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Caylin Frank 470 07/26/2022Officeholder and Candidate Campaign Statement — Short Form Date of election if applicable: ❑ Amendment (Explain Below) €€� For Official Use (Month, Day, Year) 2 2022 CI TY OF POWAY 0-1 CLERK'S OFFICE 1. Statement Covers Calendar Year 20 f� 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE �AYUM STgREETADDRESS CITY STATE ZIP CODE POWAY C, A .lo AREA CODE/DAYTIME PHONE NUMBER OPTIONAL: FAX/E-MAIL ADDRESS 3. Office Sought or Held OFFICE SOUGHT OR HELD N(11 ./ JURISDICTION (LOCATION) I DISTRICT NUMBER Y (IF APPLICABLE) 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 D 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 the State of California that the foregoing is true and correct. Executed on L By OF OFFICEHOLDER OR CANDIDATE FPPC Form 4701470 Supplement (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov