HomeMy WebLinkAboutShoresman - Form 501 - 2022-02-28_RedactedCandidate Intention Statement
Check One: m Initial ❑Amendment (Explain)
1. Candidate Information:
Date Stamp
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
Shoresman, Michelle M ( ( )
STREETADDRESS CITY STATE ZIP CODE
San Luis Obispo CA 93401
IIILE)
Council Member
A(3ENUYNAME
City of San Luis Obispo
OFFICE JURISDICTION
❑ State (Complete Part2.)
City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates. judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
m I accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
N/A
For Official Use Only
ICT NUMBER, if applicable 1F1 NON -PARTISAN OFFICE
IPARTY PREFERENCE:
(Check one box, if applicat
VI PRIMARY / GENERAL
(Year of Election) SPECIAL/ RUNOFF
Amendment:
Q 1 did not exceed the expenditure ceiling in the primary or special election held on t I 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.
3. Verification:
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
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FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca,gov (866/275-3772)
www.fppc.ca.gov