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CANDIDATE INTENTION STATEMENT
`. CALIFORNIA '
•
Check One: nitial ❑Amendment (Explain) — FEB 2 tl 2016 FM CialUmOnly
CITY CLERK* Wal
1. Candidate Information:
NAME OF CANDIDATE (Last.Rrsl.Middle Inioan DAYTIME TELEPHONE NUMBER FAX NUMBER(mboan E-MAIL(oabonal)
mcreRCKEIV 151 ) 30.?- 95 3 2 ( ) mjlcheel r[aUleAl rr711�ovn',/ �y91L
STREET ADDRESS
CITY STATE ZIP CODE � ~
y3a/a CaT& CA- (?ds
OFFICE SOUGHT(POSITION TITLE) ��p AAGy-EyNCY NAME �r DISTRICT NUMBER,d aPW.we. N-PARTISAN
CI WLr/ll 6 Mr t �ME_ L U t f PARTY.
OFFICE JURISDICTION
❑ State (Cemwele Pad 2)
ay ❑ County ❑ MUlti-County: Ab ?OZ6
(Name of MuIY-County JunStllNon) (Year of Ek .)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTPS candidates,judges,judicial candidates.and candidates for local offices do not complete Part 2.)
l EleclronJ
(Yea o
��f Elecp�kon) IYeer Primary/general election Special/runoff election
u
(Ella ore boa)
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:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: __JJ— and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(MxF d.,0.ble)
❑ On ___J_J , I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty of perjuryunder the laws of the State of California that the foregoing is true and correct.
Executed on n A / 7/'I _�Q/IG Signature
(monm, ay.year) (Canddare) FPPC Form 501 (Aprill2011)
FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772)