CA Form 501 Candidate Intention Statement - Dave L. Emenhiser REEF
Candidate Intention Statement QTY Op HO PA rro.;" IA 501
FORM
JUL 32 2
For Official Use Only
Check One: Initial ❑Amendment (Explain)
C'-ITY
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional) / t
•
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STREET ADDRESSCITYVSTATE ZIP COD
7z;,a4OFFICE SO GHT(POSITIOg22_d2a. v,,L--&-egifa-‘
A CY NAME o DISTRICT NUMBER,if applicable 11 N-PARTISAN OFFICE
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PARTY PREFERENCE:
OFFICE J fDICTION (Check one box,if applicable.)
o State (Complete Part 2.) RIMARY/GENERAL
�D
City ❑County 0 Multi-County: (Name of Multi-County Jurisdiction) (Year Ele ion) ❑SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(Ca1PERS and Ca/STRS 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.
❑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.
(Mark if applicable)
❑ On / / , 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 foregoin• is true and correct.
Executed on Signature _. //
(month,day,year) (Candidat- " FPPC Form 501 (August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov