501
Check One:
Ølnitial
0 Amendme
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II AUG 8 2003
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Candidate Intention Statement
CUPERTINO CITY CLERK
1. Candidate Information:
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DAYTIME TELEPHONE NUMBER
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CrTY
FAX NUMBER 1_01)
E-MAIL 1"""""'1
STATE
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DISTRiCT NUMBER, ,-"".
NON-PARTISAN
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OFFICE JURISolCTroN
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~ City 0 County
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PARTY,
0 Multi-County:
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. State Candidate Expenditure Limit Statement:
I~RS candidales, judges, judicial candidates, end cendlde'es fa, Iocel offices e", nol "'qui,ed 10 complele Perl 2.)
Primarylgeneral election
IY'!, d EI"'~I Special/runoff election
ntary expenditure ceiling for the election stated above.
0 I do not accept the o¡untary expenditure ceiling for the election stated above.
Amendment:
0 I did not exceed the xpenditure ceiling in the primary or special election heid on: ---1---1- and I accept the voluntary expenditure ceiling for
the general or special n-off election,
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IMe'" W "'_"'I
I funds in excess of the expenditure ceiling for the eiection stated above.
3. Verification:
I certify under penalty of perjury under the laws of the State of California that the
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FPPC Form 501 (JanIO3)
FPPC ToII.Free Helpline: 866IASK.FPPC
866/275-3772