HomeMy WebLinkAboutForm 501 - Lindsay Lara for City Clerk 2020Candidate Intention Statement
Check One: m Initial ❑ Amendment (Explain)
1. Candidate Information:
IDC�Cr 20N/C
Date Stamp
J U L - 2 2020
ITY CLERK'S OFFICE
Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
Lara, Lindsay F. (
STREETADDRESS CITY STATE ZIP CODE
San Rafael CA 94903
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME IDISTRICT NUMBER, if applicable.1W NON-PARTISAN OFFICE
City Clerk and Assessor
City of San Rafael
OFFICE JURISDICTION
❑ State (Complete Part 2 j
V] City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(Ca1PERS and Ca1STRS 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 PARTY PREFERENCE:
(Check one box, if applicable.)
2020 m PRIMARY/GENERAL
(Year of Election) ❑ SPECIAL/ RUNOFF
❑ 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)
❑ 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 California that the foregoing is true and correct.
July 1 2020
Executed on Signature
(month, day, year) (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov