HomeMy WebLinkAboutTAPIA 501 08/06
Candidate Intention Statement
Type or PrInt in Ink.
CANDIDATE INTENTION STATEMENT
Date Stamp
CALIFORNIA 501
FORM
For 0IlicIa1 Use Only
Check One: ~ Initial
o Amendment (explain)
06 AUG I 0 PH 2: ..
B KERSFIELO eIT Y CL. RK
1. Candidate Information:
DISTRICT NUMBER, if applicable.
o Multi-Gounty:
(Named MuIIi-County Jutld:lJon)
20{)/o
(Yeer d 8ecIion)
2. State Candidate expenditure Limit Statement:
(CalPERS cantfdaIes. ilKlr/N. judcial camldates, end centfdeles for local oIIIca ere not requim to complete PlIrt 2.)
Prl"",rylgeneral election
(Y_d8eclion)
Speclalhunofl election
(Yeerd8eclion)
(Chedr one 8)
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: --_L--1_ and I accept the voluntary expenditure ceiling for the
general or special run-off election.
I.'
(&fatIc if ippIcaIIje)
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 tha.t the ~ is true and correct.
J! --"1+l. ])a . '-Z .
Executed on/f...!!~./ , 2M to . Signature c.lA L1Y2.1 A-
U '(month, dlty, ,.." (c.ndid8Ie) I
FPPC Form 501 (JanuaryJQ5)
FPPC ToIl.free Helpline: 8661ASK.fPPC (8811275-3772)