CA Form 501 Candidate Intention Statement - Jim Knight a CANDIDATE INTEN TATEMENT
Can to Intention Statement Type or Ilk in Ink. �- -�-' • IN CALIFORNIA 6'0 1
CITY OF RANCHO PALOS VE
FORM
Check One: AUG 0 5 2015 For Official Use Only
�Initlal El Amendment (Explain)
CITY CLERK'S OFFICE
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional)
cw' 1 'r14T _. ( ( )
STREET ADDRESS .
02.75- cil Cr4P2-7-1—
OFFICE
SOUGHT(POSITION TITLE) AGENCY NAME / DISTRICT NUMBER, if applicable. NON-PARTISAN
•�'�/ e me16,-4._ c d iv-.( Pi9(v( ot/t ` __Côuc: 1 (� PARTY.
OFFICE JURISDICTION
0 State (Complete Part 2.) /
420
-cii-City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement: /41
(CaIPERS and CalS RS candidates,judges,judicial candidates, and candidates for local offices do not complete Part 2.)
4
Primary/general election Special/runoff election
(Year of 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_._-J 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 foregoing is true and correct.
s_ S
Executed on Signature /"~
(month,day,year) (Candidate) FPPC Form 501 (April/2011)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)