501 Candidate Intention Statement - Initial for 2022Candidate Intention Statement
Check one: 5Initial ❑Amendment (Explain)
1. Candidate Information:
Dale Stamp
For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
Yuko Shima ( ( )
STREETADDRESS CITY STATE ZIP CODE
OFFICE SOUGHT (POSITION TITLE)
NAME
Cupertino
CA 95014
NON -PARTISAN OFFICE
City Council Member
PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if appllcaWe.)
❑ State (Complete Part 2.) 2022 ® PRIMARY/ GENERAL
21 City ❑ County ❑ Multi -County. (Name of Multi -County Jurisdiction) (Year of EtecWn)— ❑ SPECIAL 1 RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local oRces do not complete Part 2.)
(Check one box)
m I accept the voluntary expenditure ceiling for the election stated above.
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
Q 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 i1 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 �tghat the foregging is true and correct.
8 15 2022 signature �-/�
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov