501 Candidate Intention Statement - Initial for 2024Candidate Intention Statement [o) l~I CG ~ .. ',.~~
~J 1 APR 1 7 2024
Check One : [l] Initial D Amendment (Expla in) --------------+--
1. Candidate Information:
NAME OF CAN DIDATE (Last . First Midd le Initia l)
Wei •
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O FFI C E Ji.Jf<ISDI CTION
D State (Complete Part 2.)
~ C ity
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D Cou nty D Multi-County :
2. State Candidate Expenditure Limit Statement:
DAYTIME TELEPHONE NUMBER
(
(Name of Multi-County Jurisdiction )
(Ca /PE RS and Ca/S TRS candida tes, Judges, Judicial candida tes, and ca ndida tes fo r local offices do not complete P art 2.)
(C heck one box)
DI accept the voluntary expenditure ceiling for the election stated above.
DI do not accept the voluntary expenditure ceiling for the election stated above .
Amendment:
FAX NUMBER (optional ) EMAIL (optional )
STAT E
Cir
DISTRICT NUMBER , if applicabl e.
2-0:2-1.f
(C heck one box, if a ppl ica bl e.)
~•PRIM A RY/ GENERA L
(Year of El ection ) □ SPECIAL / RUN O FF
0 I did not exceed the expenditure cei l ing in the primary or special election held on __ [. __ ~_
ceiling fo r the general or special run-off election .
and I accept the voluntary expenditure
(M ark if applicable )
D On , ___J_f, __ 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
Execu ted on 1j I L _1}_ 2-(J "2-Lf
r-(montli , day, year)
Signatu re
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov