HomeMy WebLinkAboutGEORGE 501 INITIAL 6/29/16Candidate Intention Statement Type or Print in Ink. I Dare Stamp
Check One: itial ❑Amendment (Explain)
29 Ap JBt 4%
1. Candidate Information: "--
NAME OF CANDIDATE a+si. First Middle mmap DAYTIME TELEPHONE NUMBER FAX NUMBER (cgtionap EMAIL lopnonap
TEFFReY Lee 6e�,0 (
STREET ADDRESS CITY STATE ZIP CODE
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ily ❑ County ❑ Multi- County: tNama of rnwn C—ty aunamawol (roar of elaarom
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candd Naar jodgea, )ndxnal candidates, and umddates ror local oftes do not complete Part 2.)
rraa. or areonoal Primary/general election tree, or emcaool Special/runolf election
tChrk one oo,)
❑ 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.
(Mad it applleaGeJ
❑ On Jam_, 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 liiffornia the he foregoing is true and correct.
Executed on ° /� (9 /14 Signature ,'
tmomh day, yeet) V (candidate) FPPC Form 501 (April /2011)
FPPC Toll -Free Helpline: 888 /ASK -FPPC (8661275 -3772)