2020-04-16 Form 501 - HolstegeCandidate Intention Statement
•Amendment (Explain) ___________ _
DateStamp
RE CEIV ED
OF p A LH SPRI NG
CA.Ur-:ORNIA 501
FORfVl
For Offlctal Use Only Check One: ~ Initial
------------202 A.PR I 6 PH 6: 05
1. Candidate Information:
'
L DAYTIME TELEPHONE NUMBER
G, ~c.
~ ~
DISlRICT NUMBER, If appllcable ~ NON-PARTISAN OFFICE
.tf PARTY PREFERENCE:
(Check one box, If applicable.)
~ ],__;o tl PRIMARY I GENERAL
(Year of ElactiDn) 0 SPECIAL/ RUNOFF
Q I did not exceed the expenditure ceiling in the primary or special election held on: ---1~--and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Marie I applicable)
D On ___J__/, __ • 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
Executed on _1...........,./_I v_/ ~ __ i,o __
(month, day. year)
I Clear Pa e 'I
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/27S-3m)
www.fppc.ca.gov