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Candidate Intention Statement <br />Check One: <br />Initial 0 Amendment (Explain) <br />1. Candidate Information: <br />NAME OF CANDIDATE (Last, First, Midge Initial) <br />L <br />DAYTIME TELEPHONE NUMBER <br />RECEIVE <br />JUL 13 2018 <br />City of Riverside <br />City Clerk's Office <br />FAX NUMBER (optional) <br />1 <br />E-MAIL (optional) <br />JUL 13 2018 <br />City of AP <br />City Clerk's Office <br />STREET ADDRESS <br />CITY <br />WG. <br />STATE <br />ZIP CODE <br />OFFICE SOUGHT (POSITION TITLE) AGENCY NAME <br />C <br />OFFICE JURISDICT <br />N <br />ā‘ State (Complete Part 2.) <br />D'City 0 County 0 Multi -County: <br />DISTRICT NUMBER, it <br />(Name of Multi -County Jurisdiction) <br />(Year of Election) <br />NON-PARTISAN <br />PARTY: <br />2. State Candidate Expenditure Limit Statement: <br />(Ca/PERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.) <br />Primary/general election <br />(Year of Election) <br />Speclal/runofl election <br />(Year of Electron) <br />(Check one box) <br />ā‘ I accept the voluntary expenditure ceiling for the election stated above. <br />ā‘ I do not accept the voluntary expenditure ceiling for the election stated above. <br />Amendment: <br />0 I did not exceed the expenditure ceiling in the primary or special election held on: _1_1and I accept the voluntary expenditure ceiling for <br />the general or special run-off election. <br />(Mark if applicable) <br />0 On _Jā€”/ , 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 and correct. <br />Executed on 7 _ 1 ^ t O Signature <br />(month, day, year) <br />FPPC Form 501 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />