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HomeMy Public PortalAboutForm 470Officeholder and Candidate Date Stamp Campaign Statement — . Short Form Date of election if applicable: ❑ Amendment (Explain Below) For (Month, Day, Year) r /-f/20 N/A 1. Statement Covers Calendar Year 20 20 2. Officeholder or Candidate Information 3. Office Sought or held NAME OF OFFICEHOLDER OR CANDIDATA OFFICE SOUGHT OR HELD WILFRED "JED" LEANO STREETADDRESS 207 HARVARD AVENUE CITY STATE ZIP CODE CLAREMONT CA 91711 AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/ E-MAIL ADDRESS CITY COUNCILMEMBER JURISDICTION 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 (IFAPPLICABLE) 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 DATE By SIGNATURE OF OFFICEHOLDER OR CANDIDATE FPPC Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov