501 Stamped by State
Check One: Ii?'lnitial
tJ
Candidate Intention Statement .
1. Candidate Information:
NAME OF CANDIDATE (Last, First. Middfe Initial)
DAYTIME TELEPHONE NUMBER
(~~ ~ -y ,'--\ ')..-
CllY
N\~A~~\ KA \4 e~J-\
STREET ADDRESS
9-~:1.e nLcL~
OFFICE SOUGHT (POSITION TITLE)
c..,,-y U~ 12h'1-
OFFICE JURISDICTION
o State (Complete Part 2.)
litCity 0 County 0 Multi-County:
c.u(>€~ ~
\.-'1. c t=- CM(!~'j\ N~
Date Stamp
LOOZ t i ^V~
l\\~3J~3J
FAX NUMBER (optional) E-MAIL (oplional)
(~t.K1 ~b C)l"~r V\~lI\O-\a.V\\S ~ ~~.~Q.(-
STATE ZIP CODE
VA Q)1'\
DISTRICT NUMBER, If applicable. 0 NON-PARTISAN
PARlY:
(Name of MuHi-County Jurisdiction)
:20 a g-
(Yeer of EleetJon)
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
(Yeer of Election)
SpeclaUrunoff election
(Yeer of Election)
(c~ne /)Ox) .
Erl accept the voluntary expenditure ceiling for the election stated above.
MAY 1 : 2007
CUPERTINO CITY CLERK
o I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
o 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.
(Marle if applicable)
o On --1~_, 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 t
Executed on ~ <;""" 1,1 I Signature
(mon~ Y8~ ~
FPPC Form 501 (January/OS)
FPPC TolI-Free Helpline: 8661ASK-FPPC (866/275-3772)