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HomeMy WebLinkAboutMAXWELL 501 INITIAL 8/12/12Candidate Intention Statement Check One: Initial []Amendment (Explain) Type or Print in Ink. Date Stamp Z AUP 13 AM 9: 53 STATEMENT 1. Candidate Information: BAKERSFIELD CITY CLERK NAME OF CANDIDATE (Last, Fist. Middle Initial) DAYTIME TELEPHONE NUMBER FAX �NUMBER (optional) E-MAIL (optionnal)_/ 1 b VL, -cj(, T�,'��, �� ( 6FFIFIC` (E SOUGHT (POSITION f TITLE) } - 7 AGENCY NAME DISTjRICT NUMBER, ff applicable. ANON- PARTISAN I 1TV1 (;)bnC( 1 . (x�CY_(rI Ci �IAJd4_�1 2— PARTY: ❑ State (Complete Pan 2.) fZ RCity ❑ County ❑ Multi- County: (Name of Multi -camry ,ltsisdictim) (Year of Electm) 2. State Candidate Expenditure Limit Statement: (CaIPERS and CeISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.) ar Election) (Year d Electlon) Primary/general election (Year SpeciaUrunoff election (Check one box) ❑ I accept the voluntary expenditure ceiling for the election stated above. ❑ I do not accept the voluntary expenditure ceiling for the election stated above. Amendment: 0 1 did not exceed the expenditure ceiling in the primary or special election held on: and I accept the voluntary expenditure ceiling for the general or special run -off election. (Mark it applicable) ❑ On 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 Cali fo ia''that the foregoing is true and correct. Executed on _ ` Signature (month. day, year) (Ca eta) FPPC Form $01 (ApriU2011) FPPC Toll -Free Helpline: 86WASK -FPPC (8661275 -3772)