Form 501 - 2015 Initial (Mayor)Candidate Intention Statement
Check One: ;Vnitial ❑ Amendment (Explain)
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CANDIDATE INTENTION ST
For Official Use Only
1. Candidate Information: ' "'a '-
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional)
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STREET ADDRESS CITY STATE ZIP CODE
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OFFICE SOUGHT (POSITION TITLE) AGENCY NAME / DISTRICT NUMBER, if applicable. ON- PARTISAN
✓r44yv e- C. 4y 0 f K. /rOy PARTY:
OFFICE JURISDICTION
❑ State (Complete Part 2.)
Wity ❑ County ❑ Multi- County:
(Name of Multi- County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.)
Primary/general election Special /runoff election
(Year of Election) (Year of Election)
(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 California
FPPC Form 501 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)