GEORGE, LAN - FORM 501 - CANDIDATE INTENTION STATEMENT Candidate Intention Statement Date Stamp CALIFORNIA 501
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q FORM
JUN 2 9 2020 For Official Use Only
Check One: m Initial ❑Amendment (Explain)
CITY CLERKS OFFIC
CITY OF ARROYO GRANDE
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
GEORGE,LAN T. (805 ) ( )
STREET ADDRESS CITY STATE ZIP CODE
Arroyo Grande CA 93420
OFFICE SOUGHT(POSITION TITLE) — AGENCY NAME DISTRICT NUMBER,if applicable.®NON-PARTISAN OFFICE
City Council City of Arroyo Grande PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box,if applicable.)
O State (Complete Part 2.) ®PRIMARY/GENERAL
San Luis Obispo County 2020
®City El County ❑Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) El SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(Ca1PERS 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.
Eli 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 Ca9nia that the foregoing Is true and correct.
06 29 2020
Executed on Signature
• (month,day,year) FPPC Form 501 (August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov