HomeMy WebLinkAbout2013-06-18 Form 501 - HarnikCandidate Intention Statement
Type or Print in Ink.
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Check One: ❑X Initial ❑Amendment (Explain) 13 J
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LERK'S OFFICE
I PF'�; R T. CA
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NAME OF CANDIDATE (Last, First. Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional)
Harnik, Jan C (
STREET ADDRESS CITY STATE ZIP CODE
City Council member
Palm Desert
AGtNGY NAMt
City of Palm Desert
CA 92260
OFFICE JURISDICTION
❑ State (Complete Part 2.)
2014
® City ❑ County ❑ Multi -County, (Name of Multi -County Jurisdiction) (Year(Year 7o Election)
2. State Candidate Expenditure Limit Statement:
(CeIPERS and Ca/STRS candidates judges. judicial candidates, and candidates for local offices do not complete Part 2.)
Year o/ Eechcr Year of Election}
Primary/general election Special/runoff election
Chec• one bo+
❑ I accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
NON -PARTISAN
PARTY
Amendment:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: I and I accept the voluntary expenditure ceiling for
the genera: or special run-off election.
(Mark fappi cable
❑ On I 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.
June 18, 2013
Executed on Signature
(month, day, year) '(Candidate) FPPC Form 601 (April/2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)