470 Sylk 2020 Election 09-23-20Officeholder and Candidate
Campaign Statement —
Short Form
Date of election If applicable:
(Month, Day, Year)
1. Statement Covers Calendar Year 20ALL .
2. Officeholder or Candidate Information
RECEIVED
SEP 232020
CITY OF LA QUINTA
CIN CLERK DEPARTMENT
Date SWnp a .
. I.
1] Amendment (E.plainBak.)
3. Office Sought or Held
RAM OF OFFCMIXAP
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a TARO JUR1S01CTQN(WcATMN) DISTRICT NOMER
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Por DNrt1a1 Use
4. Committee Information
List all committees of which you have knowledge that are primadty formed to receive contributions or to make expenditures on behalf of your candidacy.
COMWITEE NAME AND ID. NUMBER
/1 1A -
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 this statement. I certify under penalty of perjury under the laws of the State of Gafdomia that the foregoing is true and correct.
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Fxealed on r � BY
CATS 3K�1ATIa�oF OF:ILFIrt?LCER IXi W1F!
FPPC Form 4701470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661276-3772)
www.fppc.ca.gov
Officeholder and Candidate
Campaign Statement
Form 470 Supplement
SEE INSTRUCTIONS ON REVERSE
❑ Amendment (Exo un Below)
This form is written nolfication 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 a -
HANE Of OFFICEHOLABR OR CANDIDATE
STREL7A9O
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CITY 51ATC ap CODE
NUMBER
MIUYAL
2. Office Sought
OFFICE BOUGHT DISTRICT NUMBER
InAy (IF APPLICABLE)
DATE OF ELECTION MONTH. DAY, YEAR)
3. Date Contrib///9--
ns Totaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
(MONTH, DAY, `IAJ
Fn OffdW Use OAIy
FPPC Form 4701470 Supplement (Jan/2076)
FPPC Advice: advice@fppc.ca.gov (666/2763772)
www.fppc.ca.gov