HomeMy WebLinkAbout2020 Candidate Intention Statement Date Stamp •- '
RECEIVED •-
Check One: Initial [:]Amendment (Explain) JUL 172020 For Official Use Only
CIfY CLERKS DEM
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
STREET ADDRESSr7 -ZZ h PHIA/A 2 CITY STATE ZIP CODE
�11 �z,C.0(.
OFFICE SOUGHT(POSITION TITLE) AGENCY NAME ] f I� DISTRICT NUMBER,if applicable. ON-PARTISAN OFFICE
V V CV U i EA.- 11.�V L , PARTY PREFERENCE:
OFFICE JURISDICTION
(Check one box,if applicable.)
❑State (Complete Part 2.) TEMP C U L A
zo_ zo PRIMARY/GENERAL
City ❑ County ❑Multi-County: (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.)
(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:
0 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 perjury underCal the laws of the State f C rnia t e r is true and correct.
V Executed on V L'✓ )6, ,0?,o Signature
(month,day,year) (Candidate) FPPC Form 501 (August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov