HomeMy WebLinkAbout2021.02.02_Addis_Dawn_Form 501Candidate Intention Statement I RlPt Wr.D •'
City of Morro Bay FORM
Check One: minitial ❑Amendment (Explain)
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial)
Addis, Dawn J
OFFICE SOUGHT (POSITION TITLE)
City Council Member
DAYTIME TELEPHONE NUMBER
(
AGENCY NAME
City of Morro Bay
Morro Bay
City Clerk
FAX NUMBER (optional) EMAIL (optional)
i:•L'1
93442
For Offcial Use Only
NON -PARTISAN OFFICE
PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicat
❑ State (Complete Part 2.) 2022 PRIMARY / GENERAL
City ❑ County ❑ Multi -County: (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.
m I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
I 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� 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
1 .�
Executed J) (x► �l rY �1
(month, day, year)
ifornia that t f r going is true and correct.
�.
L�
Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov