HomeMy WebLinkAboutARIAS 501 INITIAL 07/19/22Candidate Intention Statement I Date Stamp
For Official Use Only
Check One: Pnitial ❑Amendment (Explain) _. .
22 J L 19 AN 10: 00
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1. Candidate Information: I I
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
ri r (
STREETADDRESS
OFFICF SOUGHT (POSITION TITLE) AGENCY NAME IDISTRICT NUMBER, if applicable. 5a NON -PARTISAN OFFICE
I'L4-t4�VnG�` (��( C' �y D/0.t[.t.��F ►`UK I Wt"� 3— I PARTY PREFERENCE: �a
:ICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) 'Zt Aa ,PRIMARY / GENERAL
RU)City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca1STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(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:
0 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, t—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 Callfornla th a regoing Is true and correct.
Executed on d Signature
(mgjth, day, yeer) (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov