GEORGE, LAN - FORM 470 - 2019 Officeholder and Candidate '` WED CALIFORNIA A 70
Campaign Statement - r FORM '�F
Short Form Date of election if applicable: 0 Amendment (Explain Below) JUL 1J 2019 For Official Use Only
(Month,Day,Year)
CITY CLERK'S OFFICE
cry OF ARROYO GRANDE
1. Statement Covers Calendar Year 20 19
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Lan George City Council
STREET ADDRESS JURISDICTION(LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
Arroyo Grande, CA
CITY STATE ZIP CODE
Arroyo Grande CA 93420
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS
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
none
5. Verification
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
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FPPC Form 470/470 Supplement(Jan/2016)
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