HomeMy WebLinkAboutHOLLON 501 andidate Intention
Check One: d~ Initial
I Candidate Information
II Office'~"~ught
OFFICE SOUGHT (POSITION TITLE)
JURIS'DIC~T~N OF ELECTIVE OFFICE SOUGHT (Check One)
I'1 State [] County of
[] Multi-County ~City of
[] Amendment
Type or Print in Ink.
[] Termination
CANDIDATE INTENTION
C~L Fr3
501
III Verification
T'~ Ker S ~tTe 7~/
DISTRICT N~MBER I PARTY (if Apphcable)
[] Recall
I certify under I~enalty of perjury und r the laws of the State of California that the foregoing is u a corr,~ct
FOR MORE INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICE S ACT ~~EE INFORMATION MANUAL A ON CAMPAIGN DISCLOSURE
PROVISIONS OF THE POLITICAL REFORM ACT,
FPPC Form 501 {2198)
For Technical Assistance: 916/322-5660
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