Form 470 - Officeholder and Candidate Campaign Statement - Short Form

Form 470 Instructions

Date of Election, If Applicable:






Part 1 of 5: Statement Covers Calendar Year



Part 2 of 5: Officeholder or Candidate Information









Part 3 of 5: Office Sought or Held





Part 4 of 5: 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.









Part 5 of 5: Verification



Officeholder and Candidate Campaign Statement - Form 470 Supplement

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





Part 1 of 3: Officeholder or Candidate Information









Part 2 of 3: Office Sought





Part 3 of 3: Date Contributions Totaling $2,000 or More Were Recieved or Date Expenditures of $2,000 or More Were Made



Please press 'Create PDF Document' button below. Filled out Form 470 PDF document will be opened. Please print the document and sign at the bottom of the page.


End of the Page, Form 470 - Semi-Annual Statement of No Activity