501 Candidate Intention Statement - Initial for 2018Candidate Intention Statement
Check One: 02/Initial ❑Amendment (Explain)
1. Candidate Information:
j� NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NMBER
CAROt J STR IADD �°� _
$ CITY
T-
PARTY:
and I accept the voluntary expenditure ceiling for
(Mark if applicable)
❑ On —IJ I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty off perjury under the laws of the State
FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
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