HomeMy WebLinkAboutForm 501 - Manny CappelloCandidate Intention Statement
Check One: Initial ❑Amendment (Explain)
1. Candidate Information:
Date Stamp
CALIFORNIA 501
FORM
For Official Use Only
NAME OF CANDIDATE (Last, First, Middle Initial)
CA99a—Lo , Y\,tNJ
DAYTIME TELEPHONE NUMBER
(
5 P42,1°130 Pr
FAX NUMBER (optional)
)
OFFICE SOUGHT (POSITION TITLE)
C I ! CooNC.)
AGENCY NAME
OFFICE JURISDICTION
0 State (Complete Part 2.)
,"City 0 County 0 Multi -County:
ry of
STATE
E-MAIL (optional)
ZIP CODE
DISTRICT NUMBER, if applicable.
8rNON-PARTISAN
PARTY:
(Name of Multi -County Jurisdiction)
Zo)
(Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
20 I Primary/general election
(Year of Election)
Special/runoff election
(Year of Election)
(Check one box)
0 I accept the voluntary expenditure ceiling for the election stated above.
0 I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 I 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 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 Stat
Executed on
Join 1p
'(month, day, year)
Signature
oing is
(Candidate)
ect.
FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov