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HomeMy WebLinkAboutCOUCH 501 02 CANDIDATE INTENTION STATEMENT Candidate Intention Statement Dc/NN;:: Type or Print in Ink. DateStamp Check One: , ~ Initial [] Amendment (Explain) For Official Use Only 1. Candidate Information: NAME OF CANDIDATE (Last, First, Middle Initial) -- DAYTIME TELEPHONE NUMBER FAX NUMBER (o~ti~al) E-MAIL OFFICE SOUGHT (POSmON TITLE) AGENCY NAME OFFICE JURISDICTION [] State (c~le ~,,Oity [] County [] Multi-County: Candidate Expenditure Limit Statement: (Candidates fo mtil It/6/02. CalPERS candidates, judgeA judicial candidates ~1 offices are not required to complete Part 2,) Special/runoff election [] I accept the voluntaP/expenditure ceiling for the [] I do not accept the voluntary expenditure ceiling for the above. Amendment: O I did rlot exceed the expenditure ceiling in the prim~3ry~special election held on: / / and I ac~qce~the voluntary expenditure ceiling for the generalj~'p~cial run-off election. [] On I .- ~-h-~--', I contributed personal funds in excess of the . expenditure ceiling for the election stated above. Voluntary Expenditure Ceilings: (Gov. Code Section 85400) Office or Special (Effective 1/1/01) Assembly $400,000 Senate $600,000 ualization Governor Lieutenant Go n-off $700,000 $900,000 $1,000,000 $1,500,000 $6,000,000 $10,000,000 $4,000,000 $6,000,000 3. Verification: I certify under penalty of perjury under the laws of the State of California that the/oreg~ing~ FPPC Form 501 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC 866/275-3772