470 Campaign Statement 2013 Officeholder and Candidate SHORT FORM
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Short Form
Date of election if applicable: r Official Use only
(Government Code Section 84206) Amendment �EXPia��eeiow�
(Month,Day,Year) FEB � 2013
UPERTINO CITY C ERK
1. Statement Covers Calendar Year 20 13 ,
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Rod Sinks City Council Member
STREET ADDRESS JURISDICTION(LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAILADDRESS
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 COMMITTEE ADDRESS NAME OF TREASURER
5. Verification
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 statemen�f�t�.nder penalty of erjury under the laws of the State of California
that the foregoing is true and correct. �
Executed on 1/31/13 By �r—�
� DATE SIGNATURE OF OFFICEHOLDER OR CANDIDATE
FPPC Form 470I470 Supplement (January/08)
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