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HomeMy WebLinkAboutForm 501- Jon Marker for Board of Education 2018Candidate Intention Statement Check One: 2 (Initial 1. Candidate Information: NAME OF CANDIDATE (Lest, First, Middle Initial) ❑Amendment (Explain) � �C�C�_ Date Stamp AUG 7 2018 CI CLERK'S OFFICE DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional) ( ( ) STREET ADDRESS / r CITY STATE ZIP CODE OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, If applicable. ®'NON-PARTISAN rn I / [ `� r' `till'PO" '�J�j PARTY: OFFICE JURISDICTION �(❑State (Complete Part 2.) Ly City ❑ County ❑ Multi -County: (Name of Mull -County Jurisdiction) (Year of Election) 2. State Candidate Expenditure Limit Statement: (Ca1PERS and Ca1STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.) (Year of Election) Primary/general election (Year o/ Election) Special/runoff election (Check one box) ❑ I 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: I and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark If applicable) ❑ On I I 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 C 'fornia that the foregoing is true and correct. Executed on � � Signature t �` (--th, day, year) (Candidate) FPPC Form 501 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov