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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