CA Form 501 Candidate Intention Statement - Ken Dyda Candidate Intention Statement D AL /ERDEP CALIFORNIA
i~RANCHO P . 501
FORM-u l 1
AUG " 8 2019 For Official Use Only
Check One:
FI.4 Initial DAmendment (Explain)
CLERK'S FFf .
1. Candidate Information:
NAME OF CANDIDATE (Last.First Middle Initial) .J, DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
Z7yDA 1 :it//&4:/ (/O)37,31L3 932- ( )
STREET ADDRESS CITY STATE ZIP CODE
) AGENCY NAME DISTRICT NUMBER,if applicable. ❑NON-PARTISAN OFFICE
OC,OVZi4 1,;(4 7ER ?g/tIC/10 BV-h aS 141:?0 -5
PARTY PREFERENCE.
OFFICE JURISDICTION (Check one box,if applicable.)
❑ State (Complete Part 2) ,20/ ❑ PRIMARY/GENERAL
1/f. City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) ❑ SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS 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: _4_/ 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 foregoing is true and correct.
Executed on l 6, ' , r Pe3/9 Signature -
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov