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Cand-date Intention Statement <br /> Check One: El Initial ❑Amendment (Explain) <br /> NAME OF CANDIDATE (Last,First,Middle Initial) <br /> STREET ADDRESS <br /> 7= <br /> DAYTIME TELEPHONE NUMBER <br /> C <br /> CANDIDATE INTENTION STATEMENT <br /> Date Stamp <br /> RECEIVED <br /> AUG 0 8 2014 <br /> OFFICE OF THE <br /> j <br /> CITY CLERK <br /> FAX NUMBER(optional) E-MAIL(optional) <br /> Z:F _s—,F <br /> u =s: <br /> OFFICE SOUGH �F <br /> OFFICE JURISDICTION <br /> ❑ State (Complete Part 2.) <br /> City ❑ County ❑ Multi-County: ,,. M W-C � - Sffi <br /> 2. State Candidate Expenditure Limit Statement: <br /> (CaIPERS and CaISTRS candidates,judges,judicial candidates, and candidates for local offices do not complete Part 2.) <br /> Primary/general election Special/runoff election <br /> z4, y.,Ee (Year of Election) <br /> (Check one box) <br /> I accept the voluntary expenditure ceiling for the election stated above. <br /> ❑ I do not accept the voluntary expenditure ceiling for the election stated above. <br /> Amendment: <br /> ® 1 did not exceed the expenditure ceiling in the primary or special election held on: and I accept the voluntary expenditure ceiling for <br /> the general or special run-off election. <br /> (Mads if applicable) <br /> ❑ On I contributed personal funds in excess of the expenditure ceiling for the election stated above. <br /> 3. Verification: <br /> I certify under penalty of perjury under the laws of the <br /> St foreci= trEe and correct. <br /> Executed onSignature <br /> (month,_dIau, year) (Candidate) FPPC Form 507 (April/2011) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC X75-3772) <br />