November 3, 2020 Candidate Packet - Flipping Book Version

Date Stamp

Off i ceholder and Candidate Campaign Statement - Form 470 Supplement

470

CALIFORNIA FORM

Amendment (Explain Below)

For Of fi cial Use Only

SEE INSTRUCTIONS ON REVERSE

This form is written notification that the officeholder/candidate listed below has received contributions totaling $2,000 or more or has made expenditures of $2,000 or more during the calendar year.

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1. O ffi ceholder or Candidate Informa � on

NAME OF OFFICEHOLDER OR CANDIDATE

STREETADDRESS Rayna Cole

1212 Fourth Avenue

CITY

STATE

ZIP CODE

95443

Oakmont

CA

AREACODE/DAYTIME PHONE NUMBER

OPTIONAL: FAX / E-MAILADDRESS

707-555-1234

707-555-1235/ rcole@gmail.com

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2. O ffi ce Sought OFFICE SOUGHT

DISTRICT NUMBER (IFAPPLICABLE)

DATE OF ELECTION (MONTH, DAY, YEAR) Oakmont City Council

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6/6/XX

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3. Date Contributions Totaling $2,000 or More Were Received or Date Expenditures of $2,000 or More Were Made

4/1/XX

(MONTH, DAY, YEAR)

Clear Form

Print Form

Completing the Form 470 Supplement

FPPC Form 470/470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov

1 Officeholder or Candidate Information Provide the candidate/officeholder’s full name, street address (a business address may be used), and a daytime telephone number. A fax number and email address may also be provided. Office Sought Indicate the office being sought, the date of the election, and the district number, if applicable. Date $2,000 Threshold Was Met Provide the date contributions totaling $2,000 or more were received or the date expenditures of $2,000 or more were made. 2 3

Fair Political Practices Commission advice@fppc.ca.gov

Chapter 1. 20

Campaign Manual 2 June 2020