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Candidate Intention Statement <br />Check One: <br />nitial <br />1. Candidate Information: <br />NAME OF CANDIDATE (Last, First Middle Initial) <br />El Amendment (Explain) <br />STRE_TADDRESS <br />t ICE SU GMl (POSITIO T LE AGENCY NAME <br />Date Stamp <br />FEB 1 5 2019 <br />City of Riverside <br />City Clerk's Office <br />For Official Use Only <br />DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional) <br />ITY ( ) STATE ZIP C DE <br />b lett <br />119 CatAAVAA <br />f 40064 <br />DISTRICT NUMBER, if applicable. <br />ON -PARTISAN OFFICE <br />PARTY PREFERENCE: <br />OFFICE JURISDICTION <br />❑ State (Complete Part 2.) <br />City 0 County ❑ Multi -County: <br />(Name of Multi -County Jurisdiction) <br />(Year of El ion) <br />(Check one box, if applicable) <br />f 1 (MARY /GENERAL <br />0 SPECIAL / RUNOFF <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 />(Check one box) <br />❑ I 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 I did not exceed the expenditure ceiling in the primary or special election held on: _/_ / and I accept the voluntary expenditure ceiling for <br />the general or special run-off election. <br />(Mark if applicable) <br />0 On / / I contributed personal funds in excess of the expenditure ceiling for the election stated above. <br />3. Verification: <br />I certify under penIty <br />If <br />f perjury under the laws of the State of California that the foregoing is true and correct. <br />Executed on Z <br />(month. day. year) <br />(candidate) <br />FPPC Form 501 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />