465 Supp. Ind. Expend. Rept. supporting Nihalani upplemental Independent
Expenditure Report
(Government CodeSectfon84203.5)
SEE INSTRUCTIONS ON REVERSE
aR~~~~A~
Type or print in ink.
Amounts may be rounded to
whole dollars.
14n1P.lldttleflt (Explain Below)
Report covers
al/ol/2ao9
12/31/2009
Date of election if applir
(Month, Day, Year)
11/a3/2oo9~,~;
1. CommitteelFiler Information
LD. NUMBER pf recipient committee)
820668
;umMi n tEIFILER'S NAME
San Jose Silicon Valley Chamber of Commerce Political Action
Committee (ChamberPAC)
STREETADDRESS(NO
CITY STATE ZIPCODE AREACODEIPHONE
San Jose CA, 95113 (
OPTIONAL: FAXIE-MAILADDRESS
2. Name of Candidate or Measure Supported or Opposed
NAME nF Cn.NnInATE
Mahesh Nihalani
TreaSUr@r Qf recipient committee)
NAMEOFTREASURER
Beth Reno
FEB - Z 2010
CITY
1 of 4
For Official Use Only
CITY STATE ZIPCODE AREACODEIPHONE
Encinitas CA, 92024 (
OPTIONAL: FAXIE-MAILADDRESS
OFFICE SOUGHT OR HELD AN
City Council Member
(STRICT, IF APPLICABLE
City of Cupertino
3. IndependentEXpendltUreSMade Attach additional information on appropriatelylabeledcontinuationsheets.
DATE I NAMEANDADDRESSOFPAYEE I
DESCRIPTION OF EXPENDITURE
Milagro Marketing LLC
10/23/2009
Pacific Printing
10/23/2009
United States Postal Service
10/23/2009
Literature. See Sch. G.
Literature. See Sch. G.
Postage
AMOUNT
1,589.34
776.80
MEMO
Subpayment made through:
Milagro Marketi g LLC
396.11
MEMO
Subpaymen[ made through
Milagro Marked q LLC
'._
rHECKONE
SUPPORT OPPOSE
x
SUPPORT OPPOSE
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1-DEC. 311
8,122.62
FPPC Form 465
FPPC Toll•Free Helpline: 8661ASK•FPPC (8661275.3772)
upplemental Independent Type or print in ink.
Expenditure Report Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
for use by an officeholder, andidate, or committee making independent expenditures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must
be filed at the same times and places as the ampaign statements fled by the candidate supported or
opposed or by a committee primarily farmed to support or oppose the measure. A separate fonn must
be filed for each andidate or measure being supported or opposed. This form is fled in addition to
any other required ampaign statements.
IV Inde
endent E
dl
Report covers period
frO~ 01/01/2009
throug~ 12/31/zoo 9
Date of election if applicable:
(Month, Day, Year)
11/03 /2009 S~~-E~~L
Date Stamp INDEPENDENTp~ENDIIURE
~ • '
~ • ~ ~
Page? of 4
For Oifcial use only
p
DATE Xpen
tUreS Made Attach adddional information
NAME AND ADDRESS OF PAYEE on appropriatelylabeled continuation sheets.
CUMULATIVE TO DATE
DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
10/23/2009 Saggau & DeRollo, LLC (JAN.1-DEC. 31)
Consulting 125.00
Subpayment made
Milagro Marketi through:
g LLC
10/26/2009 Milagro Marketing LLC
10/26/2009 Pacific Printing
Literature. See Sch. G. 1
553
60
Subpayment made
' t hrough:
M
lo .. M~rL _.:
..__.gr„ ..,....~ ~
,g
LLC
10/26/2009 United States Postal Service
Postage 792 22
Subpayment made
Milagro Marketi t
g hrough:
LLC
10/29/2009 Milagro Marketing LLC
10/29/2009 Pacific Printing
Literature. See Sch. G, 1,208.57
Subpayment made t hrough:
Milagro Marketi q LLC
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars,
For use by an officeholder, candidate, or committee making independent expenditures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must
be f led at the same times and places as the campaign statements filed by the andidate supported or
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is filed in addition to
any other required ampaipn statements.
Report covers period
from- 01/01/2009
through 12/31/2009
Date of election if applicable:
(Month, Day, Year)
11/03/2009
SUFPLEMENiAL INDEPENDFM EXPENgTURE
Stamp
Page 3 of 4
For Official Use Only
IV Independe nt Expenditures Made Attach additional information on appropriatelylabeled continuation sheets cuMULATIVE To DATE
DATE NAME AND ADDRESS OF PAYEE .
DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN.1 -DEC. 31)
10/26/2009 United States Postal Servi
ce Posta e
g
1,071.04
Milagro Marketi g LLC
UPPLEMENTAL INDEPENDENTEXPENDlTURE
Supplemental Independent Type or print in ink.
Amounts may be rounded Report covers period ~ . ,
Expenditure Report to whole dollars. ~ ~
01/01/2009 ~
from
SEE INSTRUCTIONSON REVERSE through 12/31/2009 Page 9 of 4
NAME OF FILER I.D. NUMBER (If recipient com.)
San Jose Silicon Valley Chamber of Commerce Political Action Committee (ChamberPACI 820668
4. Summary
8,122.62
1. Total independent expenditures of $100 or more made this period. (Part 3.) ........................................................................................... $
2. Total independent expenditures under $100 made this period. (Not itemized.) ........................................................................................ $ o, 00
3. Total independent expenditures made this period (Add Lines 1 + 2.) ..........................................................................................TOTAL $ e, 122.62
5. Flling Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been bled.
1) MAMEOFFILINGOFFICER 3) NAMEOFFILINGOFFICER
Santa Clara County Registrar of Voters California Secretary of State
ADDRESS (N0. AND STREET)
ADDRESS (N0. AND STREET)
1555 Berger Dr. 1500 11th St Room 995
CITY STATE ZIPCODE CITY STATE ZIP CODE
Santa Clara, CA 95112 Sacramento, CA 95814
2) NAMEOFFILING OFFICER 41 NAMF(1F FII IN(; f1FFICFR
City of San Jose City Clerk
ADDRESS (N0. AND STREET) ADDRESS
(N0. AND STREET)
200 E Santa Clara St #200
CITY STATE ZIPCODE CITY STATE ZIP CODE
San Jose, CA 95113
6. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true
Executedon ~~
DATE
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF 6(L.ER, TREASURER OR ASSISTANT TREASURER
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on gy
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 465
FPPC Toll•Free Helpline: 8661ASK•FPPC (8661275.3772)