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510 Candidate Intention andidate Intention Statement Check One: ©Initial ^ Amendment (Exaialn) Type or Print in Ink. Ins u MAY 2 0 2009 INTENTION STATEMENT Use Only 1. Candidate Information: ~ CUPERTINO CITY CLERK' NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional) Nguyen, Daniel, T. (408) 480-3902 ( ) STREET ADDRESS CITY STATE ZIP CODE 10192 Park Circle West 1 Cupertino OFFICE SOUGHT (POSITION TITLE) Council Member AGENCY NAME City of Cupertino OFFICE JURISDICTION ^ State (Complete Part 2.) ® City ^ County ^Mutti-County: (Name of MuMi-County Jurisdiction) CA 95014 DISTRICT NUMBER, it applicable. ~ NON-PARTISAN 2009 PARTY: 2. State Candidate Expenditure Limit Statement: (CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.) Primary/general election Special/runoff election (Year of Election) (Year of 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 I 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. (Mack 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 foregoing i~ true and correct. Executed on `'Vl a~l ~ i ?"d0~ Signature onth, day, year) andidate) FPPC Form 501 (Januaryl05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)