470 Gray 2020 ElectionOfficeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
1 12-0-zb
1. Statement Covers Calendar Year 20 20
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Richard N Gray
STREETADDRESS
CITY STATE ZIP CODE
La Quinta CA 92253
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL; FAX/ E-MAIL ADDRESS
11 Amendment (Ex0ain Below)
3. Office Sought or Held
OFFICE SOUGHT OR HELD
RECEIVED
SEP 2 3 2020
CITY OF LA OUINTA
Y CLERK DEPARTIVIE
Council member, City of La Quints
ON
of La Quinta
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
N/A
5. Verification
COMMITTEE ADDRESS
(IF APPLICABLE)
NAME OF TREASURER
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 California that the foregoing is true and correct.
20 September 2020�
Executed on By el�
DATE SIGNATURE OF OFFICEHOLDER OR C616JPATE
/PPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Officeholder and Candidate
Campaign Statement Date Stamp
Form 470 Supplement Amendment (Explain Below)
SEE INSTRUCTIONS ON REVERSE
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
NAME OF OFFICEHOLDER OR CANDIDATE
STREETADDRESS
� _/'� /,
CA
2. Office Sought
La Quita City council member
11/03/2020
-C� s
ZIP CODE
C4 �12z- 1 3
Vh71 POLI ilu y1a.
(IF APPLICABLE)
3. Date Contributions Tptaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
(MONTH, DAY YEAR)
For Official Use Only
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (966/275-3772)
www.fppc.ca.gov