501
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Type or Print in Ink.
Candidate Intention Statement
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CO UJ7 C
2005
CLERK
E-MAil (optjotlal)
STATE m 11 ~PCDEt ~
CA QSOl4
DISTRICT NUMBER, if applir;s/)/I3. NON~PARTISAN
PARTY:
25
FAX NUMBER (optional)
AUG
DÞ.,YTIME TELEPHONE NUMBER
rZ5-\l{ol
Clr-hno
(Explain)
liìm
D Amendment
Initial
Check One:
2-00 5
(Yesr of Elec:tion)
(NameofMulfi-County Jurl$iiCtiOn)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates, judges, judicial candidates, and candidafe,s for local offices are not required to
o Multi-County:
complete Part 2.)
Special/runoff election
(YearofEJection)
Primary/general election
(YearofElectioo)
and I accept the voluntary expenditure ceiling for the
~~-
(Cher:k one box)
o I accept the voluntary expenditure ceiling for the election stated above.
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:
general or special run-off election.
o
(Marl£;fappÑG8b1e)
o On ~---1_.
contributed personal funds in excess of the expenditure ceiling for the election stated above.
~"~~-
(Candidate)
1. Candidate Information
NAME OF CANDIDATE (Last, Rrst, Middle fnitiaQ
MQ'nô'()~ \ () fir
STREET ADDRESS \
IOcr Llo Mìm.VVlonte "Rei CIA
OFFIC¿rGHT éOun Të~~)( CAÜNCYi(~' I{) 0
OFFICE J~'CTION -
o State (Complete Part 2.)
:ø:: City 0 County
3, Verification
the State of California
certify under penalty of
fPPC Form 501 (January/05)
FPPC ToII-Free Helpline: 866/ASK-FPPC (866/275-3772)
Signature
Executed on