HomeMy WebLinkAboutBaylis, Allen R. - 2008 FPPC Campaign Disclosure Forms - All (2)Officeholder and Candidate
Campaign Statement —
Short Form
(Government Code Section 84206)
1. Statement Covers Calendar Year 20
Type or print in ink.
Date of election if applicable:
(Month, Day, Year)
i
❑ Amendment (Explain Below)
Date Stamp
AUG -7 AN ' 53
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
R. Allen Baylis
STREET ADDRESS
CITY
STATE ZIP CODE
Huntington Beach CA 92646
AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS
Council
JURISDICTION (LOCATION)
Beach
SHORTFORM
For Official Use Only
DISTRICT NUMBER
(IFAPPLICABLE)
714-962-0915
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
None
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 foregoing is true and correct.
Fxecuted on August 6, 2008 ev
DATE
SIGNATURE OF
FPPC Form 470/470 Supplement (January/08)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Candidate Intention Statement Type or Print In Ink. I Date Stamp
Check One: ® Initial ❑ Amendment (Explain) 2000 Al -7 All 09: 53 For
1. Candidate Information:
NAME OF CANDIDATE (last, First Middle Initiao
DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optionao
Baylis, Richard Allen ( 714 ) 962-9915 ( 714 ) 962-0930
STREET ADDRESS CITY STATE ZIP CODE
Huntington Beach CA 92646
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, ifapplicable. Ila NON -PARTISAN
City Council I IPA
OFFICE JURISDICTION
❑ State (Complete Part2.)
El City ❑ CountyHuntington Beach 2008
❑ Multi -County:
(Name of Mufti -County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.)
(YearofE/action)
Primary/general election Special/runoff election
(Year ofElecfion)
(Check one box)
❑ I accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
Q 1 did not exceed the expenditure ceiling in the primary or special election held on: —J—� and I accept the voluntary expenditure ceiling for the
general or special run-off election.
(Mack if applicable)
❑ On _/_J , I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty of perjuWder the laws of the State of California that t e foregoing is true nd correct.
Executed on �4 Signature -
(month, day, year) (Candide
FPPC Form 501 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)