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 State of California that the foregoing is true and correct.
Executed on February 3, 2014 Signature
(month, day. year) (Candidate)
FPPC Form 501 (April/2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)