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470 Officholder and Candidate Campaign StatementOfficeholder and Candidate Campaign Statement Short Form Date of election if applicable: (Month, Day, Year) I ® Amendment (Explain Below) 1. Statement Covers Calendar Year 20 15 EC EI ® JUN 01 2015 I G' IhERTINO CITY 2. Officeholder or Candidate Information 3. Office Sought or Field NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Rod Sinks STRcETADDRESS AREA CODE /DAYTIME PHONE NUMBER OPTIONAL: FAX /E -MAIL ADDRESS 4. Committee Information City Council Member Cupertino Use Only (IFAPPLICABLE) 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 LD. NUMBER 5. Verification COMMITTEE ADDRESS NAME OF TREASURER I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 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 fore Ding is true and correct. FPPC Form 470/470 Supplement (Jain /2008) Clear F =CSrrn FPPC Form 470/470 Supplement Instructions - Rev. 2 (Dec /2012) Print i i3rlot FPPC Advice: advice@fppc.ca.gov (866/275 -3772) wwtv.fppc.ca.gov