HomeMy WebLinkAbout470S Barbara A Rogers - Statement Period 01.01.1985 to 06.30.1985 CANDIDAT6 AND OFFIC9H LDER
CAMPAIGN STAT9MENT--SHORT FORM
fGovemment Code Section 84205)
Form 470 '7'
1835 _S.,/
For use by candidates if less than S500 has been raised or spent or will be raised or
spent by or on behalf of the candidate;and by officeholders if lass than$500 has
been raised or spent or will be raised or spent by or on behalf of the officeholder A orrscmi.use ONLY
during the calendar year.
(Type or Print in Ink)
Statement covers period from La &IaL through .30 '%JUW
NA P C DtDATE O FF LOER:
®r r� / 'Pe
OFFfCff SOUGH OR MEL INCLVOH C TION AND 016T..CT NVYgHp 6•A► USCAp\tl:
LIST ALL COMMITTEES WHICH YOU CONTROL OR OF WHICH YOU HAVE KNOWLEDGE
WHICH ARE PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES
ON BEHALF OF YOUR CANDIDACY
COMMITTEE NAME COMMITTEE CONTROLLEDCOMMITTEP?
UMBER ADDRESS TREASURER YES NO
IN 1(4
o A controlled committee is one which is controlled directly or indirectly by you or which acts jointly with you or one of your con-
trolled committees in connection with the making of expenditures You control a committee if you, your agent or any other
committee you control has significant influence on the actions or decisions of the committee.
VERIFICATION
I declare under penalty of perjury that to the best of my knowledge less than$500 has been received or expended
or will be received or expended on hehalf of or in support of my candidacy, by myself or by any person or com-
mittee of which I have knowledge.
Executed on li ��;}� at
DATE) (CITY AND STATE)
OLDER)
For information required to be provided to you pursuant to the Information Practices Act of 1927,see"Information Manual on Canlpsion wwasm provisions
of the PotithW Reform Act,"Part X.
.