501 Candidate Intention Statement - Initial for 2018Candidate Intention Statement
Check One: ®Initial ❑Amendment (Explain)
. Candidate Information:
D E C E O V E
Date Stamp
MAR 1 2t}18
CUPERTINO CITY
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional)
Paul, Darcy, A. ( ( )
STREET ADDRESS CITY STATE ZIP CODE
AGENCY
City Councilmember Cupertino
OFFICE JURISDICTION
❑ State (Complete Part 2.)
® City ❑ County ❑ Multi -County: 2018
(Name of Multi -County Junsdidion) (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.)
(Year of Electron)
Primary/general election (Year of Election) Special/runoff election
(Check one box)
❑ I accept the voluntary expenditure ceiling for the election stated above.
0 NON-PARTISAN
PARTY:
Only
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: — I 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 State off California that the foregoing is true and correct.
Executed on March 15, 2018 Signature
(month, day, year) ( FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov