HomeMy WebLinkAbout470S Barbara A Rogers - Statement Period 07.01.1984 to 12.31.1984 f 1
CAi�1ial� TI AI1i1'€>FCEdESLEt3
cmpmtm ST'ATEMkINT—SHORT FORM,
(Government Code.Section 842055)
Form 470
1985
For use by candidates if less than$500 has been raised or spent or will be raised or
spent by or on behalf of the candidate;and by officeholders if less than$500 has
been raised or spent or will be raised or spent by or on behalf of the officeholder A OFFICIAL USE ONLY
during the calendar year.
(Type or Print in Ink)
Statement covers period from through ���
NAME OF CANDIDATE OR OFFICEHOLDER:
OFFICE SOUGHT OR HELD(,NC—OK ZOCATION ANo DIsrw,CCTT NOW*..,v Ao1cA /
RESIDENTIAL ADDRESS: No.ANo iiI-Vk1 C.T♦ 1TATi ZIo COON Aw SA COOS VNONE...of.
BUSINESS ADDRESS: NO.ANO STNEET C1Tv STAT] ZIP Cone AREA COOS •NONE NUMOCR
DATE OF ELECTION JMO..OAY,YR.7 Iew A— CARLE. n•
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 TREASURER CONTROLLEDCOMMITTEEe`1
AND I.D.NUMBER ADDRESS YES NO
e 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.
a
VERIFICATION
1 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 behalf of or in support of my candidacy, by myself or by any person or com-
mittee of which I have knowledge.
C14��7_--
Executed on =�/'�4� _ at
IDAT I (CITY AND STATE)
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For information required to be provided to you pursuant to the Information Practises Act of 1977,see"Information anual on Campaign Disclosure Provisions
of the Political Reform Act"Part X.
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