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HomeMy WebLinkAbout2020 Candidate Intention Statement REDate Stamp gi I CEIVE® •�. . Check One: itial ❑ JUN 2 5 Amendment (Explain) 202ff For Official Use Only �17Y CLERKS DEPT. 1. Candidate Information: NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional) fJ✓V— �v►�opt (S1 R ) cxc - �l�4 ( ) �j�fr�or��'�µ'ICCI Q�J.�^ � �Co�� STREETADDRESS CITY STATE ZIP CODE OFFICE SOUGHT(POSITION TITLE) NAME XENCYDISTRICT NUMBER,if applicable. N-PARTISAN OFFICE C% i SL"C1 J s PARTY PREFERENCE: OFFIC RISDICTION (Check one box,if applicable.) ❑State (Complete Part 2.) RIMARY/GENERAL Cit Count Multi-County: �C� vl t _ ,� u y ❑ y ❑ (Name of Multi-County Jurisdiction) (Year of Election) SPECIAL/RUNOFF 2. State Candidate Expenditure Limit Statement: (CalPERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.) zbox) accept the voluntary expenditure ceiling for the election stated above. ❑I do not accept the voluntary expenditure ceiling for the election stated above. Amendment: p 1 did not exceed the expenditure ceiling in the primary or special election held on / / and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark if applicable) ❑ On, _/� I contributed personal funds in excess of the expenditure ceiling for the election stated above. 3. Verification: I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on CJ/�"S/J-Q Signature month,day,year) (Candidate) FPPC Form 501 (August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov