2022-01-24 - Form 501 - BernsteinCandidate Intention Statement
Check One: ® Initial
NAME OF CANDIDATE (Last, First, Middle IniOal)
Bernstein, Jeffrey A.
City Councilmember
❑Amendment (Explain)
Type or Print in Ink.
Date Stamp
DAYTIME TELEPHONE NUMBER FAX NUMBER (optional)
( ( 1
Palm Springs
Palm Springs City Council
CA
CANDIDATE INTENTION STATEMENT
C WJAMia'a
�T - RO4
OFFICE OF THE CITY CLF
E-MAIL (optional)
92262
"-Ma. JIM NON -PARTISAN
PARTY:
❑ state (Complete Part 2.)
® City ❑County ❑ Mufti -County: City of Palm Springs 2022
(Name of MU111-County Juriisdichon ear of Flectlon)
2. State Candidate Expenditure Limit Statement:
(CWFPERS and CaISTRS candidates, Judges, judicial candidates, and candidates for local offices do not complete Part 2.)
ear or Bon) Primary/general election S eciaUrunoff election
ear of on) p
(Check one boar)
111 accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 1 did not exceed the expenditure ceiling in the primary or special election held on: —_J— I and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark if applicable) -
❑ On _// I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on Jan 24, 2022�
(rnontn, day, year)
FPPC Form 501 (ApriU2011)