CA Form 501 Candidate Intention Statement - Michele Carbone ll
Candidate Intention Statement C OF I u '6 PALO CALIFORNIA 501
-L_ RM
AUG 6 9 2022 For Official Use Only
Check One: Retial ['Amendment (Explain)
CITY CLERK'S OFF
SCE
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
/ - ` - 0 o,Je— (310) clog-os-3c (310) 34 I S- in /0-1-fa-Le P - ��e 6471,4 Coy
STREET ADDRESS CITY STATE ZIP CODE
/ /4-12 e 1���
ILA t)C - ) f'*r2 L/V S �.A Q 0.2-3 J—
OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,if applicable ❑NON-PARTISAN OFFICE
1`r`\t �o �
& / YY1,"./'V PARTY PREFERENCE ,/)1/1
OFFICE JURISDICTION (Check one box,if applicable.)
0 State (Complete Part 2) [FRIMARY/GENERAL
City CountyMulti-County _ ® SPECIAL/RUNOFF
❑ 0 (Name of Multi Count Jurisdiction) (Year of Election) ❑
Y
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part,2)
(Chepone box)
DI 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 foregoing is true and correct.
Executed on ("),S1/0 fr Signature
(month,day,year) (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov