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HomeMy WebLinkAboutForm 501 - Faye BourretCandidate Intention Statement 11Q d UMAR 2 2022 For Official Use Only Check One: minitial ❑Amendment (Explain) CI CLERK'S OFFICE 1. Candidate Information: NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional) FAYE BOURRET ( ) STREETADDRESS CITY STATE ZIP CODE SAN RAFAEL CA 94901 OFFICE SOUGHT (POSITION TITLE) AGENCY NAME IDISTRICT NUMBER, if applicable. ISI NON-PARTISAN OFFICE BOARD OF EDUCATION TRUSTEE OFFICE JURISDICTION ❑ State (Complete Part 2.) ❑ City ❑ County ❑ Multi -County: SAN RAFAEL CITY SCHOOLS (Name of Multi -County Jurisdiction) 2. State Candidate Expenditure Limit Statement: (CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local ofilces 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. 4 one box, if applicable.) 2022 PRIMARY/ GENERAL (Year of Election) ❑ SPECIAL/ RUNOFF 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, — , 1 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. MARCH 21 2022 FPPC Form 501 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov