Huang 501Candidate Intention Statement
Check One: ®Initial ❑Amendment (Explain) I u El JAN 2 3 2017 111 LJJ PrOfficial Use Only
1. Candidate Information: I �pJPE--- —
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional)
Huang, Andy T. 408 ) 489-8989 DrAndyHuang@gmail.com
STREET ADDRESS CITY STATE ZIP CODE
10502 Peralta Ct. Cupertino CA 95014
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable.
NON -PARTISAN
City Council City of Cupertino PARTY:
OFFICE JURISDICTION
❑ State (Complete Par, 2.)
® City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and Ca/STRS candidates, judges, judicial candidates, and candidates for local offices do not 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:
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:
1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 1 /1 1 /2017 Signature v
In —
(month, day, year) andidate) FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov