HomeMy WebLinkAboutLewis - Form 501_2024-04-18_RedactedCandidate Intention Statement
Check One: Lj Initial ❑ Amendment
(Explain)
I. Candidate Information:
NAME OF CANDIDATE (Last, Fi-st Middle Initiall / r I
DAYTIME TELEPHONE NUMBER
(q t � S —) lk� "L-/'(P -i 7 0 1
SG IL'T
I ` `�(�
Date Stamp
RECEIVED For oetttial use only
APR 18 2024
1 CITY CLE
FAX NUMBER (optional)
U
EMAIL (optional)
?IP CODE
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME
DISTRICT NUMBER, if applicable. �NON•PARTISAN OFFICE
C k ' C � i C Ear) �.�-(1
PARTY PREFERENCE:
OFFICE JURISDICTION V (Check one box, if applicable)
❑ State (Cwiplele Part 2) ❑ PRIMARY J GENERAL
2i zy
►lrt City ❑County ❑Multi -County Name of Multi -Coup Jurisdiction SPECIAL I RUNOFF
7"t ( Multi -County ) (Y of Eleclt ) ❑
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca1STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2-)
(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
ing for the general or special run-off election.
(Mark if applicable)
❑ On
3. Verification:
and I accept the voluntary expenditure ci l-
contributed personal funds in excess of the expenditure ceiling for the election stated above.
I certify under penalty of per'ury under the laws of the State o re oing is true an c rrect.
Executed on 2� Z
Signature
(MCM11. clay year) (Can*date)
Ill Form 501 (August/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov