HomeMy WebLinkAboutMADRIGAL MIKE 501 INITIALCandidate Intention Statement
Check One: 'Initial ❑Amendment
j� (Explain)
1. Candidate Information:
Date Stamp
AUG 14 2024 1 For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
M A,o rir („Y'_ M :P y c' ( � �� ( )
STREET ADDRESS CITY STATE ZIP CODE
(
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME IDISTRICT NUMBER, if applicable. IM NON -PARTISAN OFFICE
T i V l UVAVC.ZC� I- k ()r I IPARTYPREFERENCE:
OFFICE JU ISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) 2 h 0 PRIMARY / GENERAL
�Rl City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Yearn of Electi n) �� SPECIAL / RUNOFF
(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:
O 1 did not exceed the expenditure ceiling in the primary or special election held on
ing for the general or special run-off election.
(Mark if applicable)
and I accept the voluntary expenditure ceil-
❑ On 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 V �L) \ y"� Signature
(month, day, year) (Candi te)
Ill Form 501 (August/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov