470 Johnson 2022 Election 09-28-22Officeholder and Candidate �;..
Campaign Statement —
Short Form RECEIVED �•
Date of aWcOm If applicable: Amendment (F** edael �� �hC `'
(fAulth, Dag Yeer)
SEP 2 81U22
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_ ITY OF LA ❑tJINTA
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I. Statement Covers Calendar Year 20 G x CITY CLERK DEPARTMENT
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2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE W-ICE SOUGHT OR HELD
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STREci ADDRESS�
C `r pc 44 ��� (IF APPLICABLE) � ,� - - -
l;i i r STATE 71PLOOE
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AREA CODEIDAYTIME PHONE NUMBER OPTIONAL FAXIE•MAILADDRESS
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
5. Verification
COMMITTEE ADDRESS
NAME OF TRfA9JRER
I declare under penalty of perjury thatto the best of my knowledge I anticipate that I will receive less Ilan $2,0D0 and that I will sWSjjft than $2,000 during the calendar year and that I hav, u5
all reasonable diligence in preparing this statement Ice" under penalty of perjury under the laws of the State of California ongoing is and
Executed on �. % 7—
DATE
FPPC Form 4701470 Supplement (Janl2016)
FPPC Advice: advice@fppcca.gov (8661275-3772}
www.fppc.Cz: { r