HomeMy WebLinkAboutPANICK 501 502 99 AUG 20 AM 8:33
BAY~ERSFiEL'3 C~TY CLERK
Candidate Intention Type or Print In Ink. CANDIDATE INTENTION
501
Check One: ~Irlni~ial [] Amendment [] Termina~on 1998 FORM
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Candidate Information
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STATE ZIP CODE
Office Sought
OFFICE SOUGHT (POSI~ON TITLE)
PUBLIC A~NCY N~ME
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SOUGHT (Check One)
JURISDICTION OF
DAYTIME PHONE
FAX NUMBER
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Office Use Only
[] State
[] Multi-County
[] County of
III Verification
AT FPPC Form 501 (2~98)
ForTechnical Assistance: 9161322-5660
Campaign Bank Account
Type or Print In Ink.
Check One: ~ Ini~al [] Redesignate the Account for Future Election to the Same Office
[] Amendment [] Termination (Note: In addition, file a Form 501 if you are no longer
soliciting or receiving contributions.)
I Candidate Information
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III Verification
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FPPC Form 502 (2/95)
For Technical Assistance: 9161322-5660
h:\campaign\forms\501-502'98
91555