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460 2nd Pre-election ecipient Committee n1 ~ COVER PAGE Campaign Statement Type or print in In k. f lJ ~ , ~ ~ Cover Page i ' (Government Code Sections 84200-84216.5) , ~~T ~ ~~~~ 1 11 Statement covers period Date of election If ap ticable a of 9 9/20/2009 (Month, Day, Yea) For Otriciai Use Only from CU Ef~TlNO CITY CLE K SEE INSTRUCTIONS ON REVERSE through 10/17/2009 11/3/2009 1. Type of Recipient Committee: All CommMtess - Complsb Part 1, z, 3, and a. 2. Type of Statement: ~ Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure ® Preelection Statement ^ Quarterly Statement Q State Candidate Election Committee Committee ^Sami-annual Statement ^ Special Odd-Year Report Q Recall (AlsocompbtePerts) Q Controlled onsored Q ~ ^ TerminationStatement ^ SupplementalPreelection (Also CompleAs Pert 6) (Also file a Form 410 Termination) Statement -Attach Form 495 ^ General Purpose Committee ^ Amendment (Explain below) Q Sponsored ^ Primarily Formed Candidate/ ll C ib S C i Officeholder Committee ma ontr utor omm Q ttee Q Political Party/Central Committee (AlaocompletePertn 3. Committee Information I.D. NUMBER 1319770 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Orrin Mahoney for Council - 2009 Carolyn Krizek-Mahoney MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) 10940 Miramonte Road CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-725-1767 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 1071 CITY STATE ZIP CODE AREA CODElPHONE F'.U. tiOX 1U/1 CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-725-1767 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to is true and complete. I certify under penalty of perjury/under the taws of the State of California that the foregoing is tl Executed on + ~~~bl~~ By ~~/~v ~ Executed on By Derv Executed on Date Executed on bete By Sgrrature ofContrdlmp Otficehokler, Car date, State Measure Proponent FPPC Form 480 (Jenuery106) FPPC Toll•Free HeIpllne: 866IASK-FPPC (8681276.9772) State of California By Sipneture orCorNrolling Ofrrceholder,Candidate, State Measure Proponent type or print In Ink. COVER PAGE-PART2 Recipient Committee ~ , , Campaign Statement . ~ . ~ • ~ Cover Page -Part 2 Page 2 of 11 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Orrin Mahoney OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER I JURISDICTION (^ SUPPORT ^ OPPOSE Cupertino City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Cupertino, CA 95014 Related Committees Not Included in this Statement: Llsranycomm/ttees not Included (n th/s statement that are controlled by you or are prlmarfly formed to receive contrlbutlons or make expenditures on behalf of your cand/dacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMIT-TEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee ust names or officeholder(s) or candidate(s) for wh/ch this comm/flee Is pNmar/ty formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE Attach continuation sheets !f necessary FPPC Form 460 (Janwryl05) FPPC Toll-Free Helpllne: 8861ASK-FPPC (868/ZT5-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts ma be rounded Summary Page y to rlrnole dollars. Statement covers period ~ . , ~ , ~ ~ from 9/20/2009 • - through 10/17/2009 Page 3 0{ 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 Contributions Received Column A T T Column B Calendar Year Summary for Candidates ALTHIS PERIOD O (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTPLTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... schedule a, Line 3 4,069.00 $ $ 5,168.00 2. Loans Received ...................................................... schedule e, Line 3 0.00 10,000.00 1l1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... add Lines t + 2 $ 4,069.00 $ 15,168.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... schedule c Line 3 0.00 0.00 ' , 21. Expend Rures 5. TOTALCONTRIBUTIONSRECEIVEQ.....•• ............... .....Addunes3+q $ 4,069.00 $ 15,168.00 Made $ $ Expenditures Made 6. Payments Made ....................................................... scnedr~e e, une q 7. Loans Made ............................................................. schedule H, Line 3 0. JUtSIUIHLIiHJr1F''HTMtIVl.1 . .................................... Add Lines6+7 9. Accrued Expenses (Unpaid Bills) ............................... scneduie F, une 3 10. Nonmonetary Adjustment .......................................... schedule c, une 3 11. TOTAL EXPENDITURES MADE ................................Addunesa+e+to $ 7,831.12 $ 10,495.86 0.00 0.00 7 091 17 ,vv L ~ AA Af1C OC IV,T~7N.VV 0.00 0.00 0.00 0.00 $ 7,831.12 $ 10,495.86 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summaryFage, une is 13. Cash Receipts ................................................... caumn A, Line 3 above 14. Miscellaneous Increases to Cash ........................... schedule 1, une q 15. Cash Payments .................................................. caumn A, Line 8 above 16. ENDING CASH BALANCE .......... add ones t2 + t3 + tq, then subtract une t 5 If this is a termination statement, Line 16 must be zero. $ 8,434.27 4,069.00 .02 7,831.12 $ 4,672.17 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debi 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add une2+une sincolumneabove $ 10,000.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (K s,bJ~d to VoWnfary E:p~mikun Umlf) Date of Election Total to Date (mm/dd/yy) ~ -lam $ `Amounts in this section may be different from amounts reported in Column B. FPPC Fonn 480 (January/05) FPPC Toll-Free Helpline: 888/ASK-FPPC (888/275-3772) chedule A Type or print In Ink. SCHEDULE A Amounts may oe rounaea Monetary Contributions Received to whole dollars. Statement covers erlod p ~ . - ~ 9/20/2009 from ~ • - SEE INSTRUCTIONS ON REVERSE through 10/17/2009 pa e 4 of 11 9 NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 ~~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDNIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMIT7EE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER QFSELF-EMPLOYED,ENTER NAME RECENED THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) TO DATE (IF REQUIRED) of Bus~NESSI 01ND 10/10/2009 Amar Gu to p ^coM Retired 250 00 250 00 22975 Balboa Rd ^OTH . . Cupertino, CA 95014 ^ PTY ^scc 01ND 10/10/2009 Don Allen 14101 Loma Rio Dr ^coM ^OTH Retired 100.00 100.00 Saratoga, CA 95070 ^ Pn' ^scc BIND 10/15/2009 Frank Swanson ^coM Retired 100 00 100 00 ~na~a I I~,+~ ~/Ic+~ nr r,r,T~ . . Cupertino, CA 95070 ^ PTY ^SCC 01ND 10/10/2009 George Monk 19985 Price Ave ^coM Accountant 100.00 100.00 ^orH IRS Cupertino, CA 95014 ^ PTY ^scc Jeff Foster BIND ^coM Retired 10/10/2009 10892 Leavesley PI ^ OTH 200.00 200.00 Cupertino, CA 95014 ^ PTY ^scc SUBTOTALS 750.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL S 3,350.00 719.00 "Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee 4,069.00 FPPC Form 480 (January/Oti) FPPC Toll-Free Helpllne: 686/ASK-FPPC (868/276-3772) chedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) MonetaryGOntributionsReceived Amounts may be rounded - Statement covensperlod . to whole dollars. ~ , ~ 9/20/2009 from ~ • ~ through 10/17/2009 page 5 of 11 NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 ~~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMnTEE.ALSOENiERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECENEDTHIS CALENDAR YEAR TO DATE QF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSrJESS) Jim Walker pcoM Retired 10/10/2009 11660 Regnart Canyon Rd ^OTH 100.00 100.00 Cupertino, CA 95014 ^ PTY ^scc John Vlahos OINO ^coM Retired 10/10/2009 10980 Miramonte Rd 100.00 100.00 Cupertino, CA 95014 p Pn ^scc ~ Kathy Stakey 01ND n coM Retired 200o 10; 0~ lU2LL UanUbe Ur ^OTH • ,.,, ,,,, i~v.vv . ,,,. ivv.uv Cupertino, CA 95014 ^ pTy ^scc Kim Worrell OIND Retired 10/16/2009 1446 Bretmoor Way poTH 100.00 100.00 San Jose, CA 95129 ^ PTY ^scc Larry Dean 01ND ^coM Self-employed 10/15/2009 22159 Rae Lane ^ OTH Consultant 100.00 100.00 Cupertino, CA 95014 ^ PTY ^scc SUBTOTAL; 500.00 "Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/OS) FPPC To1FFree Helpllne: 866/ASK-FPPC (866/276-3772) chedule A (Continuation Sheet) rypeorpHntlnlnk. SCHEDULER (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . , to whole dollars. 9/20/2009 ~ • ~ g from ~ through 10/17/2009 Page 6 of 11 NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 ~~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE ALSO ENTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECENED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED , CODE * (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Marjorie Mancuso pcoM Real Estate Investor 10/10/2009 22209 Hammond Way ^OTH TOMAR Properties 250.00 250.00 Cupertino, CA ^ PTY ^scc Pankaj Patel IaIND ^coM General Mana er g 10/16/2009 10915 Miramonte Road ^ OTH CISCO 250.00 250.00 Cupertino, CA 95014 ^ PTY ^scc an/~n/ n o Wendell Kerr 01ND ^COM Self-Employed ~ n "" """""" 7954 jUr1d@rlafld Ur ^OTH Wendell Kerr ASSOCIateS ,nn nn ""'•~" ,nn nn ivv.vv Cupertino, CA 95014 ^ PTY ^scc California Real Estate PAC ^IND OcoM 9/29/2009 525 So Virgil Ave 500.00 500.00 Los Angeles, CA 90020 p PTY ^scc Apple Inc ^IND ^coM 10/12/2009 12545 Riata Vista Circle 0 OTH 500.00 500.00 Austin, TX 78727 ^ PTY ^scc SUBTOTALS 1,600.00 "Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/276-3772) chedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) IY1~7ne><ar wnirlQUilons rcecewea '+moumsmayDeroungeq Statement covers period to whole dollare. • • ' ~ from 9/20/2009 ~ • ~ through 10/17/2009 pa a 7 of 11 9 NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 ~~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OFBUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) Sashi Corporation ^IND ^COM 1010/2009 20660 Stevens Creek Blvd Suite 331 0 OTH 500.00 500.00 Cupertino, CA 95014 ^ PTY ^ scc ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM U OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTAL; 500.00 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (January/03) FPPC ToIFFree Helpllne: 866/ASK-FPPC (866/27b-3772) vee er erint in ink SCHEDULEB-PART1 Schedule B -Part 7 Amounts may be rounded Statement covers perlod Loans Received to rl-hole dottare. s/2o/2oos ~ ~ ~ ~ ' • ~ from . 10/17/2009 8 11 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMOUNT PAID OUTS ANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE OF LENDER (IFCOMMnTEE ALSOENTERI.D.NUMBER) QFSELF-EMPLOYED,ENiER BEGINNING THIS RECEIVED THIS PERIOD ORFORGNEN ' CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS , NAME OF BUSINESS) THIS PERIOD PERIOD LOAN TO DATE Orrin Mahoney Retired ^ PAID CALENDARYEAR 10940 Miramonte Road s 0.00 s 10,000.0 0 % s 1,100. s 10,000.0 Cupertino, CA 95014 ^ FORGIVEN RATE PER ELECTION** s 10,000.0 s 0.00 s 0.00 1/1/2010 s 0 7!16/09 s t® IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED ^ PAID CALENDAR YEAR s s % s S ^ FORGIVEN RATE PER ELECTION *t s s S s S LJ uvu LJ wm LJ vin U r ~ r LJ a~~. ~~~ ~ ~~~ un7c iriwnRcu ^ PAID CALENDARYEAR S S % S s ^ FORGIVEN RATE PER ELECTION** s s s s s t^ IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED SUBTOTALS S 0.00 S 0.00 S 10,000.00 S 0.00 Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. 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.) (Enter (e)on Schedub E, Line 3) 0.00 tContrtbutor Codes 0.00 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NETS 0.00 Enter the net here and on the Summary Page, Column A, Line 2. (M~rDpB"°fl'`"°niniDetl IND -Individual COM - Recip~nt Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (January/05) FPPC Tolf•Free Helpllne: 866/ASK-FPPC (8661275-3772) chedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 9/20/2009 through 10/17/2009 Page 9 of 11 E NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. Mt3R member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals f~D independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads VVEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF PAYEE QFCOMMITTFE,AL50 ENTER I.D.NUMBF~) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID My Campaign Store Signs 902 E Court Ave CMP 896.90 ,ieTferson, IIV 47130 Imperial Printing Mailings 481 Vandell Way LIT 3,117.00 Campbell, CA 95008 Kwik Copy Mailings and literature 10675 S De Anza Blvd #1 LIT 775.68 Cupertino, CA 95014 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4,789.58 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................................................... .., $ 7,716.64 2. Unitemized payments made this period of under $100 114.48 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 0.00 4. Total a ments made this eriod. Add Lines 1, 2 and 3. Enter here and on the Summa Pa a Column A, Line 6.) TOTAL $ 7,831.12 P Y P ( ~ rY 9 ~ ............................. FPPC Form 460 (January/06) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27ti-3772) chedule E ' SCHEDULE E (CONT.) (Continuation Sheet) type or print In Ink. Amounts may be rounded Statemsntcovers period ~ ~ . , 1 Payments Made to whole dollars. from 9/20/2009 . • ' SEE INSTRUCTIONS ON REVERSE throw h 10/17/2009 g Paga 10 ~ 11 NAME OF FILER I.D. NUMBER Orrin Mahoney for Council - 2009 1319770 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants 6ATG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating Tt1 t.v. or cable airtime and production casts FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals tND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense t'RO professional services (legal, accounting) VOT voter registretion LR campaign literature and mailings PRT print ads VVEB information technology casts (intemet, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMfrTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Amy Farnham, Sneaky Puppy Literature graphic art 1033 Cranberry Dr LIT 400.00 Cupertino, CA 95014 U.S. Postmaster Postage for mailings LIT 2,354.15 Staples Envelopes, labels and postage for letter Stevens Creek Blvd OFC 172.91 Cupertino, CA 95014 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,927.06 FPPC Form 480 (January/06) FPPC Toll-Free Helpllne: 888/ASK-FPPC (888/276-3772) Schedule 1 ~,.~.,..,.,~.,.,,.,4 ~,.uG,,,,, G, Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/20/2009 throw h 10/17/2009 g ~ a ~ ~ I ~ ' • • 11 11 Page of NAME OF FILER Orrin Mahoney for Council - 2009 I.D. NUMBER 1319770 DATE RECENED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL s Schedule I Summary 1. Itemized increases to cash this period ........................................................................................................................ $ 2. Unitemized increases to cash of under $100 this period ............................................................................................. $ .02 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ .02 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (666/275-3772)