HomeMy WebLinkAbout2020 Candidate Intention Statement Date Stamp •- '
RECEIVE6 •-
Check One: glnitial [:]Amendment (Explain) AUG 03 For Official Use Only
ClY CLERKS DEPT.
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
q�1-3�z
STREETADDRESS CITY STATE ZIP CODE
3152ZG/+'!,7/4ZI T�/LrF�uL` C/a- 2J -
OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,if applicable.l�rNOWPARTISAN OFFICE
L d LJA4_'/(� IA-1 C(J_ /% 6 -7-'�-I'`7 Cc u6,4 72' PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box,if applicable.)
❑State (Complete Part 2.) `E(PRIMARY/GENERAL
City County Multi-County: u 1- G u t SPECIAL/RUNOFF
❑ ❑ (Name of Multi-County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS 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.
❑1 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 Califor ' at th fore oing is true and correct.
Executed on f`' �&u Lil � r Z (� c� Signature
(month,day,year) ( didate) FPPC Form 501 (August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov