501 Intention andidate Intention Statement
Check One: [] Initial [] Amendment
1. Candidate Information:
NAME OF CANDIDATE (L.st Fl~t. Mk~dte tnitial)
~ 1 ~-E I ADDRESS
AGENCYNAME
'l~pe or Print In Ink.
DAY'rIME TELEPHONE NUMBER
crrY
ZOO1
CANDIDATE INTENTION STATEMENT
F~ Official Use Only
FAX NUMBER (op~ona/) E4dAIL
STATE ~P CODE
DISTRICT NUMBER,
OFFICE JURISDICTION
[] State ;Coa~ete Part 2.)
~City [] County
[] Multi-County:
/7'Y
(Nam~ of Jur~)
~'e.r =1 E~ec~on)
2. State Candidate Expenditure Limit Statement:
Pr/mary/general election
(Year o~ Election)
Special 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 I did not exceed the expenditure ceiling in the primary or special
election held on: __l.__J.__ and I accept the voluntary
expenditure ceiling for the general or special run-off election.
(Candidates for statewide office are not required to complete Part 2 until 1116/02.
CalPERS candidates and candidates for local offices are not required to complete Part 2.)
Voluntary Expenditure Ceilings:
(Gov, Code Section 85400)
Office
(Effective 1/1/01)
Assembly
Senate
(Effective 11/6102)
Board of Equalization
Govemor
Lieutenant Governor, Attorney General,
Insurance Commissioner, Controller,
Secretary of State, Supt. of Public Instruction,
Treasurer
3. Verification:
Executed onI certify under &//~ ~'/~/penalty of perjury under the laws of the State of Signature',~ ~v.-~/~.~t-'~'~--- Californ~h~ foregoing~/'/ ~/- ~'ls true ~and correct.
~ (n~onth, day, year) ~ - (Cand~a~_/'
Primary or General or
Special Special Run-off
$400,000 $700,000
$600,000 $900,000
$1,000,000 $1,500,000
$6,000,000 $10,000,000
$4,000,000 $6,000,000
FPPC Form 501 (Jan/01)
FPPC Toll-Free Helpllne: 8661ASK-FPPC
866/275-3772