HomeMy WebLinkAbout COUCH 501/502 98Candidate Intention
Check One: 7 Initial
I Candidate Information
[] Amendment
Type or Print in Ink.
[] Term,nation
CANDIDATE INTENTION
CALIFORNIA
1998FO.M 501
Office Use Only
FULL NAME OF CANDIDATE [LAST, FIRST, MIDDLE)
II Office Sought
III Verification
Icer tifY under penal~ °f ~ury~der ~e laws °f the State °f Calif°mia that the f°reg°tng is ~;~/~
FPPC Form 501 (2/98)
For Technical Assistance: 916/322-5660
Campaign Bank Account Type or Print in Ink.
Check One: ~'lnifial [] RedesignatetheAccountforFutureE~ectiontotheSameOffice
[] Amendment [] Termination{Note: Inaddition, filea Form501 if you are nolonger
soliciting or receiving contnbutions.)
I Candidate Information
FULL NAME OF CANDIDATE (LAST, FIRST, MIDDLE)
ADDRESS (NO AND STREEt) / DAYTIME PHONE
OFFICE SOUGHT AND AGENCY NAME
CAMPAIGN BANK ACCT.
CALIFORNIA
1998 FORM
Office Use Only
'EAR 0777'
TYPE OF ELECTION [] Special [] Recall
(Check One ~f Apphcable)
II Account Information
FINANCIAl. INSTITUTION
~ DATE OPENED (Month/Oay~eer)
Ill Verification
FOR MORE INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION p~ACTICE S A~T OF 1977 SEE INFORMATION MANt}AL A ON CAMPAIGN DISCLOSURE
PROVISIONS QF THE POLITrCAL REFORM ACT FPPC Form 502 (2/98)
For Technical Assistance: 916/322-5660