HomeMy WebLinkAboutCappello Form 501Candidate Intention Statement
Check One: ❑ Initial ❑Amendment (Explain)
nformation:
Type or Print in Ink.
",TOE t a I � r
i o 2012
CANDIDATE
Use
NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional)
Saratoga CA 95070
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. g NON - PARTISAN
City Council City of Saratoga
OFFICE JURISDICTION
❑ State (Complete Part 2.)
2012
® City ❑ County ❑ Multi-County: (Name of Multi- County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CalPERS and Ca/STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
2,'0 \ L Primary/general election Special /runoff election
(Year of Election) (Year of Election)
(Check one box)
❑ I accept the voluntary expenditure ceiling for the election stated above.
PARTY:
STATEMENT
❑ I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
O 1 did not exceed the expenditure ceiling in the primary or special election held on: —J/ 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 C ' mia t th foregoing ' true d correct.
July 2, 2012
Executed on __ _....__.-- _..._._.....__.._, Signature IL - -. -
(month, clay. year) (Candidate) FPPC Form 501 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)