HomeMy WebLinkAboutBOWERS 501 INITIALCandidate Intention Statement
Check One: Initial ❑ Amendment (Explain)
1. Candidate information:
Date Stamp
20AR 24 AN II.- 53
YA- KE K f if In I,i i v
NAME OF CANDIDATE (Last. First Middie initiat) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
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CTRGCT AT7 rse GCC w �. _ _ CTATG 71r] !`nnC
For Oficial Use Only
OFFICE SOUGHT (POSITION TITLE) 1v/G�O �rI Fri AGENCY NAME � �1f— DISTRICT NUM BER. if applicable, NON-PARTISAN OFFICE
iI 1
(r4 r 1 ► 1V�'! +� �� C� t 1 9F
r�1 PARTY PREFERENCE:
OFFICE J RISDICIION �] (Check one box, if applicable.)
❑ State (Complete Part 2.) / �� ❑ PRIMARY 1 GENERAL
city ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year off Election) SPECIAL I RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS and CalSTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.}
{Check one box)
❑ 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:
Q 1 did not exceed the expenditure ceiling in the primary or special election held on: ��_�_ 1 and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark rf applrcabie)
❑ on �_1 I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty
Lof per7jury-underr the laws of the State of Califon that the foregoing is true and correct.
pt V�R C� { CI 0 CN]f A
Executed on _ - _ r Signature
(monTk day, year] (Cancirdate) FPPC Form 5D1 (August�2018j
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov