HomeMy WebLinkAboutDrake - Form 501_2023-10-16_RedactedCandidate Intention Statement Doto Stomp
EGEIVED I WF0rCMcio'1LU)sW,0'n1y
Check One: 'initialAmendment
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(Explain)
G`I r -ITY CLERK
1. Candidate Information:
NAME OF CANDIDATE 04 Fkat M `grNy) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
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STREETADDRE ` \ �` i (
CITY S ` �I
STATE -ZIP CODE
11:�_ ��cil,�Ll.1ih
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. NON -PARTISAN OFFICE
OFFICE JURISDICTION
PARTY PREFERENCE: (,^A C
(Check one box, if applicable)
Stele (Complete Part 2.) (" _ ,'
City County Multi -County: PRIMARY /GENERAL
(Name of Multi -County Jurisdiction) ear of Election) 0 SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS 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:
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.
(Marc 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 State of Califo is that ore oin Is true and co ect.
Executed on 1 ( I J (�L' +
Signature _
(month, day, year)
J
FPPC Form 501 (August/2023)
FPPC Advlce: advice@fppc.ca.gov (966/275.3772)
www.fppc.w.gov