HomeMy WebLinkAbout2018.07.18_Heller_Jeff_Form 501Candidate Intention Statement
Check One: D Initial ❑Amendment (Explain)
Date Stamp
RECEIVED
City of Morro Bay
JUL 1 8 2018
1. Candidate Information:
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER
JEFFREY R. HELLER
( 805 )
City Clcrl
FAX NUMBER (optional)
CALIFORNIA 501
FORM
For Official Use Only
E-MAIL (optional)
STREET ADDRESS CITY
STATE ZIP CODE
MORRO BAY CA 93442
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME
MAYOR
OFFICE JURISDICTION
❑ State (Complete Part 2.)
City ❑ County ❑ Multi -County.
CITY OF MORRO BAY
DISTRICT NUMBER, if applicable.
(Name of Multi -County Jurisdiction)
2018
(Year of Election)
❑x NON -PARTISAN
PARTY:
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election)
Primary/general 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_/and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark if applicable)
❑ On -J-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 Sta correct.
{ ���
Executed on Signature
month, y, year)
FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov