HomeMy WebLinkAboutDaniel Harney - Form 501I
I
I;
I
Candidate Intention Statement
Check One: ❑X Initial
n:
❑Amendment (Explain)
Date
RECEIVED
PUN" 9 2016
CLARK'S OFFICE
CILROY CA,
NAME OF CANDIDATE (fast, First, Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E -MAIL (optional)
Harney, Daniel J ( 408) 6138744
STREET ADDRESS CITY STATE ZIP CODE
1565 Calabrese way Gilroy CA 95020
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. Q NON - PARTISAN
Gilroy City Council City of Gilroy PARTY:
❑ State (Complete Part 2.)
2016
® City ❑ County ❑ Multi-County: (Name of Multi- County Jurisdiction) (Year of Election)
2. State Candidate Expenditure Limit Statement:
(CalPERS and CaISTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Election)
Primary (Year of Election)
/general election Special /runoff election
(Check one box)
[:11 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 1 did not exceed the expenditure ceiling in the primary or special election held on: II and I accept the voluntary expenditure ceiling for
the general or special run -off election.
(Mark if applicable)
❑ On _ I 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 Sta
FPPC Form 501 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov