HomeMy WebLinkAboutDoug Case - Form 501Candidate Intention Statement
Check One: minitial ❑Amendment (Explain)
1. Candidate Information:
Date Stamp
F'EC IVE0
Y MANIAGER'S OFF
E:ARATOaA- CA
For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
Case, Doug, R ( )
STREETADDRESS CITY STATE ZIP CODE
Saratoga CA 95070
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME (DISTRICT NUMBER, if applicable.lV) NON -PARTISAN OFFICE
City Councilmember, City of Saratoga, CA
PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) Saratoga 2020 I] PRIMARY / GENERAL
q] City ❑ County ❑ Multi -County: (Name of Multi -County Jurisdiction) (Year of Election) ❑ SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
❑ I accept the voluntary expenditure ceiling for the election stated above.
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 if applicable)
❑ On, �_� I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under peejltnalty of perjury
under the laws of the State
Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov