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HomeMy WebLinkAbout2020 Candidate Intention Statement Date Stamp • •- • t RECEIVE® •- Check One: ❑Initial ❑Amendment (Explain) JUL 17 2020 For Official Use Only PITY CLERKS DEP 1. Candidate Information: NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional) 77E)/Z t-t;s" AR (ys� ) Z S Z 7 81 K ( ) V C c A ©s o c4p Co ,/n,4 C + r /mil STREETADDRESS CITY STATE ZIP CODE 3006 y C cc,44 R I OFFICE SOUGHT(POSITION TITLE) n �/� AGENCY NAME DISTRICT NUMBER,if applicable. ggp`_PARTISAN OFFICE Cd C/�CIL •�C M,J`/\ PARTY PREFERENCE: OFFICE JURISDICTION (Check one box,if applicable.) ❑State (Complete Part 2.) •TC tl ECyL ' C A e' er PRIMARY/GENERAL UFity ❑ County ❑ Multi-County: C (Name of Multi-County Jurisdiction) G(Yea/of r CEElectvion) ❑ SPECIAL/RUNOFF 2. State Candidate Expenditure Limit Statement: (Ca1PERS and CaISTRS 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 rtthe laws of the State of Calif nia th the for ng is true and correct. Executed on 7 l. —� `� `� Signature (month,day,year) (Candidate) FPPC Form 501 (August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov