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HomeMy WebLinkAboutForm 501 - Jonathan Frieman 08-31-22Candidate Intention Statement D EV 9ate Stampmwmtmolz4iql Check One: Dlnitial ❑Amendment (Explain) S r 2 2 222 For Official Use Only LERK'S OFFICE 1. Candidate Information: NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional) Frieman, Jonathan ( ( ) STREETADDRESS CITY STATE ZIP CODE San Rafael CA 99901 OFF ICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. ® NON-PARTISAN OFFICE City Council Member San Rafael 3 PARTY PREFERENCE: OFFICE JURISDICTION tCheek one pox, if applicable.) ❑ State (Complete Part 2.) ❑ PRIMARY/ GENERAL ❑x Ci Coun Multi -Coup 2022 ❑ tY ❑ ty (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL/ RUNOFF 2. State Candidate Expenditure Limit Statement: (CaIPERS 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: 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 Callfogo that the foregoing is true and correct. Executed on 08/31/2022 Signature (month, day, year) (Candldale) FPPC Form 501 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov