HomeMy WebLinkAboutForm 501 - Daryoush DavidiCandidate Intention Statement
Check One: [] Initial Amendment
(Explain)
I. Candidate Information:
ECEIVE�- i
Dale Stamp
JUN 3 0 2025
ITY CLERK'S OFFICE
ForORclel Use Only
NAME OF CANDIDATE (Last, First Middle Initial) DAYTIME TELEPHONE NUMBER
FAX NUMBER (optional) EMAIL (optional)
Daryoush David! (
SS
STREET ADDRE( )
CITY ;TATE LIP CODE
San Rafael
OFFICE SOUGHT (POSITION TITLE) AGENCY NAME CA 94901
DISTRICT NUMBER, it appllr )ble. V1 NON-PARTISAN OFFICE
City Council Member San Rafael City Council 3
OFFICE JURISDICTION PARTY PREFERENCE:
State (Complete Part 2.)
(Check one box, if applicable.)
City County Multi -County:
2026 Z PRIMARYIGENERAL
(Name of Multi-CounlyJurisdiction) (Year oftb•:or,;,) E] SPECIAL/RUNOFF
2. State Candidate Expenditure Limit Statement:
(CaIPERS 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.
❑ 1 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
ing for the general or special run-off election.
(Mark if applicable)
and I accept the voluntary expenditure ceil-
E] On I contributed personal funds in excess of the expenditure ceiling for the election stated above.
I Verification:
I certify under penalty
of perjury under the laws of the State of Calhornia that the foregoing is true and correct.
Executed on
(month. day, year) Signature
(Candrdafe)
FPPC Form 501(August/2023)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov