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CAN IDATE INTENTION STATEMENT <br /> Candidate Intention Statement Type or Print in Ink. t �_ � ' <br /> . - <br /> MAY 0 4 2015 For Official Use Only <br /> Check One: � Initial ❑ Amendment (EXPia��) <br /> C TY OF R�pyyOpb CITY <br /> CiTY CI�RK <br /> 1. Candidate Information: <br /> NAME OF CANDIDATE (Last,First Midd�e InRiap DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional) <br /> Bain, lan, A ( ( ) <br /> STREET ADDRESS CITY STATE ZIP CODE <br /> Redwood City CA 94061 <br /> OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,ilapplicable. �NON-PARTISAN <br /> Council member City of Redwood City P,aRrr: <br /> OFFICE JURISDICTION <br /> � $ta(g (Complefe Part 2.) � <br /> �City ❑County ❑ Multi-County: 2015 <br /> (NameolMWti-CounlyJunsdiction) (Year of EMctionJ <br /> 2. State Candidate Expenditure Limit Statement: <br /> (Ca1PERS candidates,judges,judicial candidates, and candidates for loca/offices are not required to complete Part 2.) <br /> Primary/general election Special/runoff election <br /> (VearofE�ection) (YearotElection) <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:_J� and I accept the voluntary expenditure ceiling for the <br /> general or special run-off election. <br /> ..... <br /> (Mark if applicable) <br /> ❑ On _I_� , 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 the foreg i g is tru an correc .» <br /> Executed on May 4, 2015 Signature �� �— <br /> (month,day,yearJ (Candidate) <br /> FPPC Form 501(January/05) <br /> FPPC Toll-Free Helpline:B66/ASK-FPPC(866/275-3772) <br />