HomeMy WebLinkAboutHedrick - Form 501_2024-07-18_RedactedCandidate Intention Statement
Check One: nitlal ❑Amendment
(Explain)
Date Stamp
ECEIVED
L '_, 1 8
CITY CLERK.
Fo' Official Use Only
1. Candidate Information:
NAME F CANDIDATE (Last, Fist Middle, imhali DAYTIME TELEPHONE NUMBER FAX NUMBER (optio al) EMAIL (optional)
S7 CITY STATE ZIP CODE
OFFICE SOUGHT (POSITION TITLE) / AGENCY INE DISTRICT NUMBER. if applicable NON -PARTISAN OFFICE
j y/� r� 'AR; Y PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable }
❑ State )Ccmplete Part 2) / ' ^ PRIMARY/ GE_ NERF L
city County Multi -County' 14-1 (Name
-
❑ ❑ (Name of Multi -County Jurisdiction) (Year of Etecuon; Li SPECIAL /RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaiPERS and CaISTRS candidates, judges, judicial candidates. and candidates for local offices do not complete Pad 2_)
(Check one box)
lyI accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 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)
and I accept the voluntary expenditure ceil-
❑ 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 fore oin is true and correct.
Executed on ice' / Signature
(month, day yaar) (Canc;da:e)
FPPC Form 501 (August/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc,ca.gov