HomeMy WebLinkAboutHUDSON 501 INITIALCandidate Intention Statement
Check One: ❑ Initial ❑ Amendment (Explain)
1. Candidate Infdrmration:
NAME OF CANDIDATE (Last, First Middle Initial
DAYTIME TELEPHONE NUMBER
(
CITY OF TARM'8FIELD
DEC 0 G 2019
- Ci I Y CLERK'S OFFICE
FAX NUMBER (optional) EMAIL (optional)
For Official Use Only
J 1 Ktt I /F\UUKtJS GI I Y S IAI E ZIP DUDE
OFF.'--., _.. 'I ITLE) AGENCY NAMETRICT NUMBER, if app icable. Q, Q N -PARTISAN OFFICE
�
DIS
PARTY PREFERENCE:
OFFICE JURI CTION
(Check one box, if applicable.)
❑ State (Complete Part 2.) [r]'1!5'RIMARY / GENERAL
EB'ity ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) • Year of Electron) ❑ SPECIAL/ RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
Q 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:
0 1 did not exceed the expenditure ceiling in the primary or special election held on:
the general or special run-off election.
and I accept the voluntary expenditure ceiling for
(Mark if applicable)
❑ On _J_J I contributed personal funds in excess of the expenditure ceiling for the election stated above.
I Verification:
I certify under penalty of perjury under the laws of the State of California that the foregoingpis true and correct.
Executed on _l Z ` 2_ (P — Z c� t 2 Signature - ) _Z2 4� 12 %4 \ )l� t e �if�%9/lam
(month, day, year) ndidate)
I
FPPC Form 501 (August/2018)
FPPC Advice: advice@)fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Candidate Intention Statement
Who Files:
A candidate for state or local office must file this
form for each election, including reelection to the
same office. Exception: Candidates for county central
committee that do not raise or spend $2,000 or more
in a calendar year are not required to file a Form 501.
When to File:
File the Form 501 before you solicit or receive any
contributions or before you make expenditures from
personal funds on behalf of your candidacy. This form
is considered filed the date it is postmarked or hand
delivered.
Ensure campaign deadlines are met. Go to
www.fppc.ca.gov for most campaign disclosure filing
schedules or check with your local filing officer.
Where to File:
State Candidates (including -Judges):
Secretary of State
Political Reform Division
1500 11th Street, Room 495
Sacramento, CA 95814
Phone (916) 653-6224
www.sos.ca.gov
Local Candidates:
Generally your county election office or city clerk.
Electronic filing maybe required.
Bank Account:
A separate campaign bank account must be
established including for campaigns that are
self-funded by the candidate. A bank account is
not required if a candidate will not receive any
contributions or make personal expenditures of
less than $2,000 in a calendar year. The filing and
statement of qualification fees are not included in
calculating the $2,000.
How to Complete:
All candidates: Complete Parts 1 and 3.
Candidates for elective state office: Complete Parts 1,
2, and 3.
Exception: Candidates for an election to the California
Public Employees' Retirement Board, the State
Teachers' Retirement Board, judges, and judicial
candidates do not complete Part 2.
Part 1. Candidate Information
• Enter your name and street address.
• Enter the title of the office sought, agency name,
and district number if any (e.g., City Council
Member, City of Smalltown, Dist. 5).
• Enter your political party preference if seeking
a partisan office. For a list of qualified political
parties, go to: www.sos.ca.gov/elections/political-
parties/qual ified-political-parties/.
• Check the appropriate box regarding the office's
jurisdiction.
Part 2. Voluntary Expenditure Ceiling
This section applies to certain candidates for elective
state'office, including State Senate and Assembly and
statewide offices.
The voluntary expenditure ceiling applicable to your
office is set forth in FPPC Regulation 18545. You must
state whether you accept or reject the expenditure
ceiling. Candidates who accept the voluntary
expenditure limit will be designated in either the state
voter information guide (statewide candidates) or the
county voter information guide (Senate and Assembly
candidates) and may purchase space for a 250 -word
statement there.
You may amend the Form 501 to change your.
acceptance or rejection of the voluntary expenditure
ceiling only under the following circumstances:
• Between the date of filing an initial Form 501 for
an election and the deadline for filing nomination
papers for that election, you may amend your
statement of acceptance or rejection of the
voluntary expenditure ceiling no more than two
times as long as the limit has not been exceeded.
If you reject the voluntary expenditure ceiling in
the primary or special election but do not exceed
the ceiling during that election, you may amend the
Form 501 to accept the expenditure ceiling for the
general or special runoff election and receive all of
the benefits accompanying the acceptance of the .
expenditure ceiling. The amended Form 501 must
be filed within 14 days following the primary or
special election.
Personal Funds Notification:
You must disclose, if applicable, the date you
contribute personal funds to your own campaign that
exceed the expenditure ceiling. File an amended Form
501 within 24 hours by guaranteed overnight delivery,
personal delivery, or, if applicable, by electronic means.
Part 3. Verification
The verification is signed under penalty of perjury.
This form was prepared by the Fair Political Practices
Commission (FPPC). For detailed information on
campaign report is ng requirements and the Information
Practices Act of 1,977, see the FPPC Campaign
Disclosure Manual for your type of committee.
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov