HomeMy WebLinkAboutHOLIWELL 501 INITIALCandidate Intention Statement
Check One: � Initial ❑Amendment (Explain)
CI TY OF W ENSFIEi
AUG 0 7 2020
CITY CLERK'S OFFIC
1. Candidate Inform tion:
NA �F7C�NDIDATE t, F d� Ini al) DAYTIME TELEPHONE NUMBER FAY, NUMBER (optional) EMAIL (optional)
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For Official Use Only
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..T LIGHT (�SITI ON TITLE) AGENCY NAME (DISTRICT NUMBER, if applicable. !❑RTNON-PARTISAN
OFFICEOFFICEOFFICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) ❑ PRIMARY/ GENERAL
❑ City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL/ RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(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 theror special election held on: and I accept the voluntary expenditure ceiling for
the general or special run-off electi
a
(Mark if applicab
n 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 lawsthe Aef a 'fornia that egoing e a d correct.
Executed on 08 gnature
I Si
month, d y, year) andidate) FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov