470 Johnson 2024 ElectionOfficeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
Alo il6 i BIZ 5 2 a2 `t
0 Amendment (Explain Below)
C
Date Stamp
RECEIVED
SEP 2 6 2024
CITY OF LA OUINTA
ITY CLERK DEPARTMENT
CALIFORNIA 470
FORM
For Official Use Only
1. Statement Covers Calendar Year 20 Z 7
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE
STREET ADDRESS
OFFICE SOUGHT OR HELD
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JURISDICTION (LOCATION)
CITY
STATE ZIP CODE
C4 l"Z�_7
AREA CODE/DAYTIME PHONE NUMBER
,
OPTIONAL: FAX / EMAIL ADDRESS
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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
A) A-
40-
5. Verification
1 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 $2,000 during the calendar year and that I have used
all reasonable diligen$e in preparing this statement. I certify under penalty of perjury under the laws of the State of Caiifo j/ at the foregoing e and correct.
Executed on
211
DATE
SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov