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Fitzsimmons -Form 501Candidate Intention Statement Check One: minitial ❑Amendment (Explain) 1. Candidate Information: RECEIVED <:ITY MANAGER'S OFFICE 2020 AUG ' 6 PM 12: 45 WhiT0GA, CA Stamp NAME OF CANDIDATE (Last. first Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional) Fitzsimmons, Kookie ( ( ) STREETADDRESS CITY STATE ZIP CODE Saratoga CA 95070 Council OFFICE JURISDICTION ❑ State (Complete Part 2.) For Official Use Only NON -PARTISAN OFFICE I PARTY PREFERENCE. (Check one box, if applicat 2020 Iifl PRIMARY/GENERAL iv City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL / RUNOFF 2. State Candidate Expenditure Limit Statement: (CalPERS and Ca1STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.) City of Saratoga (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: 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 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 17 v 2 Signature (month. day, year) ( FPPC Form 501 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov