HomeMy WebLinkAboutBUSTAMANTE 501 andidate Intention Type or Print in Ink. CANDIDATE INTENTION
Check One: [] Initial [] Amendment [] Termination
I Candidate Information Office Use Only
FULL NAME OF CANDIDATE (LAST, FIRST, MIDDLE)
ADDRESS (NO AN~ STREET)
DAYTIME PHONE
CITy STATE ZIp CODE FAX NUMBER
Office Sought
OFFICE SOUGHT (POSITION TITLE)
[] State [] County of
](TcYhPe~c~OOF.~eL~fE~I¢O~cNab,., [] Special [] Recall
III Verification
I certify under penalty of periury under the laws of the State of California that the foregoing is true and correct
F OR MORE INFORMATION REOUIRED TO B~ PROVIDED TO YOU PM RSUANT TO THE INFORMATION PRACTICES ACT OF 1977 SEE INFORMATION MANUAL A ON CAMPAIGN DISOLOSURF
PROVISIONS OF ~HE POLITICAL REFORM ACT
FPPC Form 501 (2/98)
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