Form 800 - Election Campaign Declarations printable pdf download

FORM 800

ELECTION CAMPAIGN DECLARATIONS

o PRIMARY

YEAR:

OFFICE SOUGHT:

ELECTION:

o GENERAL

Supervisorial District or

County-wide Office

All candidates for County office must complete both of the following declarations and file with the Los Angeles

County Registrar-Recorder/County Clerk by the close of the nomination period for a primary election, and no

later than thirty days after the primary election for a general election.

VOLUNTARY EXPENDITURE LIMIT DECLARATION

(Must select only one)

I, _________________________________, declare that I intend to be a candidate for the Los Angeles

County office in the election indicated above. For said election and for said office, I AGREE to be bound

by the Voluntary Expenditure Limit as described in Los Angeles County Code Section 2.190.050.

I, _________________________________, declare that I intend to be a candidate for the Los Angeles

County office in the election indicated above. For said election and for said office, I DO NOT AGREE to be

bound by the Voluntary Expenditure Limit as described in Los Angeles County Code Section 2.190.050.

CONTRIBUTION OF PERSONAL FUNDS DECLARATION

I, _________________________________, declare that I intend to be a candidate for the Los Angeles County

office in the election indicated above. For said election and for said office, the amount of my personal funds,

including loans, as described in Los Angeles County Code Section 2.190.060, which I will expend on this

election campaign will fall within the option indicated below.

(Must select only one)

Option 1: $50,000 or less

Option 2: In excess of $50,000, but not more than $100,000

Option 3: In excess of $100,000, but not more than $300,000

Option 4: Unlimited Personal Funds

If you select Option 2, 3, or 4, you are required to:

(1) Deposit an amount of personal funds at least equal to the applicable option minimum in your campaign

fund within 10 days of filing your declaration; and

(2) File a Form 808: Deposit of Personal Funds Declaration within 24 hours after making such deposit.

I declare under penalty of perjury that the foregoing declarations are true and correct.

Executed

, 20

, at

, California.

City or County

Candidate Signature

Form 800 - Election Campaign Declarations