460 Semi-Annual (Jan-June) ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Statement covers period I Date of election M
from 01/01/2009 (Month, Day,
through
6/30/2009 ~ 11
1. Type of Recipient Committee: All CommHtess - Complete Parbs 1, z, 3, and a.
0 Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Compote Part 5) Q Sponsored
(Alan compbre Part s!
^ General Purpose Committee
Q Sponsored ^ Primarily Formed Candidate!
Q Small Contributor Committee Officeholder Committee
Q Political ParlylCentral Committee (Also CompleAa Part n
3. Committee Information
I.D. NUMBER
NAME IF NO COMMITTEE)
Orrin Mahoney for Council - 2009
STREET ADDRESS (NO P.O. BOX)
10940 Miramonte Road Cupertino
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 CODE/PHONE
Cupertino CA 95015
OPTIONAL: FAX / E-MAIL ADDRESS
I '~,~1 ~ note ~~~?;;
,:
I -. -~ a . _
____-- _
~~
~~ 1 ~ ,._... ,
cup=~~~~r~~ c9~r c~E~s~
2. Type of Statement:
^ Preelection Statement
~ Semi-annual Statement
^ Termination Statement
(Also file a Form 410 Termination)
^ Amendment (Explain below)
COVER PAGE
~ of ~
For Offidal Use Only
^ Quartery Statement
^ Spectal Odd-Year Report
^ Supplemental Preelection
Statement -Attach Form 495
Treasurer(s)
NAME OF TREASURER
Carolyn Krizek-Mahoney
MAILING ADDRESS
r-.V. BOX 10r' I
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95015
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. 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 penalty of perjury under the laws of the State of California that the foregoing is 6
Executed on 7/31 /2009
Date
Executed on 7/31 /2009
Dana
Executed on
Date
Executed on
Date
By
By
Sipneture of Con6dlirq Ofioeholder, CarnEdete, State Meawro ProponaM
By
SignetureofControRinpOlfaetalder,Carxlidete,StateMeasureProponerrt FPPC Form 460 (Janwry106)
FPPC Toll-Free Helpllne: 8861ASK-FPPC (8681275-3772)
State of CaNfornla
By
ecipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
type or print in ink.
NAME OF OFFICEHOLDER OR CANDIDATE
Orrin Mahoney
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Cupertino City Council
RESIDENTWLIBUSINESS ADDRESS (N0. AND STREET) CITY STATE ZIP
10940 Miramonte Road Cupertino, CA 95014
Related Committees Not Included in this Statement: 1_Isranycommlttess
not Included !n th/s statement that are controlled by you or are primarily formed to rece/ve
conMbudons or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
^ YES ^ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
^ YES ^ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
COVER PAGE-PART2
Page Z of
NAME OF BALLOT MEASURE
BALLOT NO.OR LETTER I JURISDICTION I ^ SUPPORT
^ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee usrnames of
ofHeeholder(a) w sand/date(s) for which this committee /s prlmar/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 H necessary
FPPC Fonn 480 (Janwry108)
FPPC Toll-Free Helpline: 8681ASK-FPPC (8681276.3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01 /01 /2009
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE through 6/30/2009 page 3 of '3
NAME OF FILER I.D. NUMBER
Orrin Mahoney for Council - 2009 Not yet received
Contributions Received Column A Column B Calendar Year Summary for Candidates
TOTALTHIS aeawD
(FROMATTACFiED SCHEDIRES) CALENDAR YEAR
TOTALTO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... schedule A, une s $ 0 $ 0
2. Loans Received ...................................................... schedule e, une s
0
l)
1/1 through 6130 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ....................... .. add ones 1 + 2 $ 0 $ 0 20. Contributions
Received $ $
4. Nonmonetary Contributions .................................... scnedu~e c, Line 3 0 0 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED ••..•.•...•.••.•••••.. .•.••addunes3+4 $ 0 $ 0 Made $ $
Expenditures Made
6. Payments Made ....................................................... schedule r=, une 4 $ 0 $
7. Loans Made ............................................................. schedule H, Line 3 ~
..~ ~.,T..~., ,..,,~ , ....,...-.,~..
o. ouo i v ir-L.~,h~n rhr muv i a .................................
... Add lines o+ 7 $
~ $
9. Accrued Expenses (Unpaid Bills) ............................ ...schedule F, Line 3 0
10. Nonmonetary Adjustment ........................................ .. schedule c, une 3 0
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+ g + 10 $ 0 $
0
0
n
v
0
0
0
Current Cash Statement
12. Beginning Cash Balance ....................... Provious summaryFage, une 1s $
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... schedule 1, une a
15. Cash Payments .................................................. caumn a, une s above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
if this is a termination statement, Line 1ti must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... add une 2 + une s in column a above $
0
To calculate Column 8, add
0 amounts in Column A to the
0 corresponding amounts
from Column B of
our last ~'~
y
~
0 report. Some amounts in
Column A may be negative
0 figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
0 for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
„ any).
0
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(K SibJsct to Voppihry E~ndkun LJmlq
Date of Election Total to Date
(mm/dd/yy)
_J~ $
-~-~ $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Fonn 460 (January/05)
FPPC Toll-Free Helpline: 666/ASK-FPPC (866/275-3772)