HomeMy WebLinkAbout470S Lauralee H Sorensen - 08.07.1991 v . 777
CANDIDATE AND MONO ER
AM CPAIGN STAT MENT — SHOff FORM
(Govarnment Code motion 8 4206)
For use by candidates and otficeholders who do not have a
Form 470 controlled cmnmittee and wM do not anticipate receiving
��® S1,000 or more in contribution and do not anticiPato sPending
Si3OW or mare during the entire calendar year. A OFFR 111 USE 01
officeholders whose salary is less than S100 Per month and -
iudges who have a controlled committee may use this form use
certain circumstances. See the amroOate Mf®rm td on_Mangum
gg QMaWi Ln Disslagre PEQ isLO-M at the Po9itical Reform Act for
further information. G' . .� Gl, ,l•
(Type or Print in Ink)
Period Covered: Calendar Year 191�0 ��!! �
NAME F GANDIDiM OR OFF R.
,�..ArJRtI%Er �-7Y�R�nlosF"r+J
OFFICE SOUGHT 08NEW: p�uuotsaKAranwrwasrrstr swr�tAsw
RESIDENTIAL 09 BUSINESS ADDRESS: wamos+aer AWA40090AV UNIAv OMNum"A
DATE OF ELECTION: 000 DAY,YRJ pr mftAAwsl
LIST
ALL O�O�tt�WHICH ®HAVE
®ti(t WHKN ARE PRIMARILY FORUM TO RAVE CONTRIBUI IONS
`ONIM ME NAME AND I.D.NUMMER' COMItiNME ADDRESS NAME OF TREASURER
VERIFtCATIOM
i DECLARE UNDER PENALTY OF PERJURY THAT TO THE BEST OF MY KNOWLEDGE, 1 ANTICIPATE THAT 1 WILL
RECEIVE LESS THAN$1,000 AND THAT I WILL SPEND LESS THAN S1.000 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 CALIFORINA THAT THE
FOREGOING IS TRUE AND CORRECT.
EXECUTED ON at Uff 'Ti�/o 0�t�Tt1 (
For information raWired to he provided to you pursuant to dte lnfamtation Practises Act of 19",we fnfamaatian Aftaual
�,Q Kama�ion Ai,r� +ge�„Pro�isiorts of the Polotica!Reharen Ast.