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HomeMy WebLinkAbout2023-11-27 Form 501 - De LunaCandidate Intention Statement Check One: [Initial ❑Amendment (Explain) 1. Candidate Information: air sJ - D,te Stamp F s" 3 G°fit( ?��3 �0'� 27 AM 11: 4? NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional) DE 'LL NiL I KOtVQ,L.D S. ( STREETADDRESS CITY STATE ZIP CODE PA L-M iDR5EZT- C 4s. g ZZcoO Co cm)uL, M uat'4 5GR OFFICE JURISDICTION . ❑ State (Complete Part 2.) Q City ❑ County AGENCY NAME Ckr\� of P&LM DE--5_cczT' ❑ Multi -County: (Name of Multi -County Jurisdiction) 2. State Candidate Expenditure Limit Statement: (CaIPERS and CaISTRS candidates, judges, judicial Candidates, and candidates for/ocal 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 ing for the general or special run-off election. (Mark if applicable) ❑ On 3. Verification: For Official Use Only NUMBER, if applicable. Iu 1,ON-PARTISAN OFFICE I PARTY PREFERENCE: (Check one box, if applicable.) Voz4 ©"PRIMARY/GENERAL (Year of Election) Li SPECIAL / RUNOFF and I accept the voluntary expenditure ceil- I contributed personal funds in excess of the expenditure ceiling for the election stated above. I certify under penalty of perjury under the laws of the State of California that {gthe foregoing is true and correct. Executed on ` r I—` Signature (month, day, year) (Candidate) FPPC Form 501 (August/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov