HomeMy Public PortalAboutForm 470Officeholder and Candidate
Campaign Statement —
Short Form
Date of election if applicable:
(Month, Day, Year)
11-3-20
1. Statement Covers Calendar Year 20 20
Date Stamp
11 Amendment (Explain Below)
2. Officeholder or Candidate Information
NAME OF OFFICEHOLDER OR CANDIDATE
Donell Clark
STREETADDRESS
850 S College Ave
CITY
STATE ZIP CODE
Claremont
Ca 91711
AREA CODEIDAYTIME PHONE NUMBER
OPTIONAL: FAX/E-MAIL ADDRESS
(909)753-6392
donell.clark@opmlp.com
SEP 2 4 2020
3. Office Sought or Held
OFFICE SOUGHT OR HELD
Citv Council Member
For Official Use Only
JURISDICTION (LOCATION) DIS I RIG I NUMBER
(IF APPLICABLE)
Claremont 1 5
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 I COMMITTEE ADDRESS I NAME OF TREASURER
N/A
N/A
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 $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 California that the foregoing is true and correct.
09/24/20
Executed on
DATE
Donell Clark
By
Dig aly:go.a by D000n can
" Date: 2020.09.24 14:44:00 -OT00-
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