HomeMy WebLinkAboutAndrew Carter - Form 501 - Initial - 06-16-2010Candidate Intention Statement
Check One: w Initial M Amendment (Explain)
Type or Print in Ink.
JUN 2 2 2010
SLO CITY CLE
1. Candidate Information:
NAME OF CANDIDATE (Last First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional)
Ca.v- k-&JI Lo N . (
STATE ZIP CODE
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, ifepolcable. NON- PARTISAN
C_1%
❑ State (Complete Part 2.)
%City ❑ County
kk FAe%)k1l r
Multi- County: 2-0 0-
(Name of Multi- County✓unsdichon) (Year of Election)
2. State Candidate Expenditure Limit Statement: N Pt
(CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2)
Primary /general election Special /runoff election
(Year of Election) (Yearn /Election)
(Check one box)
F� I accept the voluntary expenditure ceiling for the election stated above.
F1 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: and I accept the voluntary expenditure ceiling for the
general or special run -off election.
(Mark if applicable)
M 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 foregoing is true and correct.
Executed on ��I v��� Signature
(month day, year) (Candidate)
FPPC Form 501 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275.3772)