HomeMy WebLinkAboutForm 501 - Mark KoernerISO
Date Stamp -
Candidate Intention Statement �, JWLFor Official Use Only
Check One: JZInitial ® Amendment(Explain),1 .I
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial)
DAYTIME TELEPHONE NUMBER
FAX NUMBER (optional)
EMAIL (optional)
Koerner, Mark, E
(
( )
STREETADDRESS
CITY
STATE
ZIP CODE
San Rafael
CA
94903
OFFICE SOUGHT (POSITION TITLE)
AGENCY NAME
DISTRICT NUMBER, if applicable.
ONON-PARTISAN OFFICE
7 /
S�Board l id o ���dcc,�ro�t !/c/ST�e
San Rafael City Schools
1
PARTY PREFERENCE:
OFFICE JURISDICTION
(Check one box, if applicable.)
® State (Complete Part 2.)
VI PRIMARY/GENERAL
Maria
2024
® City County ❑ Multi -County:
(Name of Multi -County Jurisdiction)
(Year of Election) SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaiSTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2)
(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:
® 1 did not exceed the expenditure ceiling in the primary or special election held on
ing for the general or special run-off election.
(Mark if applicable)
and I accept the voluntary expenditure ceil-
® 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.
May 20, 2024 Mark Koer r Digitally signed by Mark Koerner
Executed on Date: 2o2a.os2o t s2s:aa -oroo
(month, day, year) (Candidate)
FPPC Form 501 (August/2423)
FPPC Advice: advice@fppc.ca.gov (866/27S-3772)
www.fppc.ca.gov