HomeMy WebLinkAboutKevin Rice - Form 501 - Amendment - 08-03-2012Candidate Intention Statement
Type or Print in Ink.
Date Stamp
CANDIDATE
Check One: ❑Initial Qr]Amendment (Explain) CIIOMel ot— AUG 032012 For Official Use Only
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1. Candidate Information:
NAME OF CANDIDATE (I st, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL c(oEpt°ions al)
ii Ey/I G02 -Zb16 kri
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STREET ADDR ESS
CITY STATE ZIP CODE
333 L u iv,�A J) z gy p, 1 1 Ik /%� IIIS09 r14 g;;?U194_
NON- PARTISAN
PARTY:
El state (Complete Part 2.)
IV city ❑ County ❑ Multi- County: (Name of Multi -County Jurisdiction) (Year
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca /STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election)
Primary/general election (Year of Election) Special /runoff 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:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: -1— and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(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
Executed on r� �O/
(month, day, year)
of the State of Calif rnia that the foregoing is true and correct.
Signature
(Ca FPPC Form 501 (April /2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)