501Candidate Intention Statement - Initial for 2016Candidate Intention Statement
Check One: ❑X Initial
1. Candidate Information:
NAME Of CANDIDATE (Last. First. Middle Initial}
McCoy, Robert W.
STREET ADDRESS
NUMBER, if applicable. [9 NON- PARTISAN
OFFICE JURISDICTION
PARTY:
❑ State (Complete Part 2.)
®
City E] County F1 2016 MUltl- County: (Name of Muth- County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CafPERS and CaISTRS Candidates, judges, judicia) candidates, and candidates for local offices do not complete Part 2.)
Primary/general election Special /runoff election
(Year of Election) (Year or Election)
(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:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: 1_....__I and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(Mark if applicable)
❑ On J I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on December 29, 2014
Signature
(month. day. year) ( FPPC Form 501 (April/2011)
FPPC Tall -Free Helpline: 866IASK -FPPC (8661275 -3772)