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HomeMy WebLinkAboutFitzpatrick Form 501Candidate Intention Statement Check One: F Initial ❑Amendment (Explain) 1. Candidate Information: Date Stamp OV Rti EjVFD 11��/ MAINAGER'S OFF AUG ~ 7 PM 3-s 1 v . CA For Official Use Only NAME OF CANDIDATE (Last, First Middle Initial) /a?o 7. ���Gz�{�y� @ y ���l cap•-t STREETADDRESS CITY STATE ZIP CODE OFFICE SOUGHT (POSITION /( TITLE) -' AG CY NAME DISTRICT NUMBER, if applicable. ON -PARTISAN OFFICE C- CO v ' " C _ PARTY PREFERENCE: OFFICE JURISDICTION (Check one box, if applicable.) ❑ State (Complete Part 2.) RIMARY / GENERAL E216iy CountyMulti-County:G ❑ ❑ (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL/ RUNOFF 2. State Candidate Expenditure Limit Statement: (CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.) (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 FPPC Form 501 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov