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HomeMy WebLinkAbout2013_08_21 Yan Zhao - Form 501 CANDIDATE INTENTION STATEMENT Candidate Intention Statement Type or Print in Ink. • - For Official Use Only Check One: Initial ❑Amendment (Explain) AUG 2 1 2313 t By 1. Candidate Information: NAME OF CANDIDATE (Last.First,Middle Initial) DAYTIME TELEPHONE NUMER FAX NUMBER(optional) s� o OFFICe SOUGHT(POSITION TITLE) �o AGENCY NAME n DISTRICT NUMBER,if applicable. (MON-PARTISAN Cr PARTY: OFFICE JURISDICTION ❑State (Complete Part 2.) ^ City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election 2. State Candidate Expenditure Limit Statement: (CaIPERS and Ca1STRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.) (Year of Election) Primary/general election (Year of Etecr/on) Special/runoff election (Check one box) ❑1 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: _ I and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark if appllcabfe) ❑ On —JI , 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 foreg 'ng is true and correct. U Executed on — 1 7— 2013 Signature (month,day,year) (Candidate) FPPC Form 501(April/2011) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772)