HomeMy WebLinkAboutKathy Smith - Form 501 - Initial - 06-21-10Candidate Intention Statement
Check One:Ji2(initial
1.Candidate Information:
TypeorPrintinInk.
D Amendment (Explain)---_
REe'elVE D
JUN 21 20m
LO CITY CLERK
CANDIDATE INTENTION STATEMENT,
CALIFORNIA 501
FORM
For Official UseOnly
(Yearof EJection)
NAMEOF CANDIDATJ:(Last,First,MiddleInitial)
5j11 If,.Jra th/-.e;enl ({(8th v)
STREET ADDRESS I.os ::5.1+'rt7
OFFICE SOUGHT(POSITION TITL
tVci L
Q-County 0 Multi..county:
DAYTIME TELEPHONE NUMBER
(Name of Multi-CountyJUrisdiction)
FAX NUMBER (optional)
(-
STATE
E-MAIL (optional)
tl1t'tVOlI.J'NeeAl @C'.Itltrle.l'./VeT"
ZIPCODE
2.State Candidat.e Expenditure Limit Statement:
(CaIP£RS candidates,judges,judicial candidates,andcandidatesforlocalofficesarenotrequired to completePart2.)
-=,--=cc-~Primar.ylgeneral election
(YearofElection)
-=_=,--~Speciallrunoff election
(YearofElection)
(Check one box)
o I accept thevoluntaryexpenditureceilingfortheelectionstatedabove.
o Ido not accept thevoluntaryexpenditureceilingfortheelectionstatedabove.
Amendment:o Ididnotexceedtheexpenditureceilingintheprimaryorspecialelectionheldon:--.1--1__andI accept thevoluntaryexpenditureceilingforthe
generalorspecialrun-offelection.
(Mark ifappOcabJe)
o On --.1--.1__,Icontributedpersonalfundsinexcessoftheexpenditureceilingfortheelectionstatedabove.
3.Verification:
IcertifyunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandzct.-
£xecuted .cn ~fL (,:2 iJ)O.Signature XaltfOkc=-:14r,_A
(month,daY,year)(Candidate)
FPPC Form 501 (JanuaryID5)
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