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460 Termination 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 3. Committee Information COMMITrEE NAME GEOFF PATNOE FOR CITY COUNCIL ~ lO/2i/2OOl thro~h 12/31/2001 COVER PAGE - LONG FORM C Date Stamp EIVE ["'"' m,,.o, eac~...p. EC 1 3'2001 ' · : J For Official Use Only' I [] Primarily Formed Candidate/ Officeholder Committee [] General Purpose Committee O Sponsored O Broad Based II,D. NUMBER 1233678 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pm-election Statement - Attach Form 495 m Treasurer(s) NAME OF TREASURER TOM HALL MAlUNG ADDRESS 2~040 HOMESTEAD ROAD CITY STAI~ ZIP CODE AREA CODE/PHONE CUPERTINO CA 95014 (408) 773-1400 NAME OF ASSISTANT TREASURER, IF ANY MAIUNG ADDRESS CITY STATE ZIP CODE AREA CODE/RHONE ( ) OR~ONAL: FAX/E-MAIL ADDRESS STREET ADDRESS (NO P.O. BOX) 10384 ALPINE DRIVE #2 CiTY SlA/E ZiP CODE AREA COOEIRHONE CUPERTINO CA 95014 (408)746 2940 MAIUNG ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE ( ) / s/ccw - PCAP08 01504 (Rev. 9/99) State of California Fair Political Practices Commission. ecipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE - PART 2 Page 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER CF CANDIDATE GEOFF PATNOE OFFICE SO~JGHT OR HELD ONCLUDE L~A~ON AND DISTRI~ NUMBER IF ~PUCABLE) CUPERTINO CITY COUNCIL RESIDEN~A~BUSINESS ADDRESS (NO. AND STRE~ Cl~ STATE ZIP CODE 10384 ALPINE DRIVE, ~2 CUPERTINO CA 95014 Related Committees Not Included in this Statement: List any committees not included in this consolidated statement that are controlled by you or which are primarily formed to receive conD'ibutions or to make expenditures on behalf of your candidacy. 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LE'I~ER JURISDICTION [] SUPPORT ]OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT OFFICE SOIJGHT OR HELD IDISTRICT NO. IF ANY COMMITTEE NAME NAME OF TREASURER I.D. NUMBER CONTROLLED COMMITTEE? COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed 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 the information contained herein and in the attached schedules is true and complete. I ceph/under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATE Executed on DATE DATE DATE By s GNATURE OF CONTROLU NG OFFIC~HC{_DE R, CANDIDATE, STATE MEAsuRE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPCN ENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By Campaign Disclosure Statement Summary Page SUMMARY PAGE lO/21/2OOl ~ 12/31/2001 p~ 3 ol 9 NAME OF FILER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL Contributions Received 1. Monetary Contributions ................................................................... Schedule A, Line 3 2. Loans Received .............................................................................. Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................................ Add Lines 1 + 2 4. Non-monetary Contributions ........................................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ............................................... Add Lines 3 + 4 Column A TOTAL THIS PERIOO (FROM ATTACHED SCHEDULES) $ 2,413 .95 (3,700.00) $ (1,286 .05) 0.00 $ (1,286.05) I.D. NUMBER 1233678 Column 13' Column C TOTAL PREVIOUS PERIOD TOTAL TO DATE (SEE NOTE BELOW) (ADD COLUMNS A + B) $ 7,821.00 $ 10,234.95 3,700.00 0. 00 $ 11,521.00 $ 10,234.95 239.90 239.90 $ 11,760.90 $ 10,474.85 Expenditures Made 6. Cash Payments .............................................................................. Schedule E, Une 4 7. Loans Made .................................................................................... Schedule H, Une 7 8. SUBTOTAL CASH PAYMENTS .......................................................... Add Dries 6 + 7 9. Accrued Expenses (Unpaid Bills) .................................................... Schedule F, Une 3 10. Nonmonetary Adjustment .............................................................. Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................................ Add Lines 8 + 9 + 10 $ 2,178.67 0.00 $ 2,178.67 0.00 8,056.28 $ 10,234.95 0.00 0.00 8,056.28 $ 10,234.95 0.00 0.00 0.00 239.90 239.90 $ 2,178.67 $ 8,296.18 $ 10,474.85 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, Line 4 15. Cash Payments ..................................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ................ Add Lines 12 + 13 + 14, then subtract Une 15 If this is a Termination Statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ............................ Schedule B, Part 1, Column (b) $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents .......................................................................................................... $ 19. Outstanding Debts ........................................ Add Line 2 + Line 9 in Column C above $ S/COW - PCAP08 01504 (Rev. 9/99) $ 3,464.72 (1,286.05) 0.00 2,178.67 0.00 0.00 *Fmrn previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), JLoans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 thru 6/30 0.00 20. Contributions Received $. 0 0.0 0 21. Expenditures Made ..... $. 0 7/1 to Date 0 CHEDULE A Schedule A s~=,.-.~ Monetary Contribuaons Received ~r~ 12/31/2001 ~age 4 ~ 9 NAME OF FlOR I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678 IF AN INDMDUAL ENTER DATE FU~ NAME, MAlUNG ADDRESS AND ~P CODE OF CON~IBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMU ~TIVE TO DA~ CU MU~VE TO DATE RECEIVED CF COMM~EE, ALSO ENTER LO. NU~ER) CODE * 0F SE~-EM~OYED ENTER NAME THIS PE~OD CA~NDAR YEAR ORER ~ BUSINE~) ~AN 1 - DEC 31) OF APPUCABLE) 11/Ol/2OOl DAVID EGGLESTON ~IlND PRESIDENT 100.00 100.00 10183 VICEROY COURT, ~3 CUPERTINO, CA 95014 ~O~ DEMAND-MAKERS, INC. 11/01/2001 GORDON FROLICH ~ND RETIRED 100.00 100.00 1202 BELKNAP COURT CUPERTINO, CA 95014 [~COM NONE J--JOTH 10/30/2001 PHIL JOHNSON E~]IND MANAGER 100.00 100.00 13905 PIERCE ROAD SARATOGA, CA 95070 ~COM INFOGAIN [--~OTH 10/30/2001 GEORGE MONK ~]IND VICE PRESIDENT, 100.00 100.00 19985 PRICE AVE FINANCE CUPERTINO, CA 95014 ~COM REDBACK NETWORKS ~OIH 11/07/2001 GEOFF PATNOE ~IND PUBLIC AFFAIRS 920.95 3,739.90 103B4 ALPINE DRIVE, ~2 SPECIALIST *FORGIVEN LO;Nncludes 11/07/2001 CUPERTINO, CA 95014 ~COM THE WEBER GROUP 700.00 ~oan(s) ~--]OTH *FORGIVEN LO~ Non~Hone%aly ContI ibut ion (s SUBTOTAL $ 2, 020.95 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 Summary Page, Column A, Line 1 .) .............. TOTAL $ 2,020.95 393.00 2,413.95 Schedule B - Part I Loans Received NAME OF FILER GEOFF PATNOE, DATE RECEIVED GEOFF PATNOE FOR CITY COUNCIL FULL NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) ] Lender [] Guemntor CONTRIBUTOR CODE [] IND [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYEr (iF SELF-EMPLOYED, ENTER NAME OF BUSINESS) from 10/21/2001 ~ro~12/31/2001 LENDER INFORMATION DUE DATE/ NTEREST RATE DUE DATE INTEREST RATE DUE DATE INTEREST RATE DUE DATE INTEREST RATE AMOUNT CUMULATIVE OF LOAN TO DATE SCHEDULEB-Pa~I I.D. NUMBER 1233678 GUARANTOR INFORMATION AMOUNT GUARANTEED TO DATE CALENDAR YEAR OTHER CALENDAR YEAR OTHER CALENDAR YF./~ O'R~ER CALENDAR YEAR OTHER CALENDAR YEAR OTHER CALENDAR YEAR OTHER (a) TOTALS TO PART 1 SUMMARY LINE 1 (b) TOTALS TO SUMMARY PAGE LINE 18 SUBTOTAL (a) 0.00 (b) 0 Enter (b) on Summary Page. Lire 18 only. Loans Received - P,rE 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 Loans Received - Part q 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 $ 0.00 0.00 0.00 3,700 .00 0.00 ( 3,700.00) (3,700.00) SCHEDULE B - Part II Schedule B - Part II s'-;"'~'~:~°"~~f~ ~l~i~=l~ar'N'la Repayments Made on Lo~s R~N~, L~ns ForgNen, ~d Lo~s Rep~d by a ~ird P~ ~ ~o/~/~oo~ --- --- ~12/31/2001 ~ 7 ~ 9 NAME OF F~R I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678 DA~ OF DA~ OF INTEREST AMOUNT REPAID OR ~PA~ENT OR ORIGINAL ~ NAME OF ~NDER ~TE FORGIVEN ON PRINCIP~ OUTST~DING INTEREST FO~IVENE~ LOAN (m CH~GEQ) (~CLUOE PAYMENT ~ iNTEREST) PRIN~PAL PAiD ~/07/~00~ 02/~6/200~ GEOFF PATNOE ~,000.00 0.00 0.00 ~/07/200~ 06/26/200~ GEOFF PATNOE ~,079.05 0.00 0.00 11/07/2001 920.95* 0.00 *FORGIVEN ~/07/200~ 09/2[/200~ GEOFF PATNOE 700.00' 0.00 0.00 * FORGIVEN (c) TOTALS TO PART II SUMMARY LINE 4 (c) TOYAL IN I ~-H'-:~, (d) (d) TOTALS TO SCHEDULE E SUMMARY UNE 3 SUBTOTAL $ 3,700.00 PAID'I'HISPERIOO $ 0. O0 SCHEDULE B - Part III Schedule B- Part III s=-:-.~.~-,,~,--,~ Annual Report of Outstanding Loans Received ~ lO/21/2OOl ~o~h 12/31/2001 ~ 8 ~:~ 9 NAME OF FILER I.D. NUMBER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678 FULL NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST GEOFF PATNOE 02/16/2001 1,000.00 0.00 (Continued) 06/26/2001 2,000.00 0.00 (Continued) 09/21/2001 700.00 0.00 SUBTOTAL $ o.oo Annual Report of Outstanding Loans Summary 1. Total outstanding loans this period. (Enter here and on the Summary Page, Column C, Line 2.) ............................................................... TOTAL $ 0.00 chedule E Payments Made SCHEDULE E lo/21/2ool ~roM~%12/31/2001 p~q~ 9 ~ 9 NAME OF FILER GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. describe the payment. I.D. NUMBER 1233678 CMP campaign paraphernalleJmisc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FND fundraising events IND independent expenditure SUPlX~ting/opposing others (explain)* LIT campaign literature and mailings MTG meelings and appearances OFC office expenses PET petition circulating PHS phone banks POL polling and survey research POS postage, delivery and messenger services PRO prci'essiocal services (legal, accounting) PRT print sds RAD radio airtime and p,-oduc~ion costs *Paymant~ that are contributions or inde~andent expendltrca must elan be summarized on Schedule D. RFD returned contributions SAL campaign workers salaries TEL t.v. or cable airtime and produotion costs TRC candidate t ravel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer b~v,~cen c~mmittaes of the same candidate/sponsor VOT voter registration WEB inf(xmation technology costs (interest e-mail) NAMEANDADDRESSOFPAYEEORCREDITOR (IF ~MMI~EE, ~SO E~ER I.D. NUMBER CODE OR DESCRIPTION OF PAYMENT AMOUNT P~D AARON, THOMAS & ASSOCIATES ILIT 1,628.00 9260 OWENSMOUTH AVENUE CHATSWORTH, CA 91311 POLITICAL DATA INC. CMP 289.31 825 SOUTH VICTORY BLVD. BURB;uNK, CA 91502 NORLD JOURNAL PRT 261.36 20565 ALVES DRIVE ~UPERTINO, CA 95014 SUBTOTAL $ 2,178.67 Schedule 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 2,178.67 0.00 0.00 2,178.67 Geoff Patnoe For City Council Statement to Form 460 Statement This form covers all activity from November 2, 2001 through December 31,2001. There is no additional activity to account for after the date signed on page two of this report. The bank account has been closed.