501 Candidate Intention Statement - Initial for 2022Candidate Intention Statement ~~(G[E~~~
Date Stamp
I MAY ' 2 5 20 22
Check One: Ill Initial â–¡Amendment (Explain) -----------r----t==----1------..J
CALIFORNIA 501
FORM
For Official Use Only
CUPERTI NI O CITY CLERK
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial)
Sheila Mohan
STREET ADDRESS
OFFICE SOUGHT (POSITION TITLE)
City Councilrnernber
OFFICE JURISDICTION
D State (Complete Part 2.)
Ill City D County D Multi-County :
AGENCY NAME
Cupertino
2. State Candidate Expenditure Limit Statement:
DAYTIME TELEPHONE NUMBER
(
CITY
Cupertino
(Name of Multi-Coun!yJurisdfction)
(Ca/PERS and Ca/STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
DI accept the voluntary expenditure ceiling for the election stated above.
Ill I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 I did not exceed the expenditure ceiling in the primary or special election held on
ceiling for the general or special run-off election.
-
(Mark if applicable)
FAX NUMBER (optional)
STATE
CA
EMAIL (optional)
ZIP CODE
95014
DISTRICT NUMBER, if applicable.till NON-PARTISAN OFFICE
l l
PARTY PREFERENCE: Democrat
2022
(Year of Election)
(Check one box, if applicable.)
Ill PRIMARY / GENERAL
0 SPECIAL/ RUNOFF
and I accept the voluntary expenditure
D On, __J__J __ 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 and correct.
Executed on Signature ~'-.
05 18 2022 ~
(month, day, year) (Candidate) FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov