460 Third Pre-Election ecipient Committc¢
Campaign Statement
(Government Code Sections 84200- 84216.5)
COVER PAGE - LONG FORM
Date Stamp
1. Type of Recipient Committ=:
[] Officeholder, Candidate
Controlled Committee
lO/21/2OOl
,,11/Ol/2OOl
[] Primarily Formed Candidate/
Officeholder Committee
[] Ballot Measure Committee O Primarily Formed
O Controlled
O Sponsored
[] General Purpose Committee O Sponsored
O Broad Based
3. Committee Information
I.D. NUMBER
1233678
COMMI1TEE NAME
GEOFF PATNOE FOR CITY COUNCIL
D-~. of E~,~n if qzl~imble:
(Monih, Dey, YeBr) i~y.
~11o612oo~
NOV 0 2 2001
2. Type of Statement:
[] Pre-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
A For Official Use Only
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
TOM HALL
21040 HOMESTEAD ROAD
CUPERTINO CA 95014 (408) 773-1400
(
STREET ADDRESS 0~O P.O. BOX)
10384 ALPINE DRIVE #2
CITY STATE ZiP CODE AREA COOE/PHONE
CUPERTINO CA 95014 (408)746 -2940
MAIUNG ADDRESS (IF DIFFERENT) NO. AND STREETOR P,O. BOX
OPTIONAL: FAX/E-MAJL ADDRESS
( ) /
,?dCCW - PCAPO8 01504 (Rev. 9199) State of California Fair I:olitical Practices Commission.
ecipient Committee
Campaign Statement
Cover Page - Part 2
COVER PAGE - PART 2
Pa~e 2of 5
4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee
NAME OF OFFICEHOLDER OF CANDIDATE
GEOFF PATNOE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND D~STRICT NUMBER IF APPUCABLE)
CUPERTINO CITY COUNCIL
RESIDEN'nAL~BUSINE~S ADDRESS [NO. AND si H~b ~ J CITY STATE ZIP CODE
10384 ALPINE DRIVE, #2 CUPERTINO CA 95014
Identify the controlling officeholder, candidate, or s:~e measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE OR, pROPONENT
Related Committees Nat Included in this Statement: IJstany~ommitteas
not included in this consolidated statement that are controlled by you or which are primarily
formed to receive confffh'#i"ns or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I I.D, NUMBER
NAME OF TR~:ASURER COI~TROLLED COMMII I I=l=y
OFFIC~ SOUGHT Off HELD
6. Primarily Formed Committee
NAME Of= OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
STATE ZIP CODE AREA CODE/PHONE NAME Of: OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOU(Birr 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 certify under penalt~ of perjury under the laws of the State of California that the foregoing is true and correct
Executed on ~/'/-- 0 ! -~ / By ~E~E ~EASU.ER O. ASSisTANT TREASURER
Exec~ed on //-- O / -- O I By
DATE SIGNATURE OF CO~LIJNG OFFICEHOLDER, CANDtDATE, ST; TE MEASURE pROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
Executed on
DATE
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE pROPONENT
Executed on By ' SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE
Campaign Disclosure Statement
Summary Page
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 Unes I + 2
4. Non-monetary Contribufior~ ........................................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ............................................... Add Lines 3 + 4
SUMMARY PAGE
~o/21/2OOl
11/ol/2OOl ~___~
NUMBER
Column A
TOTAL THIS P~RICO
(FROM A'i-FACHED SCHEDULES)
$ 793.00 $
0.00
$ 793.00
0.00
$ 793.00 $
550.67..
0.00
550.67 $
0.00
0.00
Expenditures Made
6. Cash Payments .................... : ......................................................... Schedule E, Line 4 $
7. Loans Made .................................................................................... Schedule H, Line 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 $
550.67 $
5
1233678
Column B* _r~l_ .mn C
TOTAL PREVIOUS PERIOO TOTAL TO DATE
(SEE NOTE BELOW) (ADD COLUMNS ^ + B)
7,821.00 $ 8,614. O0
3,700.00 3,700. 00
11,521.00 $ 12,314. 00
239 . 90 239. 90
11,760 90. $ 12,553.90
8,055.84 $ 8,606.51
0.00 0.00
8,055.84 $ 8,606.51
0.00 0.00
239.90 239.90
8 295.74 $ 8,846.41
Current Cash Statement
12. Beginning Cash Balance ........................................ Previous Summary Page, Line 16 $
13. Cash Receipts ....................................................................... Column A, Une 3 above
14. Miscellaneous Increases to Cash ................................................... Schedule I, Line 4
15. Cash Payments ..................................................................... Column A, Line 8 above
16. ENDING CASH BALANCE ................ Add Lines12 +13 +14, then subtract Line15 $
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 9in Column C above
3,465.16
793.00
0.00
550.67
3,707.49
0,00
0.00
3,700.00
*From previous statement Summary Page, Column C.
However, if this is tho first report filed for the Calendar year,
Column B should be blank except for Loans Received (Line 2),
Loans Made (Line 7), and Accrued Expenses (Line 9).
Summary for Candidates in Both June
and November Elections
20, Contributions
Received $
21. Expenditures
Made ..... $
1/1 thru 6/30 711 to Date
0 0
0 0
S/CCW - PCAP08 01504 (Rev. 9~99)
CHEDULE A
Schedule A s"- ;==~'~ ~" ~" ~'~
Monet~nj Contribu§ons Received f~. lO/21/2OOl [ {{t I I
~h~ 11/01/2001 p~ 4 o[ 5
NAME OF FILER I.D. NUMBER
GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678
IFAN INDMDUAL, ENTER
DATE FULL NAME, MAIMNG ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CUMULATIVE TO DATE
RECEIVED (IF COMMITTEF~ ALSO ENTER I.D. NUMBER) CODE * OF I~LI:-EMPLOYED ENTER NAME THIS PERIOD CALENDAR YEAR OTHER
o~ aUS~NESS) (JAN 1 - DEC 31) (IF APPLICABLE)
11/01/2001 DAVID EGGL~.STON []IND PRESIDENT 100.00 100.00
10183 VICEROY COURT, #3
CUPERTINO, CA 95014 [] COM DEMAND-MAKERS,
INC.
[] OTH
RETIRED 100.00 100.00
11/01/2001 GORDON FROLICH [] IND
1202 BELKNAP COURT
CUPERTINO, CA 95014 [] COM NONE
[] OTH
10/30/2001 PHIL JOHNSON [] IND MANAGER 100.00 100.00
13905 PIERCE ROAD
SARATOGA, CA 95070 [] OOM IINFOGAIN
[] OTH
10/30/2001 GEORGE MONK [] IND ~VICE PRESIDENT, 100.00 100.00
19985 PRICE AVE FINANCE
CUPERTINO, CA 95O14 [] COM REnBAC~< NEZWORKS
[] OTH
[] IND
[] COM
[] OTH
SUBTOTAL $ 400.00
Monetary Co,tt,;butions 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 l.) .............. TOTAL $
400.00
393.00
793.00
chedule E
Payments Made
from 10/21/2001
iltrough 11/01/2001
SCHEDULE E
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.
CMP campaign paraphemaliaJmisc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FND fundraising evonts
IND independent expenditure suppolling/opposing others (e~xplaJn)*
LIT campaign literature and mailings
MTG meetings and appearances
OFC office expanse~
PET p~ition circulating
PHO phone banks
POL pciling and survey research
POS Ix~tage, delivery and messenger services
PRO professional servioes (legal, accounting)
PRT ixint ads
PAD radio airtime and production costs
RFD returned contributions
SAL campaign workers salaries
TEL t v.' or cabte airlime and production (x~ts
TRC candidate travel, lodging and meala (explain)
TRS staff/spouse travel, lodging and meals (e~ain)
TSF transfer ba~;.c=n committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (inteme~, e-mail)
*Paymente that are contributions or independent expendltree muet al.o be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMrl'rEE, ALSO ENTER I.D. NUMBER CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
POLITICAL DATA INC. CMP 289.31
825 SOUTH VICTORY BLVD.
BURBANK, CA 91502
WORLD JOURNAL PRT 261.36
20565 ALVES DRIVE
CUPERTINO, CA 95014
SUBTOTAL $ 550.67
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 $
550. 67
0.00
0.00
550. 67