HomeMy WebLinkAboutTaff - Form 501_2023-08-08_RedactedCandidate Intention Statement
❑Amendment (Explain)
4
1. Candidate Information:
NAME OF CANDIIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
C i tj 60Lkx, C i 1 c14 93LI01
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. ON-PAR-nSAN OFFICE
Sail L LA t S bbJ5po PARTY PREFERENCE.,
OFFICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2) q [YPRIMARY / GENERAL
ana
City ❑ County ® Mufti -County: (Name of Multi -County Jurisdiction) (Year of Elecnon) ❑ 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)
Vone box)
ccept the voluntary expenditure ceiling for the election stated above.
❑ 1 do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
Q 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, �J I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify underpenalty of perjury under the laws of the State and correct.
Executed on 081/ 09r 2 Oa-S Signature
(month, 14 year) / (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov