HomeMy WebLinkAbout470S Barbara A Rogers - 08.11.1988 y a U
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117
.,, CANDIDATE o.Nl��I�I OL�lIER � e
. CAMPAIGN STATEMENT--SHORT FORM �
FOAM 4T0 (Government Code Section 84206)
9 For use by candidates and officeholders who do not have a controlled
committee'and who will not receive$1.000 or more in contributions and A OFFIVALa ONLY
will not spend$1.000 or more during the entire calendar year.
TYpe or Point in Ink
Period Covered:Calendar Year IS Ad._.
CANDIDATEOR OFFICEHOLDER:
BARBARA A. ROGERS
OFRC15 SOUGHT OR HELD(11"%WE LOCATION OW 01STR•LT NuMM Ii APPLIC RM
COUNCIL MEMBER
RESIDENTIAL MOMS, ND.AND STREET CITY STATE ZIP COOS AREA COOP PNDNE NUMBER
DATE.O E WO..DAY.YR.)IM APRXABLE)
N/A
LIST ALL COMMITTEES OF WHICH YOU HAVE KNOWLEDGE WHICH ARE PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS
OR MAKE EXPENDITURES ON BEHALF OF YOUR CANDIDACY
COMMITTEE NAME AND ID NUMBER COMMITTEE ADDRESS NAME OF TREASURER
MOVE
'Officeholders whose salary is less than S100 per month and judges,who have a controlled committee. may
use this form under certain circumstances. See the'Information Manual on Campaign Disclosure Provisions of
the Political Reform Act.'for further information.
VERIFICATION
I declare under penalty of perjury that to the best of my knowledge.during the calendar year,less than$1,000
will be received and less than$1.000 will be expended by myself and that I have used all reasonable diligence in
preparing this statement.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
Executed on -- at CUERTINO, CALIFORNIA
IDATEI OWWWWATO
OriICEMQLOER!
, ,,,.� ryg�� i a y putsl i the nt$ti�u�4 Practictw>s A,at tr} $l77.scar'7aslorma�tien ttlatluAt�on Campaign