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Candidate Intention Statement <br />Check One: ❑X Initial ❑Amendment (Explain) <br />NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional) <br />Gardner, Mike ( ) <br />STREET ADDRESS CITY STATE ZIP CODE <br />For Official Use Only <br />Riverside CA <br />OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. 0 NON-PARTISAN <br />City Council Member City of Riverside 1 PARTY: <br />OFFICE JURISDICTION <br />❑ State (Complete Part 2.) <br />2019 <br />® City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) <br />2. State Candidate Expenditure Limit Statement: <br />(CaIPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.) <br />(Year o/ Election) <br />Primary/general election (Year o/ Election) Special/runoff election <br />(Check one box) <br />[:11 accept the voluntary expenditure ceiling for the election stated above. <br />❑ I do not accept the voluntary expenditure ceiling for the election stated above. <br />Amendment: <br />0 1 did not exceed the expenditure ceiling in the primary or special election held on: I and I accept the voluntary expenditure ceiling for <br />the general or special run-off election. <br />(Mads if applicable) <br />❑ On -j I contributed personal funds in excess of the expenditure ceiling for the election stated above. <br />3. Verification: <br />I certify under penalty of perjury under the laws of the State of Cithat the foregoing is true and correct. <br />Executed on -71 a,� ` Signature <br />(month, ay, year) (Candidate) FPPC Form 501 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />