HomeMy WebLinkAboutHumphrey - Form 501_2024-08-06_RedactedCandidate Intention Statement
Check One:lflitial ❑Amendment
(Explain)
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CITY CLERK
1. Candidate information: J-r
NA F Waal DA? ME EPHO E NUMB FAX NUMBER (optional) EMAIL (optional)
STREET DRESS CITY STATE Z P CODE
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For Official Use Only
OFFIC��UHT.P SITI N TITLE) AGENdY NAME / 'STRICT MBER, d appG le NON -PARTISAN OFFICE
1
J ( AR1Y PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable )
❑❑ PRIMARY/GENERAL
State (^cmplete Part 2 )
Ci ❑ County ❑ Multi -County (Name of Multi -County Jurisdiction) ('rear of Election) ❑ 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 )
( heck ore box)
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.
and I accept the voluntary expenditure ceil-
(Mark if appl Cabe)
❑ On I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty, of per ury under the law of the
Exec,Aed onS / r Signat
(mont . day, year)
FPPC Form 501 (August/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov