HomeMy WebLinkAboutMARTINEZ 501 INITIAL 03/08/13Candidate Intention Statement Type or Print in Ink. I Date Stamp
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Initial ❑Amendment (Explain)
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ATE (Last, FM Middle 1rAdal DAYTIME TELEPHONE NUMBER
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FAX NUMBER (op#aiai) E-MAIL (optional)
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OFFI SOU (POSITION TITLE)
AGENCY NAME DISTRICT NUMBER, if applic". NON PARTISAN
Puy C r L / I n'� �l� Y C7 f `�°j'S ism WCt y PARTY:
OFFICE JURISDICTION
❑ State (C«nplele Part 2.)
, City ❑ County ❑ Mufti - County: (Name of Mum -C« ty .wd8aam) (rear or elema,)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, Judicial candidates, and candidates for local offices do not complete Part 2.)
Primary/general election SpeclaMrunoff election
(1 ear a/ Election) (Yew d F_Aection)
(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:
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.
$: Verification:
I certify under penalty of perjury under the laws of the Std lifom' hat foregoing is true and correct.
Executed on -3/0/13
li 3�, Signature
(month, day rear) (Candidate)
FPPC Form 501 (ApriU2011)
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