HomeMy WebLinkAboutLOUIE 501 07/06
Candidate Intention Statement
Type or PrInt in Ink.
CANDIDATE INTENTION STATEMENT
Date stamp
CALIFORNIA 501
FORM
For 0IIicIa1 Use Only
Check One: ~ial
o Amendment (ExpIaln)
1. Candidate Information:
NAME OF CANDIDATE (LBIt. FIt3t. ~ ~
LOU.\e-) C1\M ) A.
STREET ADDRESS
AMI!: 1t5
DAYTIME TELEPHONE
DISTRICT NUMBER, if applicable.
o Multi-COUnty:
~ at MuIIi-Coun/y Jurlldlclion)
Z06b
(YlIIIr at SecIitm)
2. State Candidate Expenditure Limit Statement:
(c.tPERS cnIdetes, judges, judciaJ cnIdetes, 8tId cantfdates for local oIffces .'" not 1fIqUit8d to complete Pad 2.)
PrImary/general election
(Y...at Election)
SpeclaVrunofl election
(Y...atElection)
(Check one /lox)
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_.....J_ and I accept the voluntary expenditure ceiling for the
general or special run-off election.
...
(IIatIc if appIlcabIe)
o On -_L-.1~ I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty~of rjury under the laws of the State of California that the foregoing, true and co~
Executed on 7~812OCb. Signature ~-r ~
(i . dIIy. YNI1 (c.nrJIdRe)
FPPC Form 501 (Janu.ry105)
FPPC ToIl-Free Helpline: lMS8IASK-FPPC (8&8f275-3m)