This document is a candidate intention statement for Siegel, who is running for a partisan state office in district 1. It provides Siegel's contact information and indicates they will not exceed the voluntary expenditure ceiling for the primary election held on a unspecified date. Siegel also agrees to accept the voluntary expenditure ceiling for the general election. The document is signed and dated, with Siegel declaring under penalty of perjury that the information provided is true and correct.

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)
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a ement Type or Print in Ink.
Check One: NCitial oAmendment (Explain) ________________
Date Slamp
OALIFORNIA 501FORM " .
For Official Use Only
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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:
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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)
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