HomeMy WebLinkAboutMarx - Form 501_2024-04-08_RedactedCandidate Intention Statement
Check One:Initial ❑Amendment
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1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Inita��
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E SOUGHT (POSITION TITLE) AGENCY NAME
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DAYTIME TELEPHONE NUMBER
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Date Stamp
FAX NUMBER (optional)
CA
HRif applicable
For Official Use Only
EMAIL (optional)
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NCN-PARTISAN OFFICE
PARTY PREFERENCE:
OFFICE JURIS ICTION v (Check one box if applicable)
�F-1 State (Complete Pan 2) 4 PRIMARY / GENERAL
tX I City ❑ County ❑ Multi-CoLnly (Name of Mulb-County Jurisdiction) (Year of Election) ❑ SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(Ca1PCRS and CaiSTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part2 )
(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:
Q 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 ceil-
I contributed personal funds in excess of the expenditure ceiling for the election stated above
I certify under penalty of perjury under the laws of the Stat*Cr6nith at the fore oin is true and correct.
Executed on ` �9 .2 c{ Signature
month, day, year) Candidate)
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FPPC Form 501(August/2023)
FPPC Advice: advice@fppc.ca,gov (866/275-3772)
www.fppc.ca.gov