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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) FPPC Advice:advice@fppc.ca.gov(866/275-3772) Clear Pa•e . Print www.fppc.ca.gov