HomeMy WebLinkAboutPaul Kloecker - Form 501Candidate Intention Statement
Check One: Initial ❑Amendment (Explain)
1. candidate intormation:
NAME OF CANDIDATE (Last, First, Middle Initial)
tiL L o te. C
STREET ADDRESS
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Date Stamp
JUL 18 2016
DAYTIME TELEPHONE NUMBER AX NUMBER (optional)
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CiLRo`t CU4 ,
CE SOUGHT (POSITION TITLE) AGENCY NAME
C k T"t C ou uctc <(T l Q) (z
E -MAIL (optional)
ZIP CODE
C:A li561210
PARTY:
OFFICE JURISDICTION
❑ State (Complete Part 2.) ^ L
JaClty ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(Ca /PERS 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) Special /runoff election
For Official Use
(Check one box)
[:11 accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 1 did not exceed the expenditure ceiling in the primary or special election held on: _jam and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(Mark if applicable)
❑ On — / I , 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
FPPC Form 501 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov