HomeMy WebLinkAbout2018-08-03 Form 501 - HarnikCandidate Intention Statement
Check One: Initial ❑Amendment (Explain)
NAME OF CANDIDATE (Last Fast Middle Initial)
� _ .G
STREET ADDRESS
VrFIC UGHT (POSITION TITLE) AGENCY NAME
"AtEIVED
DiTY CLERK'S 01
PALM DESERT,
2010 AUG -3 AM %. 58
DAYTIME TELEPHONE NUMBER FAX NUMBER i.optonali E-MAIL (optional)
CITY STATE
❑ State IC—Plete Pan 2. i
�ity ❑ County [I Multi -County: (Name of Muro lmen w" dunsd] 1-0
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca1STRS candidates, jfrdges, )udfdal candidates, and candidates for focal offices d] not complete Part 2.)
(Year or Efacrion) (Year Primary/general election Special/runoff election
(Check one has)
❑ I accept the voluntary expenditure ceiling for the election staled above
❑ 1 do not accept the voluntary expenditure ceiling for the election stated above.
If applicable.
Amendment:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: 1 and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark it appffcal5k)
❑ On ^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.
Executed an.!_ SignatureL—LgZL�—FPPC Form 501 (Jan/2016)
(crow , day, year) ,r{Caad+'date} FPPC Advice: advice@fppc.ca.gov (866/275-37721
✓ www.fppc.ca.gov