HomeMy WebLinkAboutH Miller Form 501Candidate Intention Statement
Check One: P Initial ['Amendment (Explain)
1. Candidate Information:
NAME OF CANDIDATE (Last, First, Middle Initial)
Miller, Howard A
DAYTIME TELEPHONE NUMBER
(
FAX NUMBER (optional)
E-MAIL (optional)
STREET ADDRESS
CITY
Memeber , City Council
OFFICE JURISDICTION
mplete Part 2.)
0 State (Co
® City ❑ County ❑ Multi -County:
AGENCY NAME
City of Saratoga
STATE
CA
ZIP CODE
95070
DISTRICT NUMBER, if applicable.
(Name of Multi -County Jurisdiction)
2016
(Year of Election)
® NON -PARTISAN
PARTY:
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
Primary/general election
(Year of Election)
Special/runoff election
(Year of Election)
(Check one box)
❑ 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:
0 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.
(Mark if applicable)
❑ On _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 of Californiathatthe fore•oing is true and correct.
Executed on I/ 1 /-2-0[C,
(month, day, year)
Signature
(Ca• ndidate)
FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov