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CA Form 501 Candidate Intention Statement Amendment No. 1 - Benjamin G. Kelly Candidate Intention Statement ^ ... V I/ CALIFORNIA 50'1 CRY OF RANCHO PALOS Check One: ❑Initial El Amendment rE>�,�.�s change of middle initial JUN 2 9 2017 For OfficialUse o�iI CITY CI IRKS OF ICE 1. andidate Information: NAME OF CANDIDATE 4.rzt,rirst.Mitktts Irots4. DAYTIME TELEPHONE NUMBER FAX NUMBER(q.itaid; E-MAIL tiroaai:fI Kelly. Benjamin G. ( 310 ) 9404152 ( ) STREET ADDRESS CITY STATE ZIP CODE Rancho Palos Verdes CA 90275 OFFICE SOUGHT(POSITION TITLE) AGENCY NAM DISTRICT NUMBER,i!xmdred,tc. ©NON PARTISAN Councilmember City of Rancho Palos Verdes N/A ';PARTY: OFFICE JURISDICTION o state (CamFstc last 2 I ❑ City 0 County 0 Mufti-County: Otatre a!Mutt Ca-fully Jurmileiorl iYcr r`ttrt'7v'ixlii}� Z. State Candidate Expenditure Limit Statement: (CaIPERS and CatSTRS candidates,Judges,judr_daJ candidates_and candidates for local offices do nor cornet-ere Part 2.) Prfinery/genera!election Spedal/runoff election (Ow:4:k cele burp ❑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: / /__._._and I accept the voluntary expenditure ceiling for the general or special run-off election. r!op,u6 stkrl ❑ On 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 FPPC Form 501 (Jan/2016) FPPC Advice:adviceIfppc.ca.gov(866/275-3772) www.fppc.ca.gov