HomeMy WebLinkAboutRobert Martinez - Form 501Candidate Intention Statement
Check One: V Initial ❑Amendment (Explain)
i. uanamate intormatlon:
NAME OF CANDID E (Last, First, Middle Initial)
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STREET �11 7
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SEP 21 2016
PHONE NUMBER FAX NUMBER (optional)
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For
E -MAIL (optional) /
J[Att ZIP CODE
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME / DISTRICT NUMBER, if applicable. ❑ NON - PARTISAN
IPARTY:
OFFICE JURISDICTION
State (complete Part 2.) /� �d / �6
City ❑ County ❑ Multi- County: L (Name of Multi- County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CeIPERSS and CaIaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
Primary/general election Special /runoff election
(Year of Election) (Year of Election)
J (C eck one box)
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: _J— I 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 egoing is true and correct.
Executed on / Signature
(morA, day, y ar) ( FPPC Form 501 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov