HomeMy Public PortalAboutForm 470Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable: I ❑ Amendment (Explain Below)
(Month, Day, Year)
11/8/2022
1. Statement Covers Calendar Year 20 20
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Jennifer Stark for Claremont City Council 2022
STREETADDRESS
242 Eagle Grove Avenue
STATE ZIP CODE
Claremont CA 91711
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS
909-913-2580 jenniferstarkis@gmail.com
For Oficial Use Only
J U L 2 9 2020
CITY CLERK
City Councilmember
JURISDICTION (LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
City of Claremont 3
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
Jennifer Stark for Claremont City Council 2022, ID 1424487 1242 Eagle Grove Avenue, Claremont, CA 91711 I Simon Brown
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
all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the St to of California tVfthe foregoin
Executed on �/;2
L�V; V y
NAME OF TREASURER
during the calendar year and that I have used
and correct.
DATE SIGt)I TURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470/470 Supplement (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov