HomeMy WebLinkAbout2022-04-18 Form 501 - KabikCandidate Intention Statement Date Stamp
received
CALIFORNIA Cf\A
FORM OU 1
Check One: ITIlnitial Fl Amendment rFvpimni
C
APR 1 8 2022
ffice of the City Clerk
For Official Use Only
1. Candidate Information:
NAME OF CANDIDATE (Last. First Middle Initial)DAYTIME TELEPHONE NUMBER FAX NUMBER (optional)EMAIL (optional)
Julia Kabik (760 ) 333-9563 ( )JrKabik(2)gmail.com
STREETADDRESS CITY STATE ZIP CODE
291 MelAve j^300 Palm Springs Ca 92262
OFFICE SOUGHT (POSITION TITLE)AGENCY NAME DISTRICT NUMBER, if applicable.□ NON-PARTISAN OFFICE
City Council City of Palm Springs 3 PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable.)
1 1 State (Complete Part 2.)
171 City Q County Q Multi-County:Palm Springs 4 Years 0 PRIMARY/GENERAL
(Name of Multi-County Jurisdiction)(Year of Election) |_1 rsuiMUi-i-
2. State Candidate Expenditure Limit Statement:
(CalPERS and CalSTRS candidates, Judges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
IZI i 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 I did not exceed the expenditure ceiling In the primary or special election held on
celling for the general or special run-off election.
./ L and I accept the voluntary expenditure
(Mark if applicable)
□ On, / I 1 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.
04 18 2022
Executed on Signature
(month, day, year)(Candidate)FPPC Form 501 (AugU5t/2018)
FPPC Advice: advice(S}fppc.ca.gov (866/275-3772)
www.fppc.ca.gov