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CA Form 470 Officeholder and Candidate Campaign Statement - Ken Dyda Officeholder and Candidate ',AI.6 ° 470Campaign Statement - .�TYOF INCHO PVERDE, CALIFORNIA FORM Short Form Date of election if applicable: AUG Q 2019 ForOffic��l Use Only Amendment �r_ r,,�� F�eiw► V Al°V/ r--..?(9/ crr( LERKS OFFIC._ 1. Statement Covers Calendar Year 20 . 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD uK4c1s6u/vc/i___ STREET ADDRESS JURISDICTION(LOCATION) DISTRICT NUMBER 67/5-- Pt-5� ���� (IF APPL►CABLE) CITY TA PF / pJ / ?(94 ZIP CODE 3 75 --39,32_ AREA CODE/DAYTIME PHONE NUMBER OPTIONAL. FAX/E-MAIL ADDRESS 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 I U NUMBER COMMITTEE ADDRESS NAME OF TRFASI_)RER Verification I declare under penalty(1f perji,ry that to the best of my Ki iu,,vledge I anticipate that I will receive less than 32 .000 and that i will spend less than 52.000 during the calendar year and that I have en SII reas() ;-III: pre 1rinq this;statement •:c-3rtlfy rimier penalty of perjury under the law;of the State of i C olifornia that the foregoing is true and correct. ale)/.2 „.. „e--/ 7 - Clear Form Print Form FPPC Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) vw.fppc.ca.gov