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CA Form 470 Officeholder and Candidate Campaign Statement - Ken Dyda )Hf,EC'EF-i14,Officeholder and CandidatemqERDE, CALIFORNIA 470. • ��'i'Y OF RANCHO PALOS VERDE Statement - FORM Short Form Date of election if applicable: AUG B �n'�� ForOffic��l Use Only Amendment �r_ r, F� iw► Ve CLERK'S 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 uK4c1s6c JC -- / pJ / ?(94 ZIP CODE 37,5 -3932_ 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 D NUMBER COMMITTEE ADDRESS NAME OF TRFASI_)RER Verification I declare under penalty Of perjiiry that to the best of my K►Iu\,vledge I anticipate that I will receive less than 32 .000 and that i will spend less than S2.000 during the calendar year and that I have i sen ill reas() Ht,I: prep lrinq this;statement •:c-3rtlfy rimier penalty of perjury under the laws of the State of California that the foregoing is true and correct. 7 - 67v)/.2 • Clear Form Print Form FPPC Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) vw.fppc.ca.gov