HomeMy WebLinkAbout2016-07-08 Form 501 - Nestande0.1
Candidate Intention Statement Type or Print in Ink. a�sG IERM's
PALM DESER
Check One: FrInitial ❑Amendment (Explain)
2016 JUL -8 PM 4: 08"Otriclal
1. Candidate Information:
NAME PF CA IDATE ( st, First, Midde tribal)
e v-i e M
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C t
DAYTIME
DAYTIME TELEPHONE NUMBER FAX NUMBER (optlanat)
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STREET ADDRESS city STATE ZIP CODE
OFFICE SOUGHT (POSITION TITLE) <��A]G�E)NJC�Y/N^A/ME% r / ��}�/ pm
DISTRICT NUMBER, if applicable.5tNON-PARTISAN
PAI, �V l V ��► = ' y It/J i/ V tC� f,L —lam C V PARTY -
OFFICE JURISDICTION
❑ State (c—oele Pan z) O J
City ❑ County ❑ Multi -County: c
(Name of Mth-County Junsniaim) (Year of Election)
2. State Candidate Expenditure Limit Statement:
rCaIPERS and CalSTRS candt'dates, judges. judlclat cancUdales, and candidates for local oflrces do not complete Part 2j
Primary/genera! election Special/runoff election
(year of awcoori)Elecoon) Year of Election)
(Check one bm)
❑ 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:
0 1 did not exceed the expenditure ceiling in the primary or special election held on: JI and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark tl app' caWe)
❑ On I I_____, I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty
7of perjury under the laws of the State of alifomia that the foregoing is true and correct.
Executed on Signature
(month, day, year] (Candidate) FPPC Fort 501 (Aprill2011)
FPPC Toil -Free Hetpline: 86WASK-FPPC (8661275-3712)