CA Form 470 Officeholder and Candidate Campaign Statement - Kevin Yourman (20220812) Officeholder and CandidateREGEIVE .
Campaign Statement— CALIFORNIA 470
CITY OF RANCHO PALOS
Short Form
Date of election if applicable: El
For Official Use Only
(Month,Day,Year) Amendment (Explain Below) AUG 12 2022
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LIlY CLERK'S OFFICE
1. Statement Covers Calendar Year 20 Z 2 .
2. Officeholder or Candidate Information 3. Office Sought or Held
NAE F OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
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STREET ADDRESS 01:Di IC ON( ATION) DISTRICT NUMBER
e �� � d � (IF APPLICABLE)
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TY� STATE ZIP I CODE
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CA/
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL FAX/E-MAIL AD RESS
570 4 ,2
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 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 Callforr.i,;. •.r th- foregoing is true and correct.
Executed on By
DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement(Jan/2016)
FPPC Advice: advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov