Miller, Terry - Form 501Candidate Intention Statement
Check One: 1DInitial ❑Amendment (ENowin)
Information:
Fix OfsnA Um only
MAR 2 B 2022
CLERKS
NAME OF CANDIDATE (UM, Finn Meals loop
DAYTIME TELEPHONE NUMBER
FAX NUMBER (National)
EMAIL(opgonan
fnO1i r aT'wyv, D
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STREETAOORESS I
CITY
STATE
ZIP COOe
❑ Slale lCOnFMa Pad 31 Z�Z� �PRIMARVIGENERAL
City county j]MUIWCounry: (Name of Md4 my Junadic6on) ryar iJo SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
fCoIPERS aWM CdSTRS cendal Judav$, Jueival canddates, and can6iitlafes or Woo oficas oa ma omye05 PM 2)
(Coack one Not)
❑ 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:
O 1 did not exceed the expenditure ceiling in the primary or special election held on _f f and I accept the voluntary expenditure
ceiling for the general or special runoff election.
(Mark if apolrlae)
❑ 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 C omla that the foregoing Is true and correct,
Exemle//
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paaaq aaX. rnd U IcarwvaMl FPPC Pam 501 (Auguat/2018)
FPPC Advke: advicedlyfpPc.a.gov(86g/275.3712)
vyww.fppc.n.gov