HomeMy WebLinkAbout2016-06-24 Form 501 - KellyCandidate Intention Statement
Check One: ®Initial ❑Amendment (Explain)
RECE VED
Dale Stamp
ciPALM D£ £RTCFCtC
2010 JUN 241 AM 9: 15
NAME OF CANDIDATE (Last. First, Middle lnlaxi DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (Qmkno
Kathleen M. Kelly ( 760 )
ADDRESS CITY STATE ZIP CODE
46- Desert CA 92260
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME IDISTRICT NUMBER, If app&car. M. ® NON -PARTISAN
Council Member City of Palm Desert _ PARTY'
OFFICE JURISDICTION
❑ State (ow^plete Part 2.)
® City❑ County ❑ Multi -County: 2016
•7 •� {Name of MUIR-Comity duredwlian) (Vest of EledlanJ
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CalSTRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Year of Erecfloo)
Primary/general election (Year of lleWarr) Specfallrunoff election
(Check one box)
❑ 1 accept the voluntary expenditure ceiling for the election stated above.
❑ 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: I I and I accept the voluntary expenditure ceiling for
the general or special run-off election.
(Mark If epp/icabk)
❑ On I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
certify under penalty Of perjury under the laws of the State of Calif nia that the foregois true and correct.
'"
Executed on June 24, 2016 Signature - ` foregoing
(month, day, year) (C relate) FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov