HomeMy WebLinkAboutGILL RAJVIR S. 501 INITCandidate Intention Statement
Date Stamp
Check One: 'Initial []Amendment (Explain) 2
2 MAY 23 AM 11:
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L D CITY CI 1-i
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER
�-' :fLL, RASV(R
FAX NUMBER (optional) EMAIL (optional)
For Official Use Only
STREETADDRESS CITY r STATE ZIP CODE
OF CE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. ❑ NON -PARTISAN OFFICE
PARTY PREFERENCE:
OFFICE 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 electionZelection
Amendment:
Q 1 did not exceed the expenditure ceiling in the primary or speld on / / and I accept the voluntary expenditure
ceiling for the general or special run-off election.
(Mark if applicable)
❑ On, I I I contributed personal fun 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 iforn[a that the foregoing Is true and correct.
Executed on ✓ v Signature
(month, d y, year) (Candy
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Candidate Intention Statement
Who Files:
A candidate for state or local office must file this form
for each election, including reelection to the same
office. Exception: Candidates for county central
committee that do not raise or spend $2,000 or more in
a calendar year are not required to file a Form 501.
When to File:
File the Form 501 before you solicit or receive any
contributions or before you make expenditures from
personal funds on behalf of your candidacy. This form is
considered filed the date it is postmarked or hand
delivered. Ensure campaign deadlines are met. Go to
www.fppc.ca.gov for most campaign disclosure filing
schedules or check with your local filing officer.
Where to File:
State Candidates (including Judges):
Secretary of State
Political Reform Division
1500 11th Street, Room 495
Sacramento, CA 95814
Phone (916) 653-6224
www.sos.ca.gov
Local Candidates:
Generally your county election office or city clerk.
Electronic filing may be required.
Bank Account:
A separate campaign bank account must be established
including for campaigns that are self -funded by
the candidate. A bank account is not required if a
candidate will not receive any contributions or make
personal expenditures of less than $2,000 in a calendar
year. The filing and statement of qualification fees are
not included in calculating the $2,000.
How to Complete:
All candidates: Complete Parts 1 and 3.
Candidates for elective state office: Complete Parts 1,
2,and 3.
Exception: Candidates for an election to the California
Public Employees' Retirement Board, the State
Teachers' Retirement Board, judges, and judicial
candidates do not complete Part 2.
Part 1. Candidate Information
• Enter your name and street address.
• Enter the title of the office sought, agency
name, and district number if any (e.g., City
Council Member, City of Smalltown, Dist. 5).
• Enter your political party preference if
seeking a partisan office. For a list of qualified
political parties, go to: www.sos.ca.gov/elections/
political-parties/qualified-political-parties/.
• Check the appropriate box
regarding the office's jurisdiction.
Part 2. Voluntary Expenditure Ceiling
This section applies to certain candidates for elective
state office, including State Senate and Assembly and
statewide offices.
The voluntary expenditure ceiling applicable to your
office is set forth in FPPC Regulation 18545. You must
state whether you accept or reject the expenditure
ceiling. Candidates who accept the voluntary
expenditure limit will be designated in either the state
voter information guide (statewide candidates) or the
county voter information guide (Senate and Assembly
candidates) and may purchase space for a 250-word
statement there.
You may amend the Form 501 to change your
acceptance or rejection of the voluntary expenditure
ceiling only under the following circumstances:
• Between the date of filing an initial
Form 501 for an election and the deadline for
filing nomination papers for that election, you
may amend your statement of acceptance
or rejection of the voluntary expenditure
ceiling no more than two times as long
as the limit has not been exceeded.
• If you reject the voluntary expenditure
ceiling in the primary or special election but do not
exceed the ceiling during that election, you may
amend the Form 501 to accept the expenditure
ceiling for the general or special runoff election
and receive all of the benefits accompanying
the acceptance of the expenditure ceiling. The
amended Form 501 must be filed within 14
days following the primary or special election.
Personal Funds Notification:
You must disclose, if applicable, the date you
contribute personal funds to your own campaign that
exceed the expenditure ceiling. File an amended Form
501 within 24 hours by guaranteed overnight delivery,
personal delivery, or, if applicable, by electronic means.
Part 3. Verification
The verification is signed under penalty of perjury.
This form was prepared by the Fair Political Practices
Commission (FPPC). For detailed information on
campaign reporting requirements and the Information
Practices Act of 1977, see the FPPC Campaign
Disclosure Manual for your type of committee.
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov