HomeMy WebLinkAbout501 - 12/20/2021_Redacted (EW)Candidate Intention Statement
Check One: ® Initial [:]Amendment (Explain)
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial)
WOLAq . 9s i 1 QQ_n 7
F16 SOUGHT
OFFICEIJURISDICTION
❑ State (Ocmplete Part2.)
DEC 2 0 2021 I For Official Use Only
OF ARCADIA
FAX NUMBER (optional) EMAIL (optional)
00^16I P.9 2,U2-
STATE ZIP C��
A r ®�
ISTRICT NUMBER, if applicable.'❑ NON -PARTISAN OFFICE
PART_ Y_PREFERENCE:Qb�
(Check one box, if ap,,Vicable.)
® PRIMARY / GENERAL
® City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL !RUNOFF
2. State Candidate Expenditure Limit Statement:
(CeIPERS and CaiSTRS candidates, Judges, Judicial candidates; and candidates for local offices do not complete Part 2.)
0
AGENCY NAME
1—
DAYTIME TELEPHONE NUMBER
(b-A)6•'.'r-1S-tk&
(Check one box)
❑ I accept the vol unta ry. expenditure ceiling for the election stated above.
I
01 do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 1 did not exceed the expenditure ceiling in the .primary orspecial 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 of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on I I �'I Signature
(month, day, year) (Candidate)
FPPC.ForrY1501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov