HomeMy WebLinkAboutMORSE 501 07/06
CANDIDATE INTENTION STATEMENT
Candidate Intention Statement
Type or PrInt in Ink.
Date Stamp
CALIFORNIA 501
FORM
For 0IIlcla1 Use Only
Check One: ~ Initial
o Amendment (Explain)
JUl 28 PH 12: 52
1. Candidate Information:
NAME OF CANDIDATE (Last. RmI. MIdde ,~)
J11 d.e5 t. Ie. A.-N~ ST ,;
STREET ADDRESS
OFFICE SOUGHT (POSmON TITLE) AGENCY NAME
C-17'Y C. d'vp .&:..llJ
OFFICE JURISDICTION
o State (Complete P8tl 2.)
I2V City 0 County 0 Multi-County:
DAYTIME TELEPHONE NUMBER
(( (.
$ ~
FAX NUMBER (op/ioIIaI)
E-MAIL (op/ioIIaI)
STATE
ZIP CODE
(Name afAfulll.Counly JurIsdIctjoo)
Z.tfl4~
(YNr af EIecIion)
2. State Candidate Expenditure limit Statement:
(CaJPERS C81Xfdates, judgN, judcial ClImfdates, and camldates for local officetJ a,. not required 10 complele Part 2.)
Primary/general electJon
(Yearaf Election)
SpeclaVrunotf election
(YearafEleclion)
(Check one bole)
o I accept the voluntary expenditure ceiling for the election stated above.
o I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
o I 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.
...
(1IatIc if applicable)
o On ----1----1_. 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 of California that the foregoing is ~ a1 ...?~
Executed on 0 7 / z. p / Z d D6 , Signature ~ --../ ~ ~..
(monIII, ~ ,.." (CaIddafe)
FPPC Form 501 (JanueryI05)
FPPC TolI.free Helpline: 8661ASK.fPPC (8681275-3772)