HomeMy WebLinkAboutJohn Ashbaugh - Form 501 - Initial - 06-01-2012Candidate Intention Statement
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INTENTION STATEMENT
Check One: luitlal ❑Amendment (Explain) 11.1— w For Official use only
JUN 012012
1. Candidate Information: SLO CITY CLERK
NAME Ofi CANDIDATE (Last. First. Middle Initial) / DAYTIME TELEPHONE 7NUMBER FAX NUMBER (optional) E -MAIL (optional) l j
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STREETADDRESS CITY STATE PCODE
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OFFICE SOUGHT (POSITION TITLE) l ^AGENCY NA / ( DISTRICT NUMBER, it applicable. NON- PARTISAN
�\ p - —>c PARTY:
OFFICE JURISDICTION
❑ State (Complete Pan 2.)
City ❑ County ❑ MUlti- County: �a�Z
(Nam (Year of Elecion)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CalSTRB candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
Primary/general election S ecial /runoff election
(Year or Election) (Year or Election) P
(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:
0 1 did not exceed the expenditure ceiling in the primary or special election held on: �_J— and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(Mark it applicable)
❑ On _J _ 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 regoing is true and correct.
Executed on V_�/ �%/ Signature _
( onlh, day. year) `' 4�__�_
(Cana ale) FPPC Form 501 (April /2011)
FPPC Toll -Free Hairline: 866 /ASK -FPPC (866/275 -3772)