Form 501 Candidate Intention 2018 Candidate Intention Statement
CITY OF Dr_a!11:'kMT1ITASw� CALIFORNIA
,
For Official Use Only
Check One: nitial ❑Amendment (Explain) 2018 MAY 1 4 P11 2 1:5
1. Candidate Information:
NAME OF CANDIDATE (last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional)
RU 013 pt RD , (760) 9L1 q -3-7-77 (760) 9gq -3-7 7;Z .i od?y® OCQVkVLbCIJC 'C;D
STREET ADDRESS CITY STATE ZIP CODE
DISTRICT NUMBER,if applicable. ON-PARTISAN
k _� U (��� t� 3 PARTY:
OFFICE JURISDICTION
❑State (Complete Part 2.)
UIty ❑County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS 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:
0 1 did not exceed the expenditure ceiling in the primary or special election held on: —/—J and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark if applicable)
❑ On —J— I 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 f regoin is true a d correct.
A1g `
Executed on Z,5/ Signature
th,day,year) (can idate) FPPC Form 501 (Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov