HomeMy WebLinkAboutForm 501 - Faye Bourret; AmendmentCandidate Intention Statement lip
e 1 Address 2) Phone n,mbe� I IM A R 2 5 2022 J For Official Use Only
Check One: minitial [Z]Amendment (Explain) Change )
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
BOARD OF EDUCATION TRUSTEE
OFFICE JURISDICTION
❑ State (Complete Part 2 )
❑ City ❑ County ❑ Multi -County:
SAN RAFAEL
SAN RAFAEL CITY SCHOOLS 1 4
(Name of Multi -County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca/STRS 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.
CA 94901
R, If appllcahle. ® NON-PARTISAN OFFICE
one box, if applicable.)
2022 PRIMARY/ GENERAL
(Year of Election) ❑ SPECIAL/ RUNOFF
Amendment:
Q 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 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 25 2022
Executed on Signature
(month, day, year) (
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov