HomeMy WebLinkAbout2020 Candidate Intention Statement Date Stamp—_ •- '
AUG 032020 .-
For
Check One: Initial []Amendment
Use Only
Amendment (Explain) ITY CLERKS pEpT
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
STREETADDRESS CITY STATE ZIP CODE
LIX160 Ma <eVAec_.v/1� C GIS-lq1
OFFICE SOUGHT(P'OSISITION TITLE)) /A'GENCY NAME t,{p '�( DISTRICT NUMBER,if applicable. NON-PARTISAN OFFICE
�nC i I t"`e M&(\ `\�I, 0� �e M' . w) t \ I _0_� PARTY PREFERENCE:
OFFICE JURISDICTION
(Check one box,if applicable.)
❑State (Complete Part 2.) me�] ' .�(PRIMARY/GENERAL
City ❑County ❑Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) ❑"l SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS 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 f egoing is true and correct.
Executed on v f/ 3 ZL15 Signature
(month,day,year) (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov