HomeMy WebLinkAbout501 Candidate Intention StatementCandidate Intention Statement
Check One: 0 Initial ❑ Amendment (Explain)
1. Candidate Information:
NAME OF CANDIDATE (Last, First, Middle Initial)
ORIGINAL
Type or Print in Ink.
CANDIDATE INTENTION STATEMENT
DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional)
RAY M. YBABEN ( ( 818 ) 769-8355 ray.ybaben@verizon.net
STREET ADDRESS CITY STATE ZIP CODE
AGENCY NAME DISTRICT NUMBER, !f applicable. ® NON-PARTISAN
CITY COUNCILMAN SEAL BEACH CITY COUNCIL 4 PARTY:
OFFICE JURISDICTION
R State (Complete Part 2.)
0 City ❑ County ❑ Multi -County: CITY OF SEAL BEACH, CALIFORNIA
(Name of Jurisdiction) (Year of Electron)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.)
(Year of Election)
Primarylgeneral election (Year of Election) Specialirunoff election
(Check one box)
❑ I accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
Q 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 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 that
FPPC Form 501 (Jan/03)
FPPC Toll -Free Helpline: 866/ASK-FPPC
866/275-3772