Form 501 CANDIDATE INTENTION STATEMENT
Candidate Intention Statement Type or Print in Ink. Date Stamp . .
Awk
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C{;`� C{_ i 3K For Official Use Only
Check One: Initial ❑ Amend (Explain)
AISG 3 I P6'I � 46
1. Candidate Information:
NAME OF CANDIDATE (Last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optionao E-MAIL(optional)
Gaspar, Kristin D. (760) 632-6942 ( )
Encinitas CA 92024
OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,it appiicable. ®NON-PARTISAN
County of San Diego Board of Supervisor 3 PARTY
OFFICE JURISDICTION
❑ State (Complete Part 2.)
❑City County ❑ Multi-County: 2016
(Name orMulti-County Junisdkxion) (Year or Eloction)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates,judges,judida/candidates,and candidates for local offices are not required to complete Part 2.)
(YearolElection)
Primary/general election (Yearol 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:
Q 1 did not exceed the expenditure ceiling in the primary or special election held on:—jam and I accept the voluntary expenditure ceiling for the
general or special run-off election.
(Mark d applicable)
❑ On — I I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty of �uifflr the laws of the State of Califor is tha the f egoing is true rect.
Executed on A ►G Signatur
(month,day,year) n )date
FPPC Form 501(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772)