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REC.- - , . ANDID E INTENTION STATEMENT <br /> Candidate Intention Statement Type or Print in Ink. Date Stamp <br /> CALIF'ORNIA 501 <br /> MAY 1 3 2013 FORM <br /> or Official Use Only <br /> Check One: ®Initial ['Amendment (Explain) CITY OF REDWOOD CIT. <br /> CITY CLERK <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. El NON-PARTISAN <br /> City Councilman City of Redwood City PARTY: <br /> OFFICE JURISDICTION <br /> ❑ State (Complete Part 2.) <br /> 2013 <br /> ® City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) <br /> 2. State Candidate Expenditure Limit Statement: <br /> (CaIPERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not 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 /> 0 I did not exceed the expenditure ceiling in the primary or special election held on: and I accept the voluntary expenditure ceiling for <br /> the general or special run-off election. <br /> (Mark if applicable) <br /> ❑ On _�—J , 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 California that v for-••• g '- rue and cor -- . <br /> Executed on. May 10, 2013 <br /> Signature t �. <br /> (month,day,year) 'f (candid Vie) FPPC Form 501 (Apri1/2011) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) <br />