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COVER Percipient Committee Campaign Statement Cover Page Date Stamp(Government Code Sections 8420084216.5) Statement covers periods INSTRUCTIONS ON REVERSE1. Type of Recipient Committee:from01/01/2017through06/30/2017(Also
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Start by providing your personal information, including your full name and contact details.
02
Indicate the position you are seeking or have held in the office.
03
Specify the duration of your office sought or held, including the start and end dates.
04
Describe your responsibilities and duties in a concise manner.
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Highlight any relevant achievements or accomplishments during your tenure.
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Include any educational qualifications or certifications that are relevant to the position.
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Provide references or contact information of individuals who can vouch for your experience and character.
08
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Who needs office sought or held?

01
Individuals running for public office need to fill out the office sought section to indicate the position they are seeking.
02
Incumbents or individuals currently holding an office need to fill out the office held section to showcase their previous experience.
03
Employers or organizations conducting background checks may require applicants or potential candidates to fill out these sections for verification purposes.
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Office sought or held refers to the political position the individual is running for or currently holding.
Candidates or elected officials are required to file office sought or held.
Office sought or held can be filled out on official forms or online platforms provided by the relevant authorities.
The purpose of reporting office sought or held is to provide transparency and accountability in the political process.
The information reported on office sought or held typically includes the specific position, jurisdiction, and any relevant identification numbers.
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