HomeMy Public PortalAboutForm 470)fficeholder and Candidate .
:ampaign Statement -Short Form
;orernment Code Section 84206)
or use by officeholders and candidates who do not have a controlled committee and who do not anticipate
~ceiving 31,000 or more in contributions and do not anticipate spending 31,000 or more during the
Ilendar year. Officeholders whose salary is less than 3100 per month and fudges who have a controlled
Immittee may use this form under certain circumstances. See the Information Manual on Cam ai n
isclosure Provisions of the Political Reform Act (or Elected Officeho ers Can i ales an T eir Controlled
ommittees or urt er In ormation.
Stamp
RECEIVE®
AUG 0 1 1999
CITY CLERK
CITY OF CLAREMONT
SHORT FORM
For Official Uie Only
Statement Covers Calendar Year 19 99
Type or print in Ink.
O
N
eholder or Candidate Information
III Information on Office Sought or Held
OFFICE SOUGHT OR HELD
OFFICEHOLDER OR CANDIDATE
ALBERT F. QUINTANAR
RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET)
661 "A" S. INDIAN HILL BLVD
CITY STATE 21P CODE
CLAREMONT CA 91711
AREA CODE/DAYTIME PHONE NUMBER
(909)392-4454
COUNSILMAN
JURISDICTION (LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
CLAREMONT CALIFORNIA
DATE OF ELECTION (MONTH, DAY, YEAR) (IF APP( (CABLE)
MARCH 2, 1999
V Committee Information
list all committees o/which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy.
ENDS OF ALBERT F. QUINTANAR 661 "A" S. INDIAN HILL BLVD. ALBERT F. QUINTANAR
CLAREMONT CA. 91711
Verification
I declare under penalty of perjury that to the best of my knowledge, I anticipate that I will receive less than S 1,000 and that I will spend less than S 1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statemen I certify under penalty of perjury under the laws of tl~e State of _
California that the foregoing is true and correct. ~--~ L,'
7/30/99 CLAREMONT CA. ~~~~-~ /J,~~iT `v~
E^ecuted on At By -- ~ ~~ -
DAIF CITY AHD SIAIF SII.N/l I11R1 (11 0111(111(11 III P IIN f ANI~11~G 11
IOF11N1 OAMAlION fII UIIIPID IU Bf PROVIDED IO YDU PURSUANT IO IME INIURMAIION YNACIICES ACI 01191/, ii11N1UNMAlIUN MANV~I UN(AMI'All'N UISU(1111N1 VRU~IU(IN5 (11 Irq PUIIII(AI RIIIINM OCI ~~
Sldte Of CelilUrni~ Fail Political Plactifes Curnmltsiun