470 Sylk 2020 ElectionOfficeholder and Candidate
Campaign Statement —
Short Form
Date of election If applicable:
(Month, Day, Year)
ll-3-a-a
1. Statement Covers Calendar Year 20
RECEIVED
SEP232020
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
Date Stamp
CALIFORNIA 470
FORM
Amendment (Evian eelo.)
2. Officeholder or Candidate Information
3. Office Sought or Held
NAME OF OFFICEtI v /Y S OFFICE SDllGHr QR/E4�
a T,�O , JUR15t]ICilpµ{tOCAT10H} DISTRICT (IFAPPLICABLE) R
COY �� 5TA
IS[EA CODEIDAYTIME PHONENt1MBER J OPTIONAL FAX! EMAIL ADDRESS
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
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 thls statement. I certify under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct.
Executed on
1 r By �
CAE
Si‘4ATLFEE OfFICEXOLDER CRS ICall? L�
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: adviceQippc.ce.gov (8661276-3772)
www.fppc.ca.gov
STREET ADD
CITY
Officeholder and Candidate
Campaign Statement
Form 470 Supplement
SEE INSTRUCTIONS ON REVERSE
Data Stamp
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.
CALIFORNIA 470
FORM SUPPLEMENT
For Official Use Only
1. Officeholder or Candidate Information .EE-7e- L.
HARE OF OFFICEHOLDER OR CANDIDATE
Oviz✓-� - e9.23
37v-`701.(
PHONE NUMBER
StAit ZIP CODE
7a>,L77
EJAwLROOIinss
2. Office Sought
OFFICE BOUGHT
M o
DISTRICT NUMBER
(IF APPLICABLE)
DATE OF ELECTION (MONTH, DAY, YEAR)
3. Date Contributipns Totaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
(MONTH, DAY,
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.oa.gov (666/2763772)
www.fppc.ca.gov