HomeMy WebLinkAbout2019-05-28 Form 501 - PettitCandidate Intention Statement Da te Stamp
I
Al
CALIFORNIA 501
FORM
For Official Use Only
Check One: ~ti al D Amen d m ent (Expla in) ______________ _ 20 19 tlAY 28 H 2= 24
1 . Candidate Information :
D State (Complete Part 2 )
0-City D Coun ty D Mul ti -County: (Name of Multi-County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(Ca/PERS and Ca/STRS c andida tes, j udges, j udicia l candi dat es, a nd candidate s for local offices do not complete Part 2.)
(Check one bOK)
DI accept the v olunta ry expenditure ceiling for the election stated above .
DI do not accept the voluntary expe nditure ceil ing fo r the e le ction stated above.
Amendm ent:
DI STRIC T NUMBER. if applica ble
..3
(Check one box, if applicable.)
~AR Y/GENERAL
0 SPEC IAL/ RUN OF F
O I did not e xceed the expenditu re cei li ng in the primary o r spe cial e lection he ld o n : ---1--1--and I accept the volunta ry e xpenditure ceiling for
the general o r special run -o ff e lectio n.
/Ma rl< ,r appl,cable)
D On _J__J __ , I contributed personal fund s in e xcess o f the expend iture ceiling for th e e lectio n s ta te d above.
3. Verification :
I certify under pena lty of perjury under the laws of the State of Ca liforn ia that h
Exe cuted on ~ ;) 7"-/~ Sign ature /'/ _.-..-
/monrh , doy, year) FPP C Fo rm 501 (August/2018)
FPPC Advice : advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.go v