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HomeMy WebLinkAboutGOH 501 INITIALCandidate Intention Statement Date Stamp ORNIA CM OF BAKERSFIELD FORM Check One: ®Initial ❑Amendment (Explain) NOV 19 2019 For Official Use Only CIA CLERK'S OFFICE 1. Candidate Information: NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional) Goh, Karen K. ( STREETADDRESS CITY STATE ZIP CODE NON-PARTISAN OFFICE PARTY PREFERENCE: (Check one box, if applicable.) ❑ PRIMARY/ GENERAL (Year of Election) ❑ SPECIAL / RUNOFF 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 _/_/ 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 'fornia that the foregoing is true and correct. Executed on 11/18/2019 Signature (month, day, year) (Candidate) FPPC Form 501 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov