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Marie Blankley - Form 501 (2018)Candidate Intention Statement Check One: ❑x Initial . can ❑Amendment (Explain) NOV - 1 2W Use Only NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional) Blankley, Marie P. ( 408 ) 842 -4544 voteblankley @gmail.com STREET ADDRESS CITY STATE ZIP CODE City Council OFFICE JURISDICTION ❑ State (Complete Part 2.) ® City ❑ County Gi NAMt Citv of Gi CA 95020 NUMBER, if applicable. 121 NON - PARTISAN ❑ Multi- County: (Name 2018 of Mufti -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.) (Year of Election) Primary /general election (Year of Election) SpeciaMrunoff 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. PARTY: Amendment: O 1 did not exceed the expenditure ceiling in the primary or special election held on: —�— I and I accept the voluntary expenditure ceiling for the general or special run -off election. (Mark if applicable) ❑ On _J —� I contributed personal funds in excess of the expenditure ceiling for the election stated above. I Verification: I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on h 1,261 Signature (moot day, year) ( FPPC Form 501 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov