HomeMy Public PortalAboutForm 501Candidate Intention Statement
Check One: minitial ❑Amendment (Explain)
1. Candidate Information:
AUG 10 2020
CITY CLERK.
For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
REZNIK, ETHAN M. ( 909 ) 621-7849 oranrez@gmall.com
STREETADDRESS CITY STATE ZIP CODE
1410 TULANE RD CLAREMONT CA 91711
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. ® NON-PARTISAN OFFICE
CLAREMONT CITY COUNCIL 1 PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) ® 2020 PRIMARY/ GENERAL
g] City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL/ RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS 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.
❑ 1 do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 1 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 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 California
he foregoing is a and correct.
08 05 2020
Executed on Signature
(month, day, year) (Candi)./ M -+ FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov