2022-06-09 - Form 501 - NevinsCandidate Intention Statement
Check One: minitial ❑Amendment (Explain)
1. Candidate Information:
Date Stamp
RJLGEi VED
TY OF P ",LM SPl'!
022 JUN -9 >rjj 10: 1. 1,
For Official Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) EMAIL (optional)
Nevins, Scott L (917 ) 693-5572 ( scoff@scottnevins.com
STREETADDRESS CITY STATE ZIP CODE
4426 Vantage Lane Palm Springs CA 92262
Urrlct JUUUH I(FUJl I IUN rl l Lt) AUtNUYNAMt Ulb I HIL, I NUMbtK, IT appucaole. fifl NON -PARTISAN OFFICE
Council Member City of Palm Springs 1
PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box, if applicable.)
❑ State (C.pate Part 2.) ® PRIMARY/GENERAL
T 2022
iL City ❑ County ❑ Multi -County:
(Name of Multi -County Jurisdiction) (veer M Elerdlon) ❑ SPECIAL / RUNOFF
2. State Candidate Expenditure Limit Statement:
(Ca/PERS and CalSTRS 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.
❑ 1 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 / and I accept the voluntary expenditure
ceiling for the general or special run-off election.
(Mark if applicable)
❑ On, _/--- J_ I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under p/♦e,rn/alty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on " / q/��/✓� Signature
(Mn, day, year) enmeefe) FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov