O6/'sPa C'ft 13510/
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL: FAX /E- MAILADDRESS
gos- 23s - I/z8/
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
S. Verification
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
calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury uncle
that the foregoing is true and correct. Z7
-7-50--17-
DATE
By
NAME OF
nd less than $1,000 during the
laws of the State of California
SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 4701470 Supplement (January /08)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Officeho r and Candidate
Campaign Statement —
Short Form
-AND -
Form 470 Supplement
Who Uses Form 470:
Form 470 is for use by officeholders and
candidates who:
• do not have a controlled committee;
do not anticipate receiving contributions totaling
$1,000 or more during the calendar year; and
do not anticipate spending $1,000 or more during
the calendar year.
Officeholders whose salaries are less than $200 per
month, judges, and judicial candidates may not have
to file Form 470 during non - election years and
should refer to FPPC Campaign Disclosure Manual
1 (state) or 2 (local) to determine their filing
obligations.
Officeholders and candidates who have a
controlled committee or who have raised or spent
$1,000 or more or anticipate raising or spending
$1,000 or more during the calendar year must file
the Recipient Committee Statement — Form 460.
Period Covered:
The period covered is always the calendar year
(January 1 through December 31).
$1,000 Threshold:
To determine if $1,000 has been raised or spent, or
will be raised or spent, the candidate's personal
funds for the filing fee or statement of
qualifications are excluded.
When to File Form 470:
If the Form 470 is filed in connection with an
election, or on or before the filing deadline forthe
first campaign statement required for the calendar
year, no additional campaign statements need be
filed for that calendaryear as long as total
contributions received remain less than $1,000 and
total expenditures made remain less than $1,000. In
most cases, July 31 is the filing deadline for the first
campaign statement required to be filed by
officeholders and candidates not being voted upon.
The Form 470 is filed in connection with an election
if it is filed with the declaration of candidacy, or as a
first preelection statement in connection with an
election, covering the year of the election. If, after
filing Form 470, receipts or expenditures reach
$1,000 or more, see the attached Form 470
Supplement for important reporting requirements.
Where to File Form 470:
Statewide candidates and officeholders and
Supreme Courtjustices, file with:
Secretary of State (original and one copy)
Political Reform Division
1500 11th Street, Room 495
Sacramento, CA 95814
Phone (916) 653 -6224
Fax(916)653 -5045
www.sos.ca.gov
Registrar - Recorder of Los Angeles County
(one copy)
Campaign Finance Disclosure Section
12400 Imperial Highway
Norwalk, CA 90650
Phone (562) 462 -2339
Fax (562) 651 -2548
www.00.1a.ca.ustregrec/main.htm
Department of Elections -City and County of San
Francisco (one copy)
Campaign Statements
1 Dr. Carlton B. Goodlett Place, City Hall - Rm 48
San Francisco, CA 94102
Phone (415) 5544375
Fax(415)554 -7344
www.ci. sf. ca. us /election
The election official for the candidate's county
of domicile (one copy).
State legislative officeholders and candidates,
State Board of Equalization members and
candidates, appellate courtjustices, and superior
court judges and candidates file an original and
one copy with Secretary of State, one copy with
the election official for the county with the largest
number of registered voters in the district and one
copy with the candidate's county of domicile.
• Elected officers and candidates forlocal multi -
county agencies file an original and one copy with
the election official for the county with the largest
number of registered voters in the district and one
copy with the candidate's county of domicile.
• Elected county officeholders and candidates for
county offices, municipal courtjudges and
candidates file an original and one copy with the
election official forthat county.
• Elected city officeholders and candidates for city
offices file an original and one copy with the city
clerk.
FPPC Form 470/470 Supplement (January/08)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)