501
~
Type or Print In Ink.
Candidate Intention Statement
(Explain)
o Amendment
Initial
IRI
Check One:
CU!PERTINO CITY CL8RK
1. Candidate Information
NAME OF CANDIDATE (Lsst, First, Middle Initial)
1_'
STATE ZIP CODe
Ca 95014
DISTRICT NUMBER, if applicable. 1111 NON-PARTISAN
PARTY:
E-MAil
I_I
FAX NUMBER
DAYTIME TElEPHONE NUMBER
750-4714
( 408
CllY
Cupertino
AGENCY NAME
Miller, Marty
STREET ADDRESS
20348 Clay Street
OFFICE SOUGHT (POSITION TITLE)
2005
(Year of E/ection)
Cupertino
Cupertino City Council
OFFICE JURISDICTION
o State (Complete Part 2.)
III City 0 County
(NameolAlu/tJ-CoontyJurist:Jictioo)
2. State Candidate Expenditure Limit Statement:
(CaIPERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.)
o Multi-County:
Special/runoff election
(ChøckCNJebox)
o I accept the voluntary expenditure ceiling for the election stated above.
(YearofEløction)
Prlmarylgeneral election
(YearolBection)
accept the voluntary expenditure ceiling for the
and
----1----1_
do not accept
Amendment:
o I did not exceed the expenditure ceiling in the primary or special election held on:
general or special run-off election.
ceiling for the election stated above.
the vOluntary expenditure
o
(Marlcifapplicðble)
o On ---1----1_.
contributed personal funds in excess of the expenditure ceiling for the election stated above.
Verification
certify
3.
Califomi
the State of
of
laws
under
FPPC Fonn 501 (JanuaryI05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8861275-3772)
Signature
Executed on