HomeMy WebLinkAboutForm 501 - Maribeth Bushey-Lang for City Council 2013fype or Print in Ink.
Check One: ® Initial FlAmendment (Explain)
Date Stamp
20,03
Jull
1. Candidate Information: City Clikerk's Uttlic(
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER 0", Sap -
Bushey -Lang, Maribeth
STREET ADDRESS CITY STATE ZIP CODE
San Rafael CA 94901
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. Q NON-PARTISAN
City Council City of San Rafael PARTY:
OFFICE JURISDICTION
F-1 State (Complete Part 2.)
0 City El County El Multi -County:
(Name of Multi -County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election)
Primary/general election (Year of Election) Speciallrunoff election
(Year of 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:
0 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)
El On I contributed personal funds in excess of the expenditure ceiling for the election stated above.