HomeMy WebLinkAboutSMITH BOB 501 INITIAL 03/30/22Candidate Intention Statement
Check One: M Initial ❑ Amendment (Explain)
1. Candidate Information:
Date Stamp
MAR 30 AM 8: 37
NAME OF CANDIDATE (Last, First Middle inicaq DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
Rolf -
STREETADDRESS CITY r STATE ZIP CODE
For Official Use Only
OFFICE JURISDICTION (Check one box, it applicat
❑ State (Complete Part 2.) ® PRIMARY / GENERAL
City ❑County ❑ Mufti -County: (Name of Multi -County Jurisdiction) (Year of Election) SPECIAL/ RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS 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.
❑ 1 do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
Q 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 if applicable)
❑ On, I 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 California that the foregoing is true and correct.
Executed on _ /�- L�30 4? Signature
(month, day, year) (Candidate)
FPPC form 501 (August/2018)
FPPC Advice: advice&ppc.ca.gov (866/275-3772)
www.fppc.ca.gov