BARNEICH, KRISTEN - FORM 501 - CANDIDATE INTENTION STATEMENT •
'Candidate Intention Statement Date stamp : CALIFORNIA T�
FORM` v'
MAY 0.1 2020
For Official Use Only
Check One: Initial El Amendment (Explain) CRY CLERK'S OFFICE
CITY OF ARROYO GRANDE
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER • FAX NUMBER(optional) EMAIL(optional)
Mei Rlii -- L c
STREET ADDRESS CITY STATE ZIP CODE
v CA 934-20
OFFICE SOUGHT(POSITION TITLE) AGENCY NAIE DISTRICT NUMBER,if applicable. NON-PARTISAN OFFICE
CD .r;\ ' Memi by PARTY PREFERENCE:
OFFICE JU.ISDICTION (Check one box,if applicable.)
O State (Complete Part 2.)
SO
la PRIMARY/GENERAL
j2KCity ❑ County ❑Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) ❑SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.)
•
(Check one box)
❑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:
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.
.~: a1".1
•
(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 •f Califor is . e foregoing is tru d correct.
Executed on 1 20 Signature- -'�' !
(�onth,day,ye r) fillirdate) FPPC Form 501 (August/2018)
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