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460 Pre-election #2 COVER PAGE-LONG FORM \Y![E ~ Recipient Committee Campaign Statement (G'wernment Code Sections 84200 _ 84218,5) Official Use Only For 2005 OCT 2 7 EIoctIon lIeppD, (Month, o.r, V-I 11/08/2005 Data 01 ~nt~perIod 09/25/2005 10/22/2005 from through PERTINO CITY CLERK o Quarterty Statement o Special Odd-Year Report o Supplemental Pre-election Statement - Attach Form 495 C 2. Type of Statement: I!I Pre-election Statement o Semi-annual Statement o Tennlnatlon Statement o Amendment (Explain below) 1. Type of Recipient Committee: 00 Officeholder, Candldete Controlled Committee 0 Ballot Measure Committee o State Candidate Election eommlttee 0 Primarily Formad o Recell 0 Controlled o Sponsored o PrImarily Formed Candidate OffIceholder Commlttea o Ganeral Purpose eommlttea o Sponsored o Small Contributor Committee o Political Party/Central COmmittee Treasurer(s) NAME OF TREASURER EDWARD GRANT I.D. NUMBER 1278918 -' 3. Committee Information COMMITTEE NAME ELECT JEANNE BRADFORD 1400 AREA CODE/PHONE (408)773 STATE liP CODe CA 95014 STREET ADDRESS 21040 HOMESTEAD ROAD CITY CUPERTINO NAME OF ASSISTANT TREASURER,IF ANY STREET ADDRESS (NO P.O. BOX) 10120 UNITED PLACE AREA CODEIPHONE (408)252-9794 ZIP CODE 95014 STATE CA DIFFERENT) NO. AND STREET OR P.O. BOX CITY CUPERTINO STREET ADDRESS STREET ADDRESS (IF AREA CODE/PHONE ( ) ZIPCOOE STATE CITY AREA CODE/PHONE CODE ZIP STATE CITY OPTIONAL: FAX/E-MAIL ADDRESS () / OPTIONAl: FAXlE-MAlL ADDRESS Verification have used all reasonabla diligence In preparing and reviewing this statement and to the best of my knowledga the Information contained herein and In the attached schedules is true and complete. I certify under penalty of perjury under CANDIDATE, STATE MEASURE PROPOOENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT State of California Fair Political Practices Commission. By By DATE DATE PCAPOB 01504 (Rev. 9/99) Executed on Executed on S/CCW COVER PAGE - PART 2 Recipient Committee ' \1 II on \I \ 4 !ill ] Campaign Statement ()R~I . Cover Page - Part 2 "- 2 01 8 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OF CANDIDATE NAME OF BALLOT MEASURE JEANNE BRADFORD OffiCE SOUGHT OR HELD (INCLUDe LOCATION AND DISTRICT NUMBER IF APPUGABLE) BALLOT NO. OR LETTER I JURISDIC~ON [] SUPPORT City Council Member, CUPERTINO [] OPPOSE RESIOENTlALJBUSINESS ADDRESS (NO. AND STREET) CITY. STATE ZIP CODE Identify the controlling officeholder, candidate, or state measure proponent, tf any. 10120 UNITED PLACE CUPERTINO CA 95014 NAME Of OFFICEHOLDER, CANDIDATE OR, PROPONENT Related Committees Not Included in this Statement: List any commnrees not induded in this consolidated statement that are controlled by you or which are primarily OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY formed to røœive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME 7. Primarily Formed Committee NAME OF OFFICEHOLDEA OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOJGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOJGHT OR HELD o SUPPORT o OPPOSE NAME OF OfFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE CONTROLLED COMMmEE? ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? ZIP CODE AREA CODE/PHONE NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS STAEET ADDRESS (NO P.O. BOX) CITY STATE SUMMARY PAGE Campaign Disclosure Statement Statem_ covers period BQ Summary Page from 09/25/2005 Ihrough.l0/22/2005 p- 3 01 8 , NAME OF FILER JEANNE BRADFORD, ELECT JEANNE BRADFORD I.D. NUMBER 1278918 Contributions Received Column A CoIumnB Calendar Year SUmmary for Canddates TOTAL THIS PERIOD CALENDAR YEAR Running in Both the Slate Primary ønd (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary eontributions ..................................... Schedule A, Line 3 1.749.00 6.809.00 General Elections $- $- 2. Loans Received ..............................................., Schedule B, Line 7 0.00 10.250,00 1/1 through 6/30 7J1 IoDate - - 20. Contrbutlon$ 3. SUBTOTAL eASH eONTRIBUTIONS .................. Add Lines 1 + 2 L 1.749.00 $- 17.059.00 Received .... c 0 0 4. Non-monetary eontributions ............................. Schedule C, Line 3 100.00 100.00 21. Expenditures 0 0 - - Made .......... $ 5. TOTAL CONTRIBUTIONS REeEIVEO ................. Add Lines 3 + 4 L 1.849.00 $- 17.159.00 Expenditures Made Expenditure Umit Summery for Slate 6. eash Payments .......................,........................ Schedule E, Line 4 $ 2.946.20 $ 11. 469,71 Candi_ . - 7. Loans Made ...................................................... Schedule H, Line 7 0.00 0.00 22. Cumulative Expenditure Made" - (If Subject to Voluntary Expendtture Umit) 8. SUBTOTAL eASH PAYMENTS ............................ Add Lines 6 + 7 $ 2.946,20 $ - 11.469.71 Date 01 Election Total to Date 9. Accrued Expenses (Unpaid Bills) ...................... Schedule F. Line 3 13 ,134.21 - 13.446,55 (mmJddJyy) 10. Nonmonetary Adjustment ................................ Schedule C, Line 3 100,00 - 100.00 11. TOTAL EXPENDITURES MADE .................. AddLines8+9 + 10 $ . 16.180.41 $- 2'i.01!i.26 Current Cash Statement 12. Beginning eash Balance .......... Previous Summary Page, Line 16 $. 6 ,786.49 13. eash Receipts ........................................, Column A, Line 3 above 1.749.00 14. Miscellaneous Increases to eash ..................... Schedule I, Line 4 0.00 15. eash Payments ....................................... Column A, Line 8 above 2.946.20 16. ENDING CASH BJWIIIf(Ui¡es 12 + 13 + 14, then subtract Line 15 $ 5.589.29 If this is a Termination Statement, Line 16 must be zero. 17. LOAN GUARANTEES REeEIVEDSchedule B, Part 1, Column (b) $ 0.00 Cash Equivalents and Outstanding Debts 18. eash Equivalents .......................................................................... .....$. 0.00 19. Outstanding Debts .......... Add Line 2 + Line 9 in Column C above $ 23,(;96.55. S/CCW - PCAPOB 01504 (Rev. 9/99) SCHEDULE A _1Bment covers period Schedule A Monetary Contributions Received 2005 25 09 from 8 of 4 ~. I.D. NUMBER 10/22/2005 through 1278918 PER ELECTION TO DATE ~F REOUIREO) CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) AMOUNT RECEIVED THIS PERIOD IF AN INDMDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPlOYED ENTER NAME OF BUSINESS) ELECT JEANNE BRADFORD CONTRIBUTOR CODE- JEANNE BRADFORD FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COUMITTEE, ALSO ENTER tD. NUMBER) NAME OF FILER 250.00 250.00 PHYSICIAN INO COM OTH PTY SCC HARFORD ANESTHESIOLOGY ASSOCIATES NONE 500.00 500.00 INO COM OTH PTY SCC 500.00 500.00 RETIRED INO COM OTH PTY SCC 00 100 100,00 DESIGN DESIGNER IND COM OTH PTY SCC 250.00 250.00 2 ORGANIZE INO COM OTH PTY SCC iii o o o o iii o o o o iii o o o o iii o o o o o o iii o o CATHRYN A, FOGEL 36 GRANDVIEW TERRACE SOUTH WINDSOR CT 06074 DATE RECEIVED 10/11/2005 KAREN E, HILL 246 LA CUESTA DRIVE PORTOLA VALLEY CA 10/22/2005 94028 -7533 CLEO HOOPER 7513 ARBOR CREEK LANE PLATTE WOODS MO 64151 10/11/2005 DENISE RAINOLDI 1185 MINNESOTA AVENUE SAN JOSE CA 95125 09/26/2005 25 TRICOUNTY APARTMENTS ASSOCIATION 20863 STEVENS CREEK BLVD., STE CUPERTINO CA 95014 10/17/2005 600,00 00 00 00 600 14!l 1,749 1 1 SUBTOTAL $ $ $ $ .TOTAL ) Monetary Contributions Summary I. Amount received this period - contributions of $1 ()() or more. (Include all Schedule A subtotals.) ........................................... 2. Amount received this period - contribuûons ofless than $100. (Do not itemize.) ....................................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Swnmary Page, Colwnu A, Line SCHEDULE B - Part SIB_covers period Schedule B - Part Loans Received 09/25/2005 from 8 01 5 P_. .D. NUMBER 10/22/2005 through (0) CUMULATIVE CONTRIBUTIONS TO DATE CAlENDAR YEAR 1278918 IQ ORIGINAL AMOUNT OF LOAN (e) INTEREST PAID THIS PERIOD OUTsTANDING BAlANCE AT CLOSE OF THIS $ 10.250 PER ELECTION 250 o $ 07/25/2005 DATE INCURRED cw. 0.000 RATE 250 $ (0) AMOUNT PAID OR FORGIVEN THIS PERIOD o PAID $ 0 o FORGIVEN I') AMOUNT RECEIVED THIS PERIOD ELECT JEANNE BRADFORD a; OUTs1ANDING BAlANCE BEGINNING THIS IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF·EMPLOYED, ENTER NAME OF BUStN~ Candidate JEANNE BRADFORD FUll NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) NAME OF FILER JEANNE BRADFORD 10120 UNITED PLACE CUPERTINO, CA 95014 $ o $ 07/25/2006 DATE DUE o $ o $ 25Q $ IiI'ND 0 0 DTI< 0 PTY 0 see JEANNE BRADFORD continued CALENDAR YEAR $ 10.250 PER ELECTION o $- o FORGIVEN $ PÞJD COM 500 $ cw.. 0.000 RATE 50Q $ ~ o o 08/09/2005 DATE INCURRED $ CALENDAR YEAR o $ 08/09/2006 DATE DUE o $- o FORGIVEN $ PÞJO o $ 500 $ D'NO 0 DOTI< DPTY Osee JEANNE BRADFORD (Continued) (Continued COM $ 1.500 1$ 10.250 PER ELECTION Q $ OL 0.000 RATE o $ $ 1. 500 08/29/2006 DATE DUE ~ o o $ $ 1. 500 DCOMDOTHDPTYDscc 'NO o 0.00 $ 2,250.00 $ 00 o $ 0.00 SUBTOTAL $ Schedule B Summary 1, Loans received 0.00 $ this period 00 o $ 00.) Loans paid or forgiven this period .. (Total Column (c) plus loans under $100 paid orforgiven,) (Include loans paid by a third party that are also itemized on Schedule A.) (Total Column (b) plus initemized loans less than $1 2. 0.00 $ NET Line 1,) Column A, Line 2 Net change this period. (Subtract Line 2 from Enter the net here and on the Summary Page, 3. SCHEDULE B - Part Schedule B Part I (Continuation Sheet) Statement cove.. period t'\III() {\I\ 4 Loans Received 09/25/2005 H>R~1 from through 10/22/2005 p- 6of_ 8 :: NAME OF FILER JEANNE BRADFORD ELECT JEANNE BRADFORD I. D. NUMBER ~ING 1278918 - t" (0) (0) (0) (Q (g) FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTS ANDING AMOUNT AMOUNT PAID INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND eMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER 1.0. NUUBER) {IF SELF-EMPLOYED, ENTER BEG~<=N~~....THIS PERIOO_ THIS PERIOD C~D~JHIS PERIOD LOAN TO DATE N^ME OF eYª,NESSI - JEANNE BRADFORD Dpl'JO CALENDAR YEAR (Continued) (Continued) 0 8.000 <I/. 0.000 8.000 $ 10,250 (Continued) $ $ $ o FORGIVEN, RATE PER ELECTION $ 8.000 $. --2. $ 0 09/02/2006 $ ° 09/02/2005 $ 0 D'ND o COM 0 DTH 0 pry D see DATE DUE DATE INCURRfO o PAID CALENDAR YEAR $ $ ~ $ $ o FœGlVEN RATE PER ELECTION $ $. - $ $ $ DIND o COM D DTH 0 pry 0 see DATE DUE DATE INCURRED Dpl'JD CALENDAR YEAR $ $ ~ $ $ o FCRGlVEN RATE PER ELECTION o COM D OTH 0 pry 0 see $ $. - $ $ $ DINO DATE DUE DATE INCURRED Dpl'JO CAlENDAR '{EAR $ $ ~ $ $ o FCRGIVEN RATE PER ELEcnON $ $ - $ $ $ DIND o COM D OTH 0 pry 0 see DATE DUE DATE INCURRED Dpl'JO CALENDAR yEAR $ $ ~ $ $ o FORGIVEN RATE PER ELECTION $ $ - $ - $ - $ OIND o COM D OTH D pry 0 see DATE DUE - SUBTOTAL $ 0.00 $ 0.00 $ 8,000.00 $ 0,00 SCHEDULE C S........_II covers period I ] from 09/25/2005 through. 10/22/2005 _ ,,-. ~oI 8 J.D. NUMBER 1278918 Schedule C Non-Monetary Contributions Received NAME OF FILER JEANNE BRADFORD ELECT JEANNE BRADFORD CUMULATIVE TO DATEICUMULATIVE TO DATE CAlENDAR YEAR OTHER (JAN 1 - DEC 31) (IF APPUCABLE) FAIR MARKET VALUE' 100 DESCRIPTION OF G<X>OS OR SERVICES IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) CONmlBUTOR CODE" 00 100 00 ACCOUNTING SERVICES CPA EDWARD L. GRANT CPA INO COM OTH PTY sec INO COM OTH PTY sec INO COM OTH PTY sec INO COM OTH PTY sec SUBTOTAL $ iii o o o o o o o o o o o o o o o o o o o o o o o o INO COM OTH PTY sec DATE FUll NAME. STREET ADDRESS AND RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) 10/22/2005 lED WARD GRANT 21040 HOMESTEAD ROAD CUPERTINO, CA 95014 100.00 100.00 0,00 10Q,00 $ $ $ ...TOTAL Non-Monetary Contributions Summary I. Amount received this period - non-monetary contributions of $100 or more. (Include all Schedule C subtotals.) .................................................................. 2. Amount received this period - non-monetary contributions of less man $100. (Do not itemize.) .............................................................................................. 3. Total non-monetary contributions received this period. (Add Lines I and 2. Enter here and on me Summary Page, Column A, Line 4.) SCHEDULE E Sla......_ cov.,. period Schedule E Payments Made 09/25/2005 from 8 of 6 Page, I,D, NUMBER 10/22/2005 Ihrough 1278918 the payment. radio airtime and production costs returned contributions campaign workers salaries t. Y. or cab~ airtime and production coats candidate travel. todglng and meals (explain) staff/spouse travel, todglng and meals (explain) transfer between committees of the eame candidate/sponsor voter registration Information technology costa cnhenN~e,descnbe RAD RFD SAL TEL TRC TRS TSF VCT WEB ELECT JEANNE BRADFORD one of the following codes accurately descnbes the payment, you may enter the code. member communications meetings and appearances office expenses petlUon circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, aooounting) print ads MBR MTG OFC PET PHO POL POS PRO PRT JEANNE BRADFORD CODES: If campaign paraphemaUa/mlsc. campaign consultants contribution (explain nonmonetary)* civic donaHona candidate filing/ballot fees fundralalng events Independent expend~ure auppcrtlng/oppoalng others (explain)" tegal defense campaign literature and mailings NAME OF FILER eMP eNS eTB evc FIL FND IND LEG LIT s-mall (Internet, NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER 00 AMOUNT PAID 168 DESCRIPTION OF PAYMENT OR CODE CMP DELORSE CARSON 10062 SENATE WAY CUPERTINO, CA 95014 00 100 POL -' ~3AN JOSE/SILICON VALLEY NAACP .\04 NORTH 6TH STREET ;;AN JOSE CA 95112 55 456 , 2 00 00 55 000 970 486 , 1 CNS CMP LIT l,lSA TUCKER ;~5 A CRESENT DRIVE 11102 I'LEASANT HILL CA 94523 55 2,724 SUBTOTAL $ §2 II Q.Q 2Q 2,868 --21. ~ 2.946 $ $ $ $ TOTAL -' Schedule E Summary Payments made this period of $100 or more. (Include all Schedule E subtotals,) 2. Unitemlzed payments made this period of under $100. """.."",.,."."""",...."..... 3. Total interest paid this penod on outstanding loans. (Enter amount from Schedule B, Part 2, Column(d),) , 4, Total pa9ments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) SCHEDULE E (CONT.) Stol8mentcoven peñod 25/2005 09 from Schedule E (Continuation Sheet) Payments Made 8 01 7 ~. i:'D.ÑuMBER 10/22/2005 Ihrough 1278918 the payment. radio airtime and production costs returned contributions campaign workers salarie$ t.v. or cab.., airtime and production costs candidate travel. lodging and meals (explain) staff/spouse travel. IodgnQ and meals (explain) transfer between comminees of the same ca.nddale/sponsor voter registration information technology costs cnhenN~e,descnbe RAD RFD SAL TEL TRe TRS TSF VOT WEa ELECT JEANNE BRADFORD you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, detivery and messenger services PRO professional services (legal, accounting) PRT print ads one 0' the following codes accurately descnbes the payment JEANNE BRADFORD CODES: I' campa~ paraphernalia/misc. campaign consuhants contribution (explain nonmonetary)- civic donations candidate filing/baHot fees fundralsWlg events independent expenditure supporting/opposing others (explain)· legal defense campaign literature and mailings NAME OF FILER eMP eNS eTB eve FIL FND IND LEG LIT (internet, e-mail NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO E~ER I.D. NUMBER CODE OA DESCRIPTION OF PAYMENT AMOUNT PAID BONNIE WILSON OFC 107.34 144.34 P.O. BOX 10326 POS 37.00 SAN JOSE, CA 95157 . 34 144 SUBTOTAL $ SCHEDULE F s......._ cove.. period Schedule F Accrued Expenses (Unpaid Bills) 25/2005 09 from 8 01 8 P_. I.D. NUMBER 10/22/2005 through 127891B Otherwise, describe the payment RAD radio airtime and production CO$ts RFD returned oontributions SAL campaign workers salaries TEL t. Y. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel. lodging and meals (explain) TSF transfer beI'N8en committees of the same candidate/sponsor VOT voter registration WEB information lechnokÞgy costs code. ELECT JEANNE BRADFORD codes accurately describes the payment, you may enter the MeR member communications MTG meetings and appearances OFC office expenses PET petitton circulating PHO phone banks POL polling and survey research pas postage. deHvery and messenger services PRO professional servioes (legal, aCCOU'lti1g) PRT print ads JEANNE BRADFORD CODES: If one of the following campaign paraphemaliaJmlsc. campaign consuhants contribution (explain nonmonetary)'" civic donations candidate fillng/baUot fees fundraising events independent expenditure $UpportingJopposing others (explain)" legal defense campaign Itterature and mailings NAME OF FILER eMP eNS eTB evc FIL FND IND LEG LIT (internet, e-maU: (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0.00 (e) AMOUND PAID THIS PERIOD (ALSO REPORT ON E) 144.34 (b) AMOUNT INCURRED THIS PERIOO (s) OUTSTANDING BAlANCE BEGINNING Of THIS PERtOD 144 CODE OR DESCRIPTION OF PAYMENT 00 o 34 POS OFC NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMmEE, ALSO ENTER I.D. NUMBER BONNIE WILSON P.O, BOX 10326 SAN JOSE. CA 00 o 168.00 0.00 00 168 CMP 95157 DELORSE CARSON 10062 SENATE WAY CUPERTINO, CA 95014 55 446 . 13 00 o 55 446 , 13 0,00 LIT LISA TUCKER 25 A CRESENT DRIVE #102 PLEASANT HILL CA 94523 55 446 13 $ 312.34 Schedule F Summary 1. Total accrued expenses Incurred this period, (Include all Schedule F, Column (b) subtot-...· ,0· n-um-n_ .,~I accrued expenses of $100 or more, plus total unttemized accrued expenses under $100,), . .., ......, .........INCURRED.TDrAL $ 446,55 13 -I,,:.. $ .- r..."",....,1 312.34 '\... ..."... SUBTOTALS $ 5~ 13.446 $ 2. Total accrued expenses pakl this period. (Include all Schedule F, Column (c) subtotals for accrued expenses of $100 or more. plus total unttemized payments on accrued expenses under $100.) Enter the difference here 34 210 312 U!l 13 $ $ ,P.AID.IOTAL. .NET. 1. 3. Net change this period. (Subtract Line 2 from Line and on the Summary Page, Column A, Line 9.) ....