Loading...
HomeMy WebLinkAboutVivek Khullar 501_2018.04.03 I , ,;. Candidate Intention Statement Date Stamp CALIFORNIA 501 FORM Check One: IM Initial ['Amendment (Explain) For Official Use Only 1. Candidate Information: NAME OF CANDIDATE (Last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional) Khullar, Vivek B ( 510 ) 584-6760 ( ) bobbykhullar @gmail.com � STREET ADDRESS CITY STATE ZIP CODE 5522 Eaglebrook Ter. Dublin Ca 94568 111 OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,if applicable. l7 NON-PARTISAN City Council Dublin 0 PARTY: C. OFFICE JURISDICTION APR 0 4 1018 a ❑ State (Complete Part 2.) ® City ❑ County ❑ Multi-County: �cTi. ,rev y (Name of Multi-County Jurisdiction) (Year of Election) 443Y OF S 2. State Candidate Expenditure Limit Statement: (Ca/PERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.) Primary/general election Special/runoff election (Year of Election) (Year of Election) (Check one box) ❑ 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: 0 I 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 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 Califor ' e foregoing i true an orre 4//3f�I4C l . . l Executed on Signatu (month,day,year) (Candidate) FPPC Form 501 (Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov T -u 7\ Candidate Intention Statement ' Date Stamp CALIFORNIA 501 FORM Check One: Initial For Official Use Only © ❑Amendment (Explain) 1. Candidate Information: NAME OF CANDIDATE (Last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) E-MAIL(optional) Khullar, Vivek B ( 510 ) 584-6760 ( bobbykhullar @gmail.com _ STREET ADDRESS CITY STATE ZIP CODE r 94568 g4"... �.,;'. 5522 Eaglebrook Ter. Dublin Ca ,� OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,if applicable. ❑NON-PARTISAN City Council Dublin OFFICE JURISDICTION PARTY' APR 0 4 2018 tnX ❑ State (Complete Part 2.) Hf n. 4 (� r f City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) <‘>.A9Y Or �P �A 2. State Candidate Expenditure Limit Statement: (CaIPERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.) Primary/general election Special/runoff election (Year of Election) (Year of Election) (Check one box) ❑ 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: 0 I did not exceed the expenditure ceiling in the primary or special election held on: _J_J 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 penalty of perjury under the laws of the State of Califor '- . - e foregoing i true an orre c- 73 / / Executed on �! ZOI Signatur- (month,day,year) (Candidate) FPPC Form 501 (Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov