HomeMy WebLinkAboutCHAVEZ 501 AMEND 5/31/2016 e-S a CALIFORNIA
Candidate Intention Statement Type or Print in Ink.
FORM
For Offiria- se(75rly
Check One'. Ellnitial DAmendment
1. Candidate Information:
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STREET ADDPESS
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City [] County Ok8u0-County:
2- State Candidate Expenditure Limit Statement:
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Primma/ylgenena/ e/eotiun _ _Spec/aNnunufYelection
El | accept U`evoluntary axpendhune ceiling for the election o8ateol obove-
Ej- | do not accept the voluntary expenditure uaUinA fox the election stated above-
Amendment-
0 | did not exceed the expenditure ceiling in the primary or special election held on' and | accept the voluntary expenditure oni|ing for
the gonenal or special run-off election-
On __1 | contributed personal funds in excess of the expenditure ceiling for the election stated above-
3. Verification:
| certify under penalty of perjury under the levva of the State of California that the foregoing is true and correct-
Executed on
FPpo Form so1 (Anno2011)