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CANDIDATE INTENTION STATEMENT <br /> Candidate Intention Statement P t,in ink. Gs.1 Date stamp CALIFORNIA <br /> LC) °' , µJ_ 501 ct, FORM <br /> ___,.._.., <br /> Check One: Initial Amendment (Explain) 4.10 ul _ ,- ! I,or;»sr_I ? • :y <br /> $. j JL ,f,' ZOOS l= ibi <br /> 1. Candidate Information: <br /> NAME OF CANDIDATE (Last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional) <br /> Seybert,John, D. ( <br /> STREET ADDRESS CITY STATE ZIP CODE <br /> Redwood City CA 94062 <br /> OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,if applicable. ®NON-PARTISAN <br /> City Council City of Redwood City PARTY: <br /> OFFICE JURISDICTION <br /> ❑State (Complete Part 2.) <br /> • <br /> 14 City ❑County ❑ Multi-County: 2009 <br /> (Name of Multi-County Jurisdiction) (Year of Election) <br /> 2. State Candidate Expenditure Limit Statement: <br /> (CaIPERS candidates,judges,judicial candidates, and candidates for local offices are not requited to complete Part 2.) <br /> Primary/general election Special/runoff election <br /> (Year of Election) (Year of Election) <br /> (Check one box) <br /> ❑I accept the voluntary expenditure ceiling for the election stated above. <br /> ❑I do not accept the voluntary expenditure ceiling for the election stated above. <br /> Amendment: <br /> Q I did not exceed the expenditure ceiling in the primary or special election held on: / / and I accept the voluntary expenditure ceiling for the <br /> general or special run-off election. <br /> (Mark if applicable) <br /> ❑ On -1_/ , I contributed personal funds in excess of the expenditure ceiling for the election stated above. <br /> 3. Verification: <br /> I certify under penalty of perjury under the laws of the State of Califomia that the fort goin•ts tr and • rect. <br /> Executed on December 3,2008 Signa • - A A l , <br /> (month,day,year) (C di -to I <br /> rd <br /> FPPC Form 501(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />