HomeMy WebLinkAbout2014_07_17 Form 501 - Emily Lo Candidate Intention Statement Type or Print in Ink. D t t CANDIDATE INTENTION STATEMENTCALIF. .NIA 501
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JUL 172014 For Official Use Only
Check One: Initial ❑Amendment (Explain) il
B
1. Candidate Information:
NAME OF CANDIDATE (Last,First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional)
OFFICE SOUGHT((PO ITION TITL /�, /n, A�Gj CYY NAME DISTRICT NUMBER, if applicable. NON-PARTISAN
�71' ���+1� f rl� Y�/ PARTY:
OFFICE JURISDICTION
❑ State (Complete Part 2.)
City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates,judges,judicial candidates, and candidates for local offices do not complete Part 2.)
Primary/general election Special/runoff election
(Year of Election) (Year of 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: 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 of the State of California that the foregoing is true and correct.
Executed on�i Signature
(month, day,year)61 (Candidate)
7 FPPC Form 501 (April/2011)
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