501 Candidate Intention Statement - InitialCandidate Intention Statement
Check One: N Initial
. Candidate Information:
[]Amendment (Explain)
Type or Print in Ink.
Date Stamp
ID r- (�L�l1V
FEB - 3 2414
CUPERTINO CI
CANDIDATE INTENTION STATEMENT
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FA NUMBER.(q%onal) E-
MA`
X lt�Mptibkl)
Paul, Darcy
STREET ADDRESS CITY STATE ZIP CODE
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. NON - PARTISAN
City Council
OFFICE JURISDICTION
❑ State (Complete Part 2.)
N City ❑ County
City of Cupertino
❑ Multi- County: (Name of Multi- County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
2014 primary/general election Special /runoff election
(Year of Election) (Year of Election)
(Check one box)
N I accept the voluntary expenditure ceiling for the election stated above.
PARTY:'
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 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
FPPC Form 501 (April/2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)