HomeMy WebLinkAboutJ Brennan - Form 501Candidate Intention Statement
Check One: 21nitial ❑Amendment (Explan)
1G 1 1 2016
NAME OF CANDIDATE (Last, Rnt wain irmap DAYTIME TELEPHONE NUMBER FAX NUMBER CcR—w l) E-MAIL (opu ap
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STREET ADDRESS CITY STATE CODE
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OF U 5 (POSITION TITLE) AGENCY NAME
❑ State (Complete ftN 2.)
9City ❑County ❑Multi- County: - CJTY OpamfSM aOY
linty Jwletllctlon) (Year a n)
2. State Candidate Expenditure Limit Statement:
fCa1PERS and CaISTRS cand'dates, judges, judldal canddates, and canddatas ror local offices do not c pfete Pad 2.)
,(a Primary/general election (re.rorEfealoa) Special/runoHelection
(Check oft Wo )
&Kaccepl the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election slated above.
Amendment:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: —J— and I accept the voluntary expenditure ceiling for
the general or special run -off election.
lMan1 r applloele)
❑ On —J_J_, 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 141r�� lE% Lro /(Je Signature FPPC Form 501 J
(month, day, yaad ( (an/20161
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