CA Form 470 Officeholder and Candidate Campaign Statement - Ken Dyda Date Stamp
Officeholder and Candidate CALIFORNIA 470
Campaign Statement - RECEIVED FORM
Short Form Date of election if applicable: 0 Amendment (Explain Below) CITY OF RANCHO PALOS V "I For Official Use Only
(Month,Day,Year)
JUN 21 2016
/03/02
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1. Statement Covers Calendar Year 20 6
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
D 47C O v�ve,'i /4
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STREET ADDRESS JURISDICTION(LOCAT
OPTIONAL: FAX/E-MAIL ADDRESS
31O -373'?3 -
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.D. 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$2,000 and that I will spend less than$2,000 during the calendar year 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
SIGNA12-T OF ��OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement(Jan/2016)
FPPC Advice: advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov