Officeholder and Candidate Campaign Statement Form 470 Supplement
470 SUPPLEMENT
Date Stamp
CALIFORNIA FORM
Amendment (Explain Below)
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
1. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
RaynaCole
STREET ADDRESS
1212 Fourth Avenue
CITY
STATE
ZIP CODE
EMAIL ADDRESS
Oakmont
CA
rcole@gmail.com
95443
AREA CODE/DAYTIME PHONE NUMBER
OPTIONAL: FAX
707-555-1234
707-555-1235
2
2. Office Sought
OFFICE SOUGHT
DISTRICT NUMBER (IF APPLICABLE)
1
Oakmont City Council
DATE OF ELECTION (MONTH, DAY, YEAR)
6/6/XX
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3. Date Contributions Totaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made
4/1/XX
(MONTH, DAY, YEAR)
FPPC Form 470/470 Supplement (Feb/2021) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov
Completing the Form 470 Supplement 1 Officeholder or Candidate Information
Provide the candidate/officeholder’s full name, street address (a business address may be used), and a daytime telephone number. A fax number and email address may also be provided. 2 Office Sought Indicate the office being sought, the date of the election, and the district number, if applicable. 3 Date $2,000 Threshold Was Met Provide the date contributions totaling $2,000 or more were received or the date expenditures of $2,000 or more were made.
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 2.22
Campaign Manual 2 August 2023 Page 148
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