470 Officholder and Candidate Campaign StatementOfficeholder and Candidate
Campaign Statement —
Short Form
(Government Cade Section 84206)
Type or print in ink.
Date of election if applicable: ® Amen drrlent (Explain Below)
(Month, Day, Year)
. Statement Covers Calendar Year 20 14 .
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Rod Sinks City Council Member
STREET ADDRESS
AREA CODE/WMME PHONE NUMBER OPTIONAL: FAX[E -MAIL ADDRESS
JUL 2 9 2414
NO CITY C
SHORT FORM
For Official' Use Only
JURISDICTION (LOCATION) DISTRICT NUMBER
_Cupertino (IFAPPLICABLE)
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 W. NUMBER COMMITTEE ADDRESS ! NAME OF TREASURER
5.
Verification
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during
the calendar year and that l have used all reasonable diligence in preparing this statement. I certi under ena" of perjury under the laws of the State of
California that the foregoing is true and correct. l L
r
Executed on
7129114
DATE
By
SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470 (June/01)
FPPC Toll -Free Helpline; 866 /ASK -FPPC