HomeMy Public PortalAbout00. Form 501Candidate Intention Statement
Check One: m Initial ['Amendment (Explain)
CITY
NOV 01 2023
ITS CLER
OF CLAREMONT
CALIFORNIA 501
For Official Use Only
1. Candidate Information:
NAME OF CANDIDATE (Last, First Middle Initial)
Calaycay, Corey
STREET ADDRESS
1555 W Base Line Road
DAYTIME TELEPHONE NUMBER
(909 ) 593-5913
CITY
Claremont
OFFICE SOUGHT (POSITION TITLE)
AGENCY NAME
City Council Claremont
OFFICE JURISDICTION
❑ State (Complete Part 2.)
® City ❑ County ❑ Multi -County:
FAX NUMBER (optional)
STATE
CA
EMAIL (optional)
corey@coreycalaycay.com
ZIP CODE
91711
DISTRICT NUMBER, if applicable.
(Name of Multi -County Jurisdiction)
2Q24
® NON-PARTISAN OFFICE
PARTY PREFERENCE:
(Year of Election)
(Check one box, If applicable.)
[ZI PRIMARY / GENERAL
l SPECIAL / 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.
❑ 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)
0 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 California that the foregoing Is true and correct.
n / ,
(mont/L02z.,
y, year)
Executed on
FPPC Form 501 (August/2018)
FPPC Advice: advice@fppc.ca.gbv (866/275-3772)
www.fppc.ca.gov