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HomeMy WebLinkAboutKEPHART 501 INITIAL 3/15/16Candidate Intention Statement Check One: Clnitial ❑Amendment (Exalter) NAME OF CANDIDATE at Rm. Maw Inew) Dare stamp 15 PM 3.32 DAYTIME TELEPHONE NUMBER FAX NUMBER E -MAIL (pt ) c 1 ❑ State rcmMlM. Part 2) 1%.CNy ❑ County ❑ Mufti-County: 2. State Candidate Expenditure Limit Statement: (CaIPERS eM C&S]RS eandlderea l eve,, lamed eeM/Cerea, and cooks des J& brel entree ea nor complete Fan' ) r Primary/genan/ election Special /runoff election lcwa are teat ❑ I accept the voluntary expenditure calling for the election stated above. ❑ 1 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--J— and I accept the voluntary expenditure ceiling for the general or special run -og election. (Naa a pawed,' ❑ 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. 0 311g12n IS Signature' —4v", o, a�%� FPPC Form Sol lian /20161 immm, tax rant fcartem•' FPPC Advice: advice@fppcn.gov (8661275-3772) wv w fppc.ca.gov