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HomeMy WebLinkAbout2020 Candidate Intention Statement Date Stamp • •- • ' RECEIVED • Check One: 91nitial ❑Amendment (Explain) JUL 13 2020 For Official Use Only CAT 1. Candidate Information: N�VLPF-t E OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional) MAP-y- R - (51C� ) ;0- �ONq c ) STREETADDRESS CITY STATE ZIP CODE 70S4 &S b4IVE OFFICE SOUGHT (�(POSITION TITLE) AGENCY NAME DISTRICT INUMBER,if applicable. NON-PARTISAN OFFICE C'j CO U '"f C( L O T� 0� 11M EC"�/� �� ` PARTY PREFERENCE: OFFICE JURISDICTION (Check one box,if applicable.) ❑State (Complete Part 2.) -TW dPRIMARY/GENERAL 'City ❑ County ❑ Multi-County: G(Na`mee'of Multi-County Jurisdiction) (Year(of/Elleection) SPECIAL/RUNOFF 2. State Candidate Expenditure Limit Statement: (CalPERS and Ca1STRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.) (Check one box) ❑I accept the voluntary expenditure ceiling for the election stated above. ❑I do not accept the voluntary expenditure ceiling for the election stated above. Amendment: Q 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 t e f n true and correct. Executed on ' Signature (month,day,year) (C to FPPC Form 501 (August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov