HomeMy WebLinkAboutDaniel Rivoire - Form 501 - Initial - 06-04-14Candidate Intention Statement Type or Print in Ink. I Date Stamp
Check One: [3' Initial
1. Candidate Information:
❑ Amendment (Explain)
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional)
i�1alQe VANoC1Y 1_ . (" ( )
STREET ADDRESS CITY STATE ZIP CODE
SAS L��s OlgL5 ?c, CA 013LCo I
OFFICE SOUGHT (POSITION TITLE) AGENCY AGENCY NAME DISTRICT NUMBER, if applicable M'NON- PARTISAN
Clt'"I LoV/V[.IC. J" I�
OFFICE JURISDICTION
❑ State (Complete Part 2 )
City ❑ County ❑ Multi- County:
C-Irl aF SAN L. - IS 0966
(Name of Multi - County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CalPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2 )
(YearofElection)
Primary/general election (YearofElection) SpeciaUrunoff election
(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: �1�f
general or special run -off election.
PARTY:
2. Q %, 4l
„tea, ., --y
and I accept the voluntary expenditure ceiling for the
(Mark if applicable)
❑ 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 th s true and correct.
�/ C
Executed on L i , 2ID (� Signature
(month, day, year)
(Candidate)
FPPC Form 501 (January/05)
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