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HomeMy WebLinkAbout2020 Candidate Intention Statement Date Stamp rRafficialUseOnly Check One: [ nitial ❑ RECE1i/Et3Amendment (Explain) 'JUL 13 2020 ITY CLERKS DEPT. 1. Candidate Information: NAME, F CANDIDATE (Last,Firs idle initial) D TWA TELEPHONE NUMBER FAX NUMBER(o ti nal) EMAIL optional) STgE�TADESS / � CITY �G I STATE ZIP CODE 7!CS,O T(POSITION TITLE) AGEN�AME DISTRICTBE ,if applicable. PREFEREN PARTY OFFICE JURIS ICTION (Check one box,if applicable.) ❑State (Complete Part 2.) © )_L/ z o ' PRIMARY/GENERAL Wity ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election)) ❑SPECIAL/RUNOFF 2. State Candidate Expenditure Limit Statement: (Ca1PERS 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 Cal ni R that the fore . is true and correct. Executed on i 2y Signature (month,day,year) (Candidate) FPPC Form 501 (August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov