HomeMy WebLinkAboutForm 501- Gerrod HerndonCandidate Intention Statement
Check One: �lnitial
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial)
ET
❑ Amendment (Explain)
DAYTIME TELEPHONE NUMBER
Dc iEc iEod�n.
Date Stamp
AUG - 1 222 For Official Use Only
IIIA CLERK'S OFFICE
FAX NUMBER (optional) EMAIL (optional)
OFFICE SOUGHT (POSITION AGENCY NAME �Jr� DISTRIC UMBER, d appiicable. ON -PARTISAN OFFICE
Cc v � �� r � �I�� � PARTY PREFERENCE:
OFFICE JURISDICTION
(Cheek one box, if applicable.)
❑ State (Complete Part2) PRIMARY / GENERAL
City ❑ County ❑ Multi -County:
(Name of Multi -Count Jurisdiction ) SPECIAL/ RUNOFF
( y ) (Year of Election
2. State Candidate Expenditure Limit Statement:
(CalPERS 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:
O 1 did not exceed the expenditure ceiling in the primary or special election held on 1 1 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.
Executed on`� Signature ......
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov