Reid Lerner - Form 501Candidate Intention Statement
Check One: Initial ❑Amendment (Explain)
T
on:
JAN 0 8 2018
NAME OF CANDI�DIDAATpTE (Last, First, Middle Initial) r� DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optiona`l)� /� I /� `! /� n /�
STREET SS 1 A � ` C� V) t I ( ) STATE �ZP`d � V Gi lz r 1 C/vr Wm
11 c-A 9 G-0 2-U
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, it applicable. NON - PARTISAN
CIfq GoUnc -1Cor
OFFICE JURISDICTION
❑ State (Complete Part 2.)
City ❑ County ❑ Multi-County: (Name of Multi -County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
t �? Primary/general election Special /runoff election
(Year of Election) (Year of Election)
(Check one box)
'Al 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 it 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 that the foregoing is true and correct.
E% `f 6MA00, �
Executed on Signature //
(month, day, year ( FPPC Form 501 (Jan /2016)
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www.fppc.ca.gov