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460 First Pre-Election ecipient Committee Campaign statement (Government Code Sections 84200 - 84216.5) 1. Type of Recipient Committee: [] Officeholder, Candidate Controlled Committee [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored COVER PAGE - LONG FORM ~ o.,.ofa,.~...~,: SEP g 7 2001 07/01/2001 (Mcata, Day, Vcar) 09/22/2001 11/07/2001 By 2. Type of Statement:. A For Official Use Only [] Primarily Formed Candidate/ Officeholder Committee [] General Purpose Committee O Sponsored O Bread Based [] Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committcc Information II.D. NUMBER 1233678 COMMI'CFEE NAME GEOFF PATNOE FOR CITY COUNCIL Treasurer(s) NAME OF TREASURER TOM HALL 21040 HOMESTEAD ROAD CUPERTINO CA 95014 (408)773-1400 ( ) STRE~ ADDRESS (~0 P.O. aOX) 10384 ALPINE DRIVE #2 CUPERTINO CA 95014 (408)746 -2940 OPTIONAL: FAX/E-MAJL ADDRESS ( ) / S/COW - PCAP08 01504 (Rev. g/gg) State of California Fair Political Practices Commission. ecipient Committcc Campaign Statement Cover Page - Part 2 COVER PAGE- PART 2 Page 2 Of, 10 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OF CANDIDATE GEOFF PATNOE OFFICE SOU~T OR HELD 0NCWDE L~A~ON KD DIST~ NUMBER IF ~CABLE) CUPERTINO CITY COUNCIL RESI~N~AI.~B~INESS ADDRESS ~O. KD ~RE~ CI~ STA~ ZIP ~DE 10384 ALPINE DRIVE, #2 CUPERTINO CA 95014 Related Committees Not Included in this Statement: List any committees not included in Jhis consolidated statement ~hat are controlled by you or whioh are primarily formed to reoeive contributions or to make expenditures on behalf of your candidacy. COMMI'n'EE NAME I I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEJPHONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE Identify the oontrolllng officeholder, candidate, or state measure proponent, ff any. NAME OF OFFICEHOLDER, CANDIDATE OR, pROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formal Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge rite information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Executed on DATE DATE DATE DATE NA~JRE OF TREASURER OR ASSISTANT TREASURER By SIGNATURE OF COR T~CL'~]NG OFRCEIclOI.DER, CANDIDATE, STATE MEASURE PROPONE Executed on 8y SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANOIDATE, STATE MEASURE PROPONENT Executed on By Campaign Disclosure Statement Summary Page SUMMARY PAGE 09/22/2001 Page 3 of NAME OF RLER GEOFF PATNOE FOR CITY COUNCIL Contributions Received 1. Moneta7 Contributior~ ................................................................... Schedule A, Line 3 $ 2. Loans Received .............................................................................. Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................................ Add Lines 1 + 2 $ 4. Non-monetary Con~'ibutions ........................................................... Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ............................................... Add Lines 3 + 4 $ ColumnA 2,070.00 700.00 2,770.00 0.00 2,770.00 C~urm9 B* ~EE NOTE ~l-OW) $ 4,249.00 3,000.00 $ 7~249.00 100.00 I.~ NUMBER 1233678 Column C (ADD COLUM~ A + ~ $ 61319.00 3,700.00 $ ' 10,019.00 100.00 $ 7,349.00 $ 10,119.00 Expenditures Made 6. Cash Payments .............................................................................. Schedule E, Line 4 $ 7. Loans Made .................................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .......................................................... Add Unes 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) .................................................... Schedule F, Line 3 10. Nonmonetary Adjus~%ent .............................................................. Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................................ Add Unes 8 + 9 + 10 $ 2,767.82 0.00 2,767.82 0.00 0.00 2,767.82 $ 306.44 $ 3,074.26 0.00 0. 00 $ 306.44 $ 3,074.26 0.00 0.00 100.00 100.00 $ 406.44 $ 3,174.26 Current Cash Statement 12. Beginning Cash Balance ........................................ Previous Summary Page, Line 16 13. Cash Receipts ..~ .................................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ................................................... Schedule I, Une 4 15. Cash Payments ..................................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ................ Add Lines 12 + 13 + 14, then subtract Line 15 If this is a Termination Statement, Une 16 must be zero. $ 6,942.56 2,770.00 0.00 2,767.82 6,944.74 17. LOAN GUARANTEES RECEIVED ............................ Schedule B, Part 1, Column (b) $ 0. O0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents .......................................................................................................... $ 0.00 19. Outstanding Debts ........................................ Add Line 2 + Line 9 in Column C above $ 3,7 00.00 S/COW - PCAPO8 01504 (Rev. 9/99) *From previous statement Summary Page, Column C. However, if Ibis is ~e first report filed for fire calendar year, Coluren B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (L ne 9). Summary for Candidates in Boa June and November EleclJons 1/1 thru 6/'30 7/1 to Date 20. Contributions Received $ 0 0 21. Expenditures Made ..... $ 0 0 CHEDULE A Schedule A s~.,,.,; ~.~. ~d ~a Monetary Contributions Recek, ed .om 07/01/2001 ~~ ~ ~ ~r~,09/22/2001 Page 4 ~ 10 NAME OF FlOR I.~ NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678 IF ~ INDMDUAL. ENTER DATE ~ NAME, MAIMNG ~DRE~ AND ~P COD~ OF CON~IRUTOR CONTRIBUTOR OCCUPAT~N MD EMPLOYER AMOUNT RECEIVED CUMU~VE TO DA~ CUMU~TIVE TO DATE RECEIVED ~F C(~MI~E~, ~ EN~R I.D. NUMBER) CODE * ~F SE~-~PLOYED ENTER N~E ~IS PE~OD ~NDAR YEAR O~ER ~ BU~NE~) ~ 1 - DEC 31) OF APPUCABLE) 08/22/2001 GEORGE ADZICH [] IND SENIOR ACCOUNT 100.00 100.0( 21850 GRANADA AVENUE EXEC. CUPERTINO, CA 95014 I-ICOM SYNOPSYS I-'lOTH 08/07/2001 DOUGLAS BOSCO []IND ATTORNEY 100.00 100.00 1020 MCDONALD AVENUE SANTA ROSA, CA 95404 [] COM LANAHAN & REILLEY []OTH 09/13/2001 ANDREA BROWN []IN• STUDENT 100.00 100.00 8130 PANS WAY GRANITE BAY, CA 95746 [] COM NONE []OTH 08/15/2001 NAN-SING CHUANG r~IND COMPUTER 100.00 100.00 10787 LINDA VISTA DRIVE CONTRACTOR CUPERTINO, CA 95014 r-IcoM NAN-SING CHUANG ~]OmH 09/21/2001 MARK CROSS []IND TEACHER 100.00 100.00 634 B. STREET YUBA CITY, CA 95991 ~COM MAYSVILLE UNIFIED SCHOOL DISTRICT J--JOTH SUBTOTAL $ 5oo. oo Monetary Contributions Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ...................................................................................... ~ ........... 2. Amount received this period - contributions of less than $100. (Do not itemize.) .............................................................................................................................. 3. Total monetary Contributions received this period. (Add Lines 1 and 2. Enter here and on the S,mmary Page, Column A, Line 1.) .............. TOTAL 1,800.00 270.00 2,070.00 CHEDULE A (cont.) Schedule A (Confinualion Sheet) s---;-._.= ~-,..=~,~ r_4 & Monetary Contributions Received ~. 07/01/2001 ~ J ~ I~tr~ 09/22/2001 Pa~e 5 ~ 10 NAME OF FILER I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678 IF AN INDIVIDUAL, ENTER DATE FULL NAME, MAIUNG ADDRESS AND Z~P CODE OF CONTRIBUTOR CON3~IBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE RECEIVED OF COMMITTEE, ALSO ENTER t J3. NUMBER) CODE * (IF SELF-EMPLOYED ENTER NAME THIS PERIOD CALENDAR YEAR OTHER OF 8US~NESS) (JAN 1 - DEC 31 ) (IF APPLICABLE) 08/07/2001 EDWARD DORNAN [] IND. RETIRED 100.00 100.00 12 ANTARES IRVINE, CA 92612 [] COM NONE [] OTH 09/21/2001 VIRGINIA FANELLI [] IND CONSULTING 100.00 100.00 948 VIA PALO ALTO APTOS, CA 95003 [] COM FANELLI CONSULTING [] OTH 09/13/2001 ROBERT HINES [] IND ATTORNEY 100.00 100.00 13397 SOUSA LANE SARATOGA, CA 95070 [] COM TRI-COUNTY APARTMENT ASSOC. [] OTH 08/15/2001 DENISE HOSFORD [] IND MEDIA & MARKETING 50.00 100.00 08/22/2001 3833 NOBEL DRIVE #3421 50.00 SAN DIEGO, CA 92122 [] COM DMH MEDIA & MARKETING [] OTH 08/07/2001 KERRY KOPS [] IND ASSISTANT ACCOUNT 100.00 100.00 1688 PEPPER DRIVE EXECUTIVE EL CAJON. CA 92021 [] COM KATZ & ASSOCIATES [] OTH 08/15/2001 CURTIS KUNDRED [] IND GENERAL MANAGER 100.00 100.00 26 CHESTNUT PLACE DANVILLE, CA 94506 [] COM FLEISHMAN HILLARD [] OTH SUBTOTAL $ 600.00 CHEDULE A (cont.) Schedule A (Continuation Shcct) Monete_ry Contributions R k, ed o7/ol/2OOl Iltro~ 09/22/2001 Pa~e 6 o~ 10 NAME OF FILER I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1.233678 tF AN INDIVIDUAL, ENTER DATE FULL NAME, MAIMNG ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE RECEIVED ~F COMMITTEE, AL,SO ENTER I.D. NUMBER) CODE · (IF SEI.~-EMPLOYED ENTER NAME T~IS PERIOD CALENDAR YEAR OTHER OF SUreNESS) (JAN 1 - DEC 31) (IF APPUCABLE) 08/22/2001 WILLIAM LEMEN [] IND RETIRED 100.00 100.00 142 SHERMAN WAY BRANSON, MO 65616 [] COM NONE [] OTH 08/22/2001 JOHN LEMONS [] ;ND RETIRED 100.00 100.00 21467 KRZICH PLACE CUPERTINO, CA 950~4 [] COM 'NONE [] OTH 08/22/2001 MARY ANN LEMONS [] IND HOMEMAKER 100.00 100.00 21467 KRZICH PLACE CUPERTINO, CA 95014 [] COM NONE [] OTH 09/21/2001 RICHARD LOWENTHAL [] IND CITY COUNCIL 100.00 100.00 21602 VILLA MARIA COURT MEMBER CUPERTINO, CA 95014 [] COM CITY OF CUPERTINO [] OTH 09/13/2001 A. CATHERINE NGO [] IND ATTORNEY 100.00 100.00 13397 SOUSA LANE SARATOGA, CA 95070 [] COM SILICON VALLEY BANK [] OTH 09/13/2001 PATRICK O'REILLY [] IND PUBLIC RELATIONS 100.00 100.00 14154 ANDY PLACE RIVERSIDE, CA 92508 [] COM O'REILLY PUBLIC RELATIONS [] OTH SUBTOTAL $ 600. 00 CHEDULE A (cont.) Schedule A (Continuation Sheet) s:.;..~....:~ ~,~~ ~ r.~l ~ Monet~,ry Contributions Received ~ro., o7/o~/2oo~ b%rou~h09/22/2001 P~l:je 7 of 10 NAME OF FILER I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678 IF AN INDIVIDUAL ENTER DATE FULL NAME, MAIUNG ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE RECEIVED 0F COMMITTEE, ALSO ENTER I,D. NUMBER) CODE * (IF SELF-EMPLOYED ENTER NAME THIS PERIOD CALENDAR YEAR OTHER (31= BUSINESS) (JAN 1 - DEC 31) (IF APPUCABLE) 09/21/2001 STEVENS CANYON RESIDENTS ASSOCIATI£N~] IND 100.00 100 .00 P.O. BOX 1343 CUPERTINO, CA 95015 [] COM [] OTH [] [] co~ [] OTH [] [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH SUBTOTAL $ 1 o o. o 0 chedule B- Part I Loans Received NAME OF FILER GEOFF PATNOE, DATE RECEIVED 09/2~/2001 GEOFF PATNOE FOR CITY COUNCIL CONTRIBUTOR FULL NAME, MAlUNG ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (I F COMMITTEE, ALSO ENTEfl I.D, NUMBER) GEOFF PATNOE 10384 ALPINE DRIVE, ~2 CUPERTINO, CA 95014 [] IND r-ICOM I--lOTH [] IND [] COM [] OTH [] IND [] COM [] OTH IF AN INDIVIDUAL, ENTER CCUPATION AND EMPLOYEH (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PUBLIC AFFAIRS SPECIALIST tHE WEBER GROUP o7/ol/2OOl 09/22/2001 LENDER INFORMATION DUE DATE/ INTEREST RATE DUE DATE INTEREST RATE 0.000 DUE DATE INTEREST RATE DUE DATE INTEREST RATE AMOUNT CUMULATIVE OF LOAN TO DATE 7 0 0 CALENDAR YEAR 3,700 CALENDAR YEAR OTHER CALENDAR YEAR OTHER SCHEDULE B - Part I Page 8(~ 10 I.D. NUMBER 1233678 GUARANTORINFORMATION AMOUNT CUMULATtVE GUARANTEED TO DATE CALENDAR YEAR OTHER CALEN DAR YEAR OTHER $ CALENDAR YEAR OTHER $ (a) TOTALS TO PART 1 SUMMARY LINE 1 (b) TOTALS TO SUMMARY PAGE LINE 18 SUBTOTAL (a) 700.00 0 Enter Co) on SummaU Page. Line 18 0ny. Loans Received -- Prat I Summary 1. Loans of $100 or more received this period. (Include all Loans Received -- Part I (a) subtotals.) $ 2. Amount received this period - unitemized loans of less than $100 .............................................. $ 3. Total loans received this period. (Add Lines 1 and 2.) ................................................... TOTAL $ 700.00 0.00 700.00 0.00 0.oo 0.00 700.00 Loans Received - Part II Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ......... $ 5. Loans under $100 repaid, forgiven or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ................................. $ 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5) ........ .TOTAL $ 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 ....................................... NET $ CHEDULE E Payments Made o?/01/2OOl 09/22/2001 ~e 9,, (~ 10 Schedule E NAME OF FILER I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1.233678 .,, CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP cempaJgn paraphemalia/misc~ CNS csmpaign oonsuttants CTB cont~bufion (explain nonmo~.tary)* crc ci~c donatiofl$ FND fundraiaing events IND independent expenditure suppo~lingioppoaing others (explain)* LIT campaign literature and mailings MTG meetings and appearances OFC office expenses PET pe~itio~ ~rculat~ng PHO phone banl~ POL ix~ling and survey research POS ix~tage, delivery and messenger services PRO pro~esaional sen/ices (legal, accounting) PRT print ada RAD ra~io ai~time and im-o4uclion costs RFD retumed conlributions SAL campaign work.s salaries TEL t.v. or ~ airlime and production c~'ts TRC candidate travel, lodging and meela (explain) TRS staif/slxx~sa travel, lodging and meals (exi;lain) TSF transfer between committees of the same candidats/sl:,o~sor VOT vnter registration WEB inlocmation techr~ology costs (interest, e-man) 'Payments that are contributions or Independent expendltrsa must also be summarize4 on Sche4ule D. NAME AND ~DRE~ OF PANE OR CREDITOR OF ~MMI~EE, ALSO E~ER I.D. NUMAR CODE OR DESCRIPTION OF PAYMENT AMOU~ PND ADVANTAGE GRAFIX LIT 499.18 10161 S. DEANZA BLVD. CUPERTINO, CA 95014 CANDIDATE'S OUTDOOR GRAPHIC SERVICE CMP 1,924.48 951 OLD COUNTY ROAD BELMONT, CA 94002 POLITICAL DATA INC. CMP 144.16 825 SOUTH VICTORY BLVD. BURBANK, CA 91502 SUBTOTAL $ 2,567.82 Sche4ule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................... 2. Unitemized payments made this period of under $100 .................................................................................................................... 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column(d).) .................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .... TOTAL 2,767 .82 0.00 0.00 2,767 . 82 Schedule E (Continuation Sheet) Payments Made NAME OF FILER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL CODES: IS~eovemperio4 ~ 07/0~/~001 m,~09/22/~00~ SCHEDULE E (CONT.) Page 10 of 10 I.D. NUMBER 1.233678 If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaliaimisc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FND fundraialng events IND independent expenditure aupporlingloppeaing others (explain)* LIT campaign literature and mailings MTG meotinga and appearances OFC office expenses PET pelition circulating PHO phone banks POL pciling and suwey research POS postage, delivery and messenger ~ervices PRO prdesalonal services (legal, accounting) PRT print ads RAD radio aiflime and production costs RFD returned contributions SAL campaign workers salaries TEL t.v. or cable ai~tirne and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer belween committees of the same candidate/sponsor VOT voter registration WEB information technology costs (inteme~, e-mall) *Pa~ tents that are contributions or Independent expendltre~ must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (iF COMMITTEE, ALSO ENTER I.D. NUMBER CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID U.S. POSTMASTER POS 200.00 CUPERTINO~ CA 95014 SUBTOTAL $ 2o o. oo