HomeMy WebLinkAbout2018.08.18_Heller_Jeff_Form 501 AmendmentCandidate Intention Statement
Check One: ❑ Initial
0-Amendment (Explain)
RECEIVID
City of Morro Bay
AUG 8 2018
City Clerk
CALIFORNIA 501
FORM
For Official Use Only
1. Candidate Information:
NAME OF CANDIDATE (Last, First, Middle Initial)
1111110111111 CITY
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AGENCY NAME
DAYTIME T
OFFICE JURISDICTION
❑ State (Complete Part 2.)
City ❑ County ❑ Multi -County.
AO( NUMBER (optional
E MAIL o•tional
s
DISTRICT NUMBER, if applicable. ❑ NON -PARTISAN
cb tiS0
(Name of Multi -County Jurisdiction)
(Year of Election)
PARTY:
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
Primary/general election
(Year of Election)
Special/runoff election
(Year of Election)
(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:
0 I did not exceed the expenditure ceiling in the primary or special election held on. J l and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark if applicable)
❑ On _J� , 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 fore oin is true and correct.
Executed on ` Signs
(mo th, y, year)
FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov