HomeMy WebLinkAboutCAPORALI 501 INITIAL 11/13/19Candidate Intention Statement
Check One: 0Initial El Amendment (Explain)
1. Candidate Information- 0
i
NAME OF CANDIDATE (Last, First Middle Initial) p0rot oSv_
STREETADDRESS CITY
OFFICE JURI1DICTION
❑ State (Complete Part 2.)
City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaIS TRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
C
CI
OF BRKERSFIELQ CALIFORNIA
•-
NOV 13 2019 For Official Use Only
CLERK'S OFFICE
FAX NUMBER (optional) EMAIL (optional)
STATE ZIP CODE '
R, if applicable. ❑ NON-PARTISAN OFFICE
PARTY PREFERENCE:
(Check one box, if applicable.)
j gfRIMARY / GENERAL
ear of Election) ❑ SPECIAL/ RUNOFF
(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:
Q 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 it applicable) r
❑ 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 J / J / % Signatur
(month, day, year) (candidate) FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov