Form 501 Candidate Intention Statement 2014 Mayor CANDIDATE INTENTION STATEMENT
Candidate Intention Statement Type or Print in Ink. Dace scamp CALIFORNIA
CITY OF ENCINITA' FORM 501
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For Official Use Only
Check one: Initial ❑Amendment (Explain) 1{Jud —3 PM 3'
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1. Candidate Information:
NAME OF CANDIDATE (Last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL(optional)
STR ET ADDR SS CITY STATE ZIP CODE
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OFFIICCEnSOUGGHT(POSITION TITLE) AGENCY NAME
G, ' ,(j DISTRICT NUMBER,if applicable. NON-PARTISAN
/'LlY�tJ �� 1 �� L/v���-C /ss PARTY:
OFFICE JURISDICTION
❑ State (Complete Part 2.) ^O
City El County El multi-county: (Name of Multi-County Jurisdiction) (`Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CalSTRS candidates,judges,judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election) Primary/general election Year of Election) Special/runoff 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 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 07` 03/2014 Signature
(month,day,year) (Candid FPPC Form 501 (April/2011)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)