HomeMy WebLinkAbout2022-01-13 - Form 501 - deHarteCandidate Intention Statement
Check One: minitial ❑Amendment (Explain)
1. Candidate Information:
CIf Y OF PALM SPRI
22 JAN 13 AN 9: 13
OF11Cc UTHE. CITY CuEs.
For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
deHarte, Ronald W ( ( )
STREETADDRESS CITY STATE ZIP CODE
Palm Springs CA 92262
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. ® NON -PARTISAN OFFICE
Councilmember Palm Springs City Council 3 PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable.)
❑ State (Complete Part 2.) 2022 ❑ PRIMARY/ GENERAL
m City ❑ County ❑ Mutti-County: (Name of Multi -County Jurisdiction) (Year of Eledion) ❑ SPECIAL I RUNOFF
2. State Candidate Expenditure Limit Statement:
(CalPERS 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.
m 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—J I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under /penalty
+j of perjury under
the laws of the S a is that a for Is true and correct.
Executed on v' ` � �� `— Si
(month, dJy, year) (Candidate)
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov