501 Candidate Intention
Candidate Intention Statement
Type or Print in Ink.
~
J ft}J 3 ~ 2007
Check One: !if Initial
o Amendment (Explain)
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1. Candidate Information:
NAME OF CANDIDATE
CHLi"
STREET ADDRESS
102..4-2
OFFICE SOUGHT (POSITION TITLE)
CuPf"::(<
OFFICE JURISDICTION
o State (Complete Part 2.)
~City 0 County 0 Multi-County:
(Last, First, Middle Initial)
AL B~R, T
I..;::Nco~
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:Dr<J VE:-
DAYTIME TELEPHONE NUMBER
If{)~~)-r5b-4'11
CITY
LJP~t<7iNO
FAX NUMBER (optional) E-MAil (optional)
(4r;g) 7 42.-~ 71'f a/be;richtd e ~7(/c.o.~~ nei:
STATE ZIP CODE
~A. 0/4-1 2..
PARTY:
AGENC
(Name of Multi-County Jurisdiction)
(Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.)
(Year of Election)
Primaty/generale~cuon
Special/runoff election
(Year of Election)
(Check one box)
o I accept the voluntary expenditure ceiling for the election stated above.
o I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
o 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)
o 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 th~e and correct.
Executed on ~. 1..6-cL 1.007 ' Signature ~. ~
(month, day, year) (Candidate)
FPPC Form 501 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)