HomeMy WebLinkAboutSHEARER 501/502 andidate Intention
Type or Print in Ink.
Check One: [] Initial [] Amendment
I Candidate Information
FULL NAME OF CANDIDATE (LAST, FIRST, MIDDLE)
ADDRESS (NO. AND STREET)
CITY STATE ZIP CODE
·
~_.~
II Office Sought
OFFICE SOUGHT (POSITION TITLE)
PUEUC ~GENCY NAME
~R~SD~DT~ON OF ELECTIVE OFRCE SOUGHT IC~eok Q~el
Termination
[] Multi-County
III Verification
DAYTIME PHONE
FAX NUMBER
)
~_,,,_,~
CANDIDATE INTENTION
CALIFORNIA
~ ~O.~ 501
Office Use Only
iYE~tt.% :CTION
[] Recall
E×ecuted D.~ / ~5 /q q. ~
~ -DATE SIGNATURE OF CANDIDATE
FOR MORE INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL A ON CAMPAIGN DISCLOSURE
PROVISIONS OF THE POLITICAL REFORM ACT. FPPC Form 501 (2~98)
For Technical Assistance: 916/322-5660
Campaign Bank Account Type or Print in Ink. CAMPAIGN BANK ACCT.
Check One: [] Initial [] Redesignate the Account for Future Election to the Same Office CALIFORNIA 5 0 2
1998 FORM
[] Amendment [] Termination (Nc~e: In addition, file a Form 501 if you are no longer
soliciling or receivin9 contributions.) Office Use Only
I Candidate Information
DAYTIME PHONE
OFFICE SOUGHT AND AGENCY NAME
' _ __ (Check One if Applicable) ~ Speci~~ Rec~l
II Account Information
FINANCIAL INSTITUTION
ADDRESS ( DATE
III Verification
.... .
f DATE SIGNATURE OF CANDIDATE
FOR MORE INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANTTO THE INFORMATION PRACTICES ACT OF 1977, SEE INFO A ON CAMPAIGN DISCLOSURE
PROVISIONS OFTHE RM ACT. FPPC Form 502 (2/98)
For Technical Assistance: 916/322-5660
h:%campaign~lorms~501-502'98
97 91555