HomeMy WebLinkAboutSCHWARTZ 501 INITIAL 07/23/14Candidate Intention Statement
Check One: (Initial ❑Amendment (Explain)
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NAME OF CANDIDATE (Last, first, Middle Initia
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Type or Print in Ink.
Date Stamp
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TELEPHONE NUMBER —. FAX NUMBER (optional)
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CANDIDATE INTENTION STATEMENT
E -MAIL (optional)
PARTISAN
PARTY:
OFFICE JURISDICTION if
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❑
State (Complete Part 2.) A-/a jij� � -C �� _ I / /� /
(?� Clty ❑ County ❑ Multi- County: [ /`C /� (Name Of MMUltii-- CGfimy Jurisdiction) �(Yeearr of lection)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year
Primary/general election (Year of Election} Special /runoff election
of lection)
(Check one box)
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: and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(Mark if applicable)
❑ On _J_J 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 C ?lifornia that the fore oing is tr a and correct.
Executed on _0A °'O�y Signature
p nth, day, year) (Candidate) FPPC Form 501 (April/2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)