HomeMy WebLinkAboutTAKII SARA 501 andidate Intention Statement
Type or Print in Ink.
Check One: ,~nitial [] Amendment
1. Candidate Information
FULL NAME OF CANDIDATE (LAST, FIRST, MIDDLE)
ADDRESS (NO. AND STREET)
Cr dc s,4v' .
CITY STATE
2. Office Seught
[] STATE [] COUNTY
ZIP COCE
[]MUll-COUNTY
DISTRICT NUMBER
CANDIDATE INTENTION
Date Stamp CALIFORNIA
FoRM501
00AUG 18 PM 2: 2F~ Poro.,~,us.o.~ l
i3At~EFLSPtL;L~ ~ii Y i3L
DAYTIME PHONE
FAX E-MAIL (OPTIONAL)
Verification
I cedify under penalty of perjury under the laws of the State of California that the f ' ' true
FPPC Form 501 (8/99)
For Technical Assistance: 916/322-5660