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2014 - Form 501
Candidate Intention Statement Check One: © Initial ❑ Amendment (Explain) Type or Print in Ink. b5" Stamp AN 2014 D TAT For Official Use Only 1. Candidate Information: NAME OF CANDIDATE (Last, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional) Anthony Dion Bracco ( 408 ) 422 -1734 ( ) dionbracco @gmail.com STREET ADDRESS CITY STATE ZIP CODE .O. Box 1485 Gilroy CA 95021 -1485 OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, it applicable. ® NON - PARTISAN Council Member OFFICE JURISDICTION ❑ state (Complete Part 2.) Jc City ❑ County ❑ Multi- County: of Multi- County Jurisdiction) 2. State Candidate Expenditure Limit Statement: (Ca1PERS candidates, judges, judicial candidates, and candidates for local offices are not required to complete Part 2.) (YearofElecaon) Primary/general election (YearofElecfion) Special /runoff election (Check one box) ❑ I accept the voluntary expenditure ceiling for the election stated above. Z-0 i (A (Year of Election) PARTY: ❑ 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 if 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 that the foregoing is true and correct. Executed on .tune 04 2014 Signature (month, day, year) (Candidate) FPPC Form 501 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)