HomeMy Public PortalAbout00. Form 501IVED
Candidate Intention Statement
Check One: ®Initial ❑Amendment iE xptain)
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11
CRT 0
L 2 R'e2023
Y CLERK
F CLAREMON
CALIFORNIA 501
FORM
For Official Use Only
1. Candidate Inform ation:
NAME OF CANDIDATE (Last, First Middle Initial) DA YTI ME TELEPH ONE NUMBER FAX NU MBER (optional) E MAIL (optional)
[Rachel Forester 7 (F5-71179---1 ( )
STREET ADDRESS CITY
660 W. Bonita Ave. 19t
OFFICE SOUGHT (POSmON TITLE)
City Co uncil M embtr Pity of Claremont .i f
STATE
STRICT N UMBER, if a oplIcahle
he flee gh foresterVgntail .com
ZIP C ODE
PARt '( PREFERENCE:
O FFICE JURISDICTIO N •
❑ State (Complete Pan 2 )
® Cily ❑ County ❑ Mu lti -County:
(Name of Multi - County Jurisdiction)
2024
(Near of Election)
( Cimarro n bo x, if dpptcablaJ
® PRI MARY/GENERAL
0 SPE CIAL/RUN OFF
2. State Candidate Expenditure Limit Statement:
(Ca1PERS and Ca/STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2 )
(Check one box)
® I accept the v oluntary expenditure ceiling for the election stated above .
❑ I do not accept the voluntary expenditure ceiling for the election stated ab ov e.
Amendment:
0 I did not exceed the expenditure ceiling in the primary or special election held on
ceiling fo r the gene ral or special run-off election.
(Mark if applicable)
and I ac cept the voluntary expenditure
0 On, / 1 I contribute d personal funds in excess of the expenditure ceiling for the election stated ab ove.
3. Verification:
I certify under penalty of perjury under the laws of the State of aii ornia that the foregoing is trt )~'correct.
07-19-2023
Executed on Signature
(nron dh, day. yea r)
FPPC F orm 501 (August/2018)
FPPC Advice: advice@fppc.ca.g ov (866/275-3772)
www.fppc .ca.gov