CA Form 470 Officeholder and Candidate Campaign Statement - Brian Campbell Officeholder and Candidate RE'al V 6 CALIFORNIA 470
Campaign Statement - CITY OF RANCHO PALO' rORM
Short Form Date of election if applicable: ❑ Amendment (Explain Below) For Official Use Only
(Month,Day,Year) 1 JUL 3 1 2011
11/5/2013 CITY CLERK'S FILE
1. Statement Covers Calendar Year 20 17 .
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Brian Campbell Mayor
STREET ADDRESS JURISDICTION(LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
Rancho Palos Verdes
CITY STATE ZIP CODE
Redondo Beach CA 90277
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS
424 237-2582 Campbell.rpv@gmail..com
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 . 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 and correct.
Executed on (�� �i ,L By -
DATE
CiealrForm ri titit�`Form
f FPPC Form 470/470 Supplement(Jan/2016)
FPPC Advice: advice®fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
" Officeholder and Candidate Date Stamp CALIFORNIA 470
Amendment (Explain Below)
Campaign Statement - FORM
Form 470 Supplement
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
This form is written notification that the officeholder/candidate listed below has received contributions totaling$2,000 or more
or has made expenditures of$2,000 or more during the calendar year.
1. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
N/A
STREET ADDRESS
CITY STATE ZIP CODE
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS
2. Office Sought
OFFICE SOUGHT DISTRICT NUMBER
(IF APPLICABLE)
N/A
DATE OF ELECTION(MONTH,DAY,YEAR)
3. Date Contributions Totaling$2,000 or More Were Received or Date Expenditures of$2,000 or More Were Made
N Ft
(MONTH,bbbAY,YEAR)
,Acrev. "Fri;
FPPC Form 470/470 Supplement(Jan/2016)
FPPC Advice: advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov