2019-01-14 Form 501 - GarnerCandidate Intention Statement Date Stamp CALIFORNIA 501
FORM
\' For Official Use Only Check One: ¢Initial OAmendment (Explain) ---------------..... ' -.. 1.
1. Candidate Information:
NAME OF CANDIDATE (last, First Middle Initial)
t1r-Y'er--Gr-ace,
DAYTIME TELEPHONE NUMBER
(
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME
~V\~\ CJ o+ ?o.J.-n_ ~ s
0 State (Complete Part 2.)
¢'City 0 County 0 Multi-County: (Name of Multi-County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CaiPERS and CaiSTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
D I accept the voluntary expenditure ceiling for the election stated above.
D I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
.· .· i i ~ s "·· I -...... , .· · ..
FAX NUMBER (optional) EMAIL (optional)
STATE
CA
DISTRICT NUMBER, if applicable.
j_
ZIP CODE
9 2-2-(o 2
NON-PARTISAN OFFICE
(Check one box, if applicable.)
A3' PRIMARY I GENERAL
(Year of Election) D SPECIAL I RUNOFF
0 I did not exceed the expenditure ceiling in the primary or special election held on: -1--1--and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark if applicable)
D On __)~--, 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
Executed on ___ "'""ll ,_/_1'-1___._/_J _q ___ _
(17/onth, day, year) FPPC Form 501 {August/2018)
FPPC Advice: advice@fppc.ca.gov {866/275-3772)
www.fppc.ca.gov