HomeMy WebLinkAboutForm 501 - Randy Warren 2013Check One: [2"elnitial [:]Amendment (Explain)
1. Candidate Information:
NAME OF CANDIDATE (Last, First, Middle Initial)
r4-
��
OFFICE SO'GHT (POSITION TITLE)
C. r c"
VQ iv I L I
OFFICE JUR�ISDICTION
El state (Complete Part 2)
IL
AGENCY NAME
V
El City E] county El muiti-county-
DAYTIME TELEPHONE NUMBER
STATE ZIP CODE
DISTRICT NUMBER, if applicable. O'NON-PARTISAN
PARTY -
IN&W-111MIMMMI M
(C/7eck one box)
El I accept the voluntary expenditure ceiling for the election stated above.
El 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: J_ and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark if applicable,)
El On f 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 Pthe foregoing is true and correct -
Executed on Signature
s# x(month. day year)
(Candidate) FPPC Form 501 (ApriU2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)