HomeMy WebLinkAboutBARRON 501 INITIALCandidate Intention Statement
Check One: EfIInitial ❑Amendment (Explain)
1. Candidate Information:
(•i :' I-) n 1,r:--rlri-'t r-1 r
Date Stamp
J U L 2 1 2022
For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
-t//p / �
STREETADDRESS CITY STATE ZIP CODE
/�
❑ State (Complete Part 2.)
QK ity ❑ County
❑ Multi -County: (Name of Multi -County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and Ca1STRS 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.
El"PRIMARY / GENERAL
—?_GZZ SPECIAL / RUNOFF
(Year of Election) ❑
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 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 contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certlfy under penalty of perjury under the laws of the State of JC11fornla that the for sand correct.
Executed on `� �' ��Signature
(month, day, year) (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov