HomeMy Public PortalAboutForm 501Candidate Intention Statement
Who Files:
A Candidate for state or local office must file this
form for each election, including reelection to the
same office. Exception: Candidates for county central
committee that do not raise or spend $2,000 or more
in a calendar year are not required to file a Form 501.
When to File:
File the Form 501 before you solicit or receive any
contributions or before you make expenditures from
personal funds on behalf of your candidacy. This form
is considered filed the date it is postmarked or hand
delivered. Ensure Campaign deadlines are met. Go to
www.fppc.ca.gov for most Campaign disclosure filing
schedules or check with your local filing officer.
Where to File:
State Candidates (including Judges):
Secretary of State
Political Reform Division
1500 11th Street, Room 495
Sacramento, CA 95814
Phone(916)653-6224
www.sos.ca.gov
Local Candidates:
Generally your county election office or city clerk.
Electronic filing may be required.
Bank Account:
A separate Campaign bank account must beestablished
including for campaigns that are self-funded by
the Candidate. A bank account is not required if a
candidate will not receive any contributions or make
personal expenditures of less than $2,000 in a calendar
year. The filing and statement of qualification fees are
not included in calculating the $2,000.
Candidate Intention Statement
Now to Complete: -
acceptance or rejection of the voluntary expenditure
All Candidates: Complete Parts 1 and 3.
ceiling only under the following circumstances:
Candidates for elective state office: Complete Parts 1,
Between the date of filing an initial
2, and 3.
Form 501 for an election and the deadline for
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filing nomination papers for that election, you
Exception: Candidates for an election to the California
may amend your statement of acceptance
Public Employees' Retirement Board, the State
or rejection of the voluntary expenditure
Teachers Retirement Board, judges, and judicial
ceiling no more than two times as long
candidates do not complete Part 2.
as the limit has not been exceeded.
Part 1. Candidate Information
If you reject the voluntary expenditure
• Enter your name and street address.
ceiling in the primary or special election but do not
exceed the ceiling during that election, you may
• Enter the title of the office sought, agency
amend the Form 501 to accept the expenditure
name, and district number if any (e.g., City
ceiling for the general or special runoff election
Council Member, City of Smalltown, Dist. 5).
and receive all of the benefits accompanying
• Enter your political party preference if
the acceptance of the expenditure ceiling. The
seeking a partisan office. For a list of qualified
amended Form 501 must be filed within 14
political parties, go to: www.sm.ca.gov/elections/
days following the primary or special election.
political-parties/qualified-political-parties/.
Personal Funds Notification: .. ,
• Check the appropriate box
You must disclose, if applicable, the date you
regarding the office's jurisdiction.
contribute personal funds to your own campaign that
Part 2. Voluntary Expenditure Ceiling
exceed the expenditure ceiling. File an amended Form
This section applies to certain candidates for elective
501 within 24 hours by guaranteed overnight delivery,
state office, including State Senate and Assembly and
personal delivery, or, if applicable, by electronic means.
statewide offices. ..
Part 3. Verification
The voluntary expenditure ceiling applicable to your
The verification is signed under penalty of perjury.
office is set forth in FPPC Regulation 18545. You must
This form was prepared by the Fair Political Practices
state whether you accept or reject the expenditure
Commission (FPPC). For detailed information on
ceiling. Candidates who accept the voluntary
campaign reporting requirements and the Information
expenditure limn will be designated in either the state
voter information guide (statewide Candidates) or the
Disclosure M
Practices Act ofKEMVEL;
county voter information guide (Senate and Assembly
candidates) and may purchase space for a 250 -word
statement there.
You may amend the Form 501 to change your
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FPPC Advice: a o. 66/2
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CITY CLERK
CITY OF CLARE(V ONT
Check One: ®Initial []Amendment (Expwn)
a. canalaate mrormauon:
NAME OF CANDIDATE sae+. Fk Mm` WOO
DAYTIME TELEPHONE NUMBER
FAX NUMBER(ophoml) EMAIL(oxoneQ
Rea, Bennett M
( 412 ) 3896110
( ) bennettforclammontfgmaiLcom
STREET DRESS
cm
STATE LP CODE
535 S College Avenue
Claremont
CA 91711
Councilmember
Claremont City Council
NON-PARTISAN OFFICE
❑State(C-V—Pan ZJ 2020 ® PRIMARY I GENERAL
® cty ❑ County ❑ Mux4Coutly (Name W MA Costly JunaEicOon) r aEbdon) ❑ SPECIAL I RUNOFF
2. State Candidate Expenditure Limit Statement:
(CRMRS end Ca1S7RS carts Wa , pdyec, Jud'clal —4daW, and—ddalea rorlocal offl a do nW eompleM Pert 2)
I.
(Check one box) _ '
❑ 1 accept the voluntary expenditure ceiling for the election stated above.
❑ 1 do not accept the voluntary expenditure ceiling for the election stated above.
Amendment. -
Q 1 did not exceed the expenditure ceiling in the primary or special election held on J / and 1 accept the voluntary expenditure
ceiling for, the general or special run-off election.
(Mark a applicable) - [];On, r_J 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 Californiaa t�foregoing Is We and correct.
Exeaaea July 17 2020 Signahaa .
Nnoeal sex rvep () FPPC Form 501 (August/2018) .
FPPC Advice: aMrte@fppc:ca.gw (966/n5-3772)
. .. - www.fppc.ce.gov