HomeMy Public PortalAboutForm 470Officeholder and Candidate
Campaign Statement — '
&WA 41
FORM
Short Form
Date of election if applicable: ❑ Amendment (Explain Below) SEP 01 2021 For Official Use Only
(Month, Day, Year)
CITY CLERK
N/A CIT OF CLAREMONT
1. Statement Covers Calendar Year 20 21
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Wilfred "Jed" Leano
STREETADDRESS
207 Harvard Avenue
CITY STATE ZIP CODE
Claremont CA 91711
AREA CODEIDAYTIME PHONE NUMBER OPTIONAL: FAX/ E-MAIL ADDRESS
909-399-5441
Councilmember
(LOCATION)
City of Claremont
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
5. Verification
COMMITTEE ADDRESS
(IF APPLICABLE)
N/A
NAME OF TREASURER
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.
Executed on A3O / By f �� --•.
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