HomeMy WebLinkAbout2022-07-18 - Form 501- Joseph JacksonCandidate Intention Statefnent
Check One: Xnitial ❑Amendment (Explain)
1. Candidate Information:
NAME OF CANDIDATE (Lil Find Middle Initial) DAYTIME TELEPHONE NUMBER
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Date Stamp
RECEIVED
CITY OF PALM SPRINGS
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FAX NUMBER (optional)
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For Official Use Only
EMAIL (optional)
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OFFICE SOUGHT (POSITION TITLE) AGENCY NAME (� DISTRICT NUMBER, If applicable. ON -PARTISAN OFFICE
QQ\VY\ x(\Ny 5 rj1 boil I — (S�Yt L4-- 2,nl PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, If applicable.)
[] state (Compete van 2.) 2'0.❑ PRIMARY/GENERAL
City ❑ County ❑ Mulb-County: `
(Name of MuIN-County Jurisdiction) (Year of klec on) ❑ SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(COWERS and Ce1S TRS candidates, judges, judicial candidates, and candidates for local ofBoes do not complete Pert 2.)
(Chack one box)
ccept 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
ceiling for the general or special run-off election.
(Mark if applicable)
_1 1— and I accept the voluntary expenditure
[] On, _ t 1. 1 contributed personal funds in excess of the expenditure ceiling for the election stated above,
3. Verification:
I certify under
penalty of peduury under the laws of the State of California that the foregoing is true and correct,
Executed on / 1Qo _ P �'__ Signature / 7""' `-KV� C
(morrh, day, year) L11 U (C ta) FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.w.gov (866/275-3772)
w Jppc.ca.gov