470 Johnson 2022 ElectionOfficeholder and Candidate
Campaign Statement —
Short Form
Date of election M applicable:
(Mmth, Day, Yeer)
Amendment (E,pleie Below)
'RECEIVED
Q
SEP 2 8 "UZ/
ITY OF LA ❑UINTA
CALIFORNIA
FORM '
Tor Der I.
iY.
7. Statement Covers Calendar Year 20 G • 7/l/ - _ g %c./4
CITY CLERK DEPARTMENT
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFRCEHOLDet OR CANDIDATE
STREci ADDRESS
LIT STATE UP CODE
O ii,J>A 9zzs<3
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL_ FAX/ E•MAILADDRESS
,
OFFICE SOUGHT OR HELD
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1URLSD(C11ON ILOCArrCt
6rr etc 44 06,,W74
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
DISTRICT NUMBER !
(IF APPLICABLE) , 4
COMMITTEE ADDRESS NAME OF TREASURER
414
5. Verification
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less Mon $2,000 and that I will spend
all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California
Executed an
/2 7/2a-
DATE
than 12,000 during the calendar year and that I have us�1
oregoing is - and
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advicerpfppcca.gov (866/275-3772}
www.fppc.c. { r