HomeMy WebLinkAbout501 - 08/04/2022_ Redacted (SK)Candidate Intention Statement
Check One: A Initial ❑ Amendment (Explain)
AUG 4 2022
CITY OF ARCADIA
For Official Use Only
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
K"a,A r S\A0V(W1 ( (oho) 46�- 333,E (b,6) 1+0-111? Sw1if_ wavt@SI0G�21010611-vlet
STREETADDRESS CITY STATE ZIP CODE
k\nooti , Lavle G14 n 10u10
OFFICE SOUGHT (POSITION TITLE) A AGENCY NAME ISTRICT NUMBER, if applicable. %NON -PARTISAN OFFICE
G ` C OQYI U M
1 ewo-e_v 2- PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) Z PRIMARY / GENERAL
j City ❑ County ❑ Multi -County: Ye `
(Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(CafPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
❑ 1 accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
O 1 did not exceed the expenditure ceiling in the primary or special election held on / 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:
I certify under penalty ofperjuryunder the laws of the State of California hat the foregoill is true and correct.
Executed on f Signature
(month, day, year) (Candidate) FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov