agents within the preceding 12 months. Campaign contributions made to different commissioners or their alternates are not aggregated. This notice summarizes the major requirements of Government Codes Section 84308 of the Political Reform Act and 2 California Administrative Code Sections 18438.1 -18438.8. For more information, contact Fresno LAFCO staff at (559) 600-0404or the Fair Political Practices Commission, 428 J Street, Suite 800, Sacramento, CA 95814, (916) 322-5901. APPLICANT FINANCIAL DISCLOSURE FORM Designated Title of Proposal: Party’s Name: Party’s Full Address: No Yes I certify that contributions totaling more than I certify that contributions totaling more than $250.00 HAVE NOT BEEN MADE to any $250.00 HAVE BEEN MADE, within the 12 months commissioners, alternate commissioners, or preceding the filing of this application, to a candidates within the 12 months preceding the commissioner, alternate commissioner, or filing of this application. candidate, as indicated below. Name Name Date Date If you completed the “Yes” box above, please provide information as indicated below. Names of current Fresno LAFCo commissioners and alternate commissioners are provided for reference. Use additional sheets if necessary. To whom was Contributor Name Contribution Contribution Amount Contribution made? (if other than applicant) Date Commissioner Robert Silva, Chairman, City Representative Sal Quintero, Chair Pro Tem, County Representative Daniel Parra, City Representative Nathan Magsig, County Representative
agents within the preceding 12 months. Campaign contributions made to different commissioners or their alternates are not aggregated. This notice summarizes the major requirements of Government Codes Section 84308 of the Political Reform Act and 2 California Administrative Code Sections 18438.1 -18438.8. For more information, contact Fresno LAFCO staff at (559) 600-0404or the Fair Political Practices Commission, 428 J Street, Suite 800, Sacramento, CA 95814, (916) 322-5901. APPLICANT FINANCIAL DISCLOSURE FORM Designated Title of Proposal: Party’s Name: Party’s Full Address: No Yes I certify that contributions totaling more than $250.00 HAVE NOT BEEN MADE to any commissioners, alternate commissioners, or candidates within the 12 months preceding the filing of this application. Name Date I certify that contributions totaling more than $250.00 HAVE BEEN MADE, within the 12 months preceding the filing of this application, to a commissioner, alternate commissioner, or candidate, as indicated below. Name Date If you completed the “Yes” box above, please provide information as indicated below. Names of current Fresno LAFCo commissioners and alternate commissioners are provided for reference. Use additional sheets if necessary. To whom was Contribution made? Contributor Name (if other than applicant) Contribution Date Contribution Amount Commissioner Robert Silva, Chairman, City Representative Sal Quintero, Chair Pro Tem, County Representative Daniel Parra, City Representative Nathan Magsig, County Representative