Carol Marques - Form 501 (2018)Candidate Intention Statement
Check One: 91 Initial ❑Amendment (Explain)
Stamp
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1. Candidate Information:
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional)
STREET ADDRESS CITY STATE ZIP CODE
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OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applic71tTY: ON- PARTISAN
U 1 1y O C L(1 C l
OFFICE JURISDICTION
❑ State (Complete Part 2.) -
['Cit ❑ Count ❑ Multi 0�
Y Y Y (Name of Multi - County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca1STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election)
Primary/general election (Year of Election) Special /runoff election
Use Only
(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:
O 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 that the foregoing is true and correct.
Executed on '7/ -3 )Lie Signature &_
(month, day, year) (Candid e) FPPC Form 501 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov