HomeMy WebLinkAboutMatthew Strzepek - Form 501 - Initial Statement - 07-27-2012l
Candi. _ e Intention Statement
Check One: ]Initial []Amendment (Explain)
Type or Printi .n'lnk.
Date Stamp
JUL 272012
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optionep
Sfrz epzK l /L`7 �w , S (905 -) F s— `f2do/ t )
STREET ADDRESS CITY STATE ZIP CODE
2899 ✓��� 1;�ian fi����e spy C u %r Obir�o Cfp 9/'?
❑/State (Complete Part 2.)
E City ❑ County ❑ Multi- County: (Name of Multi-County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(Ca /PERS and Ca1STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election) (Year Primary/general election of E+edianJ
Special /runoff election
(Check one bex)
❑ 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: and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(Mark if applicablel
❑ 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.
— 2 �— / Z
Executed on Signature
(month, day, year) (Candidate)
FPPC Form 601 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661276 -3772)