Dan Siegel FPPC Form 501

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Dan Siegel FPPC Form 501
Oakland Mayoral Election 2014

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Dan Siegel FPPC Form 501

  1. 1. CANDIDATE INTENTION STATEMENT Candidate Intention St teOPY 1. Candidate Information: NAME OF CANDIDATE (L DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) " E-MAIL (;~nal) SIE6EL (511)) v" ') _. _ .~-' '9t~/rIL.C~.J_' STRE~!,-DDRESS / / [ CITY STATE ZIPljDr;I / A C • I I. • ..... .A ..,... CA -, !CV.-/ DISTRICT NUMBER. if applicable. 1f9'6N.PARTISAN o State (Complete Part 2.) ~y 0 County 0 Multi-County: (Name 0' Multi·County Jurisdiction) ?:.aQL:i a ement Type or Print in Ink. Check One: NCitial oAmendment (Explain) ________________ Date Slamp OALIFORNIA 501FORM " . For Official Use Only fr. o I did not exceed the expenditure ceiling in the primary or special election held on: ~~__ and I accept the voluntary expenditure ceilin~r Xl ,..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. 2. State Candidate Expenditure Limit Statement: (CaIPERS and Ca/STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Parf 2.) --".,-~~--,- Primary/general election "'c:-::-:-~==:. Special/runoff election(Year 01 ElectiOll) (Year 01 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: -r: -W (I rt"!c:J ", o ("'") 0..., (;,) >~...:.: ~:I:, r-~ /" '>'oC z­~ o-!= -<.. .. o U1 r­ 3. Verification: I certify under penalty of perjury under the laws of the ~aliforni~ thaIJhe~J~S true,and correct Executed on-:f)£L. '3 (, 20t3 Signature _. _ ____. ~----"-._______ (month, day, year) V FPPC Form 501 (April/2011) FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772) c

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