470 Gray 2020 ElectionOfficeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
11/3�2o2a
Amendment (Explain Below)
RECEIVED
SEP 2 3 2020
CITY OF LA QUANTA
CITY CLERK DEPARTMENT
CALIFORNIA 470
FORM
For Official Use Only
1. Statement Covers Calendar Year 20 20
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE
Richard N Gray
STREET ADDRESS
CITY
La Quinta
STATE ZIP CODE
CA 92253
AREACODEIDAYTIME PHONE NUMBER
OPTIONAL: FAX I E-MAIL ADDRESS
OFFICE SOUGHT OR HELD
Council member, City of La Quinta
JURISDICTION (LOCATION)
City of La Quinta
DISTRICT NUMBER
(IF 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
N/A
5. 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 State of Califomia that the foregoing is true and correct.
L
20 September 2020
Executed on By A
DATE
SIGNATURE OF OFFICEHOLDER OR C
pn
PPG Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Officeholder and Candidate
Campaign Statement
Form 470 Supplement
SEE INSTRUCTIONS ON REVERSE
0 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
Date Stamp
CALIFORNIA 470
FORM SUPPLEMENT
For Official Use Only
NAME OF OFFICEHOLDER OR CANDIDATE
N/A
STREET ADDRESS
CITY
677--
EA CODEIDAYTIM(PHONE NUMBER OPTIONAL : FAX I E-MAIL ADDRESS
1/ ita/i
I I -2P Caz(1/;10
(,-7T/a.b��
Loc. 4)(Al 92zs3
STATE ZIP CODE 1
CA
2. Office Sought
OFFICE SOUGHT
La Quita City council member
DISTRICT NUMBER
(IF APPLICABLE)
DATE OF ELECTION (MONTH, DAY, YEAR)
11/03/2020
3. Date Contributions Tptaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
(MONTH, DAY YEAR)
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov