HomeMy WebLinkAboutSTAHL 501 CANDIDATE INTENTION
Candidate Intention Statement Typ, or Print in Ink. Da~e Slamp
Check One: /~lnitial
1. Candidate Information
[] Amendment
PH I: Il;!
For Official Use Only
FULL NAME OF CANDIDATE (LAST, FIRST, MIDDLE)
ADDRESS (NO. AND STREET)
DAYTIME PHONE
crTY STATE ZIP COOE FAX
2. Office Sought
OFFICE SOUGHT (POSITION TITLE)
iOi~i HiCT NUMBER
D NON-PARTISAN
PARTy:
YEAR OF ELECTION
TYPE OF ELECTION (Check One I! Applicable)
[] sp~ia [] Rec~
[]STATE []COUNTY CF
[] MULTI-COUNTY
3. Verification
I certify under penalty of perju~j under the laws of the State of California that the foregoing is true and correct.
FPPC Form 501 (8/99)
For Technical Assistance: 916/322.5660