460 Second Pre-Election ecipient Committee
Campaign Statement
(Government Code Sections 84200 - 84216.5)
1. Type of Recipient Committee:
[] Officeholder, Candidate
Controlled Committee
[] Ballot Measure Committee O Primarily Formed
O Controlled
O Sponsored
~ 09/u3/200~
~megh 10/20/2001
[] Primarily Formed Candidate/
Officeholder Committee
[] General Purpose Committee O Sponsored
O Broad Based
COVER PAGE - LONG FORM
11/o6/~OOl
2. Type of Statement:
OCT 2 4 2001
, ;~,m.~.~ ~ 8
OF CUPERTIN ^ For OfficiaJ use only
[] Pm-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pm-election
Statement - Attach Form 495
3. Committee Information
COMMITTEE NAME
GEOFF PATNOE FOR CITY COUNCIL
Treasurer(s)
NAME OF TREASURER
TOM HALL
MNUNG ADORESS
21040 HOMESTEAD ROAD
CITY STATE ZIP CODE AREA CODE/PHONE
CUPERTINO CA 95014 (408)773-1400
NAME OF ASSISTANT TREASURER, IF ANY'
MAILING ADDRESS
CITY STATE ZiP CODE AREA CODE/PHONE
( )
OPTIONAL: FAY4E-MAIL ADDRESS
STREET ADDRESS (NO P.O. 80x)
10384 ALPINE DRIVE #2
CITY STATE ZIP CODE AREA CODE/PHONE
CUPERTINO CA 95014 (408)746 -2940
MA~[JNG ADDRESS 0F DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
( ) /
S/CCW - PCAP08 01504 (Rev. 9/99) State of California Fair Political Practlcas Commission.
ecipient Committee
Campaign Statement
Cover Page - Part 2
COVER PAGE-PART 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OF CANDIDATE
GEOFF PATNOE
OFFICE SOUGHT OR HELD ONCLUDE L~A~ON AND DI~ NUMBER IF ~C~LE)
CUPERTINO CITY COUNCIL
RE.DENS.BUSINESS ADORE~ (NO. AND ~REE-~ C~TY STATE ZIP CODE
10384 ALPINE DRIVE, #2 CUPERTINO CA 95014
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
Related Committees Not Included in this Statement: List any committees
not included in this consolidated statement that are con;rolled by you or which are primarfly
formed to rsoelve contributions or to make e~penditutes on behalf of your candidacy,
COMMI~rEE NAME i.D. NUMBER
NAME OF TREASURER
COMMI~TEE ADDRESS
BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT
I
]OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE OR. PROFONENT
OFFICE SOUGHT OR HELD
STREET ADDRESS (NO P.O. BOX)
ICONTROLLED COMMITTEE?
IDISTRICT NO. IF ANY
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Committee
NAME OF OFFICEHO~OER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT 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 penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on / (~ ' ~' ~'~ '" ~ / By
DATE
Executed on ~' ~) '~ ~ '- 0 { By
~ R~-OF TI~ EASU RE R~;~ASSISTANT TREASURER
SIGNATURE OF C~UNG OFFICEH~DER, CANDIDATE, STATE MEASURE P~NENT ~ RES~SIBLE OFFICER OF S~NSOR
DATE
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE pROPONENT
Campaign Disclosure Statement
Summary Page
SUMMARY PAGE
~ 09/23/2001
throu~ 10/20/2001
NAME OF FILER
GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL
Contributions Received
1. Monetary Cor~ibutJons ................................................................... Schedule A, Line 3 $
2. Loans Received .............................................................................. Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................................ AddUnes I +2 $
4. Non-monetary Conb'ibutions ........................................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ............................................... Add Lines 3 + 4 $
Colmn A
TOTAL THIS PERIOO
(FROM A'FrACHE D SCHEDULES)
1,502. 00 $
0.00
1,502.00 $
139.90
1,641.90 $
I·D. NUMBER
1.233678
Column B* Column C
6,319.00 $ 7,821.00
3,700.00 3,700. 00
10~019.00 $ 11.521.00
100.00 239 . 90
10,119.00 $ 11,760.90
Expenditures Made
B. 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, Line 3
10. Nonmonetary Adjua~,,ent .............................................................. Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................................ Add Lines 8 + 9 + 10
$ 4,981 58
0 00
$ 4,981.58
0 00
139 90
$ 5,121.48
$ 3, 074.26
0.00
$ 3 , 074 . 26
0.00
100.00
$ 3, ~74.26
$ 8,055 84
0 00
$ 8,055.84
0 00
239 90
$ 8,295.74
Current Cash Slatsment
12. Beginnir~ Cash Baianoa ........................................ Previous Summary Page, Line 16
1:3. Cash R~ceipts ....................................................................... Column A, Una $ above
14. Miscaileneous Increases to Cash ................................................... Schedule I, Line 4
15. Cash Payments ..................................................................... Column A, Line 8 above
16. ENDING CASH BALANCE ................ Add Lines 12 + 13 + 14, then subbact Line 15
If this is a Termination Statement, Line 16 must bo zero·
$ 6,944.74
1,502.00
0.00
4,981.58
$ 3,465.16
17. LOAN GUARANTEES RECEIVED ............................ Schedule B, Part 1, Column (b) $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..........................................................................................................
19. Outstanding Debts ........................................ Add Dne 2 + Dna 9 in Column C above
$ 0.00
$ 3,700.00
*From previous statement Summary Page, Column C.
However, if ~is is lhe fimt 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
1/1 ~ru 6/30 7/1 to Date
20. Contributions
Received $. 0 0
21. Expenditures
Made ..... $. 0 0
S/COW - PCAP08 01504 (Rev. 9/99)
CHEDULE A
Schedule A s~.._~= ~.~ ~-~ ~ r.~l ~
Monetary Contributions Received .o~ 09/23/200~
mr~hl0/20/2001 ~ 4 d 8
NAME OF FlOR I.~ NUMBER
GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1233678
IF AN INDI~AI. ENT~
DATE FU~ ~ME, MNUNG ADDRE~ AND ~P CODE OF CON~IBUTOR CONTRIBUTOR OCCUPATION KD EMPLOYER AMOUNT RECEIVED CUMU~VE TO DA~ CUMU~VE TO DATE
~CEIVED OF COMMI~EE, ALSO EN~R I,D. NUMBER) CODE * (iF ~-EMPLO~EO ENTER NAME THIS PE~OD CALENDAR YEAR O~ER
~ BUSlNE~) ~ 1 - DEC 31) (IF APPLICABLE)
10/17/2001 HELEN ADZICH r~IND RETIRED 100.00 100.00
10316 SCENIC BLVD.
CUPERTINO, CA 95014 ~COM NONE
r-lOTH
10/17/2001 GEORGE BATEH [~]IND MANAGER 100.00 100.00
22690 STEVENS CREEK BLVD.
CUPERTINO, CA 95014 ~COM BATEH BROTHERS
LIQUORS & GROC.
[] OTH
lO/17/2OOl JOHN BAUTISTA F~]IND ATTORNEY ~00.00 ~00.00
115 HANNA WAY
M~NLO PARK, CA 94025 I--ICOM VENTURE LAW GROUP
r-lOTH
10/17/2001 NANCY BJELETICH ~]IND ENGINEER 100.00 100.00
10184 CARMEN ROAD
CUPERTINO, CA 95014 ['ICOM LOCKHEED MARTIN
[]om
10/17/2001 KAROLYN DORSEE ~]IND SELF-EMPLOYED 50.00 , 100.00
P.O. BOX 455
RANCHO SANTA FE, CA 92067 ~]COM DORSEE PRODUCTIONS
[] om
SUBTOTAL $ 450. O0
Monetary Contributions Summary
1. Amount received this period - contributions of $100 or mote.
(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 thc Summary Page, Column A, Linc 1.) .............. TOTAL $
1,050.00
452.00
1,502.00
CHEDULE A (cont.)
Schedule A (Continuation Sheet) c
Monetary Contribu~ons Received ~o~ 09/2~/2001
~ 10/20/2001 ~ 5 (~ 8
~IAME OF FILER I.D. NUMP~E~
GEOFF PATNOE, GEOFF PATNOE FOR CTT¥ COUNCTL 1233678
IF AN INDMDUAL, ENTER
DATE FULLNAME. MAIUNGADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVETODATE CUMULATIVETODATE
RECENED I1F COMMi i ~t=~=. AI.~O EN1~R I.D. NUMBER) CODE * (IF SELF-EMP[O~ED B~rF.R NA~E 3H15 PF_RIOD CALENDAR YEAR OTHER
oF BUSINESS) (JAN 1 - DEC 31 ) (IF APPUCABLE)
10/17/2001 FETRNDS OP RUSS BOGH [] IND TD# 123-6337 100.00 100.00
5041 ~ ~T DRTVE #110
RTVERSIDE, C~ 92507 [] COM
[] OTH
10/17/2001 PAUL FJ~EnICK [] IND SUSTNESS~N 100.00 100.00
10180 C~SNEN RO~D
COPERTINO, CA 95014 [] COM BEST TEST -
[] OmH
10/17/2001 GAIn 3-~STNAN [] IND T~J~CH~.E 100.00 100.00
3130 [J~ SELVA DRIVE #30?
S.z~I HATEO, CA 94403 [] COM pALO AL?O UNIFTED
SCHOOL DTSTRTCT
[] OTH
10/17/2001 I~O[~) d-OSTM~q [] IND AT?O~NB¥ 100.00 100.00
3130 ~z~ SRLVA DRIVE #30?
sAN ~T~.O, CA
[] OmH
lo/17/~ool PArC I~J~IHOnB [] IND VICP. ?RESID~.~? I00.00 100.00
27 HOI~J~GOtV~R¥
NEWPORT BEACH, CA 92660 [] COM FLEISHMAN-HILLARD
[] OTH
10/17/2001 TRI-COUNTY APARTMENT ASSOCIATION - [] IND ID# 810014 200.00 100.00
10/18/2001 PAC (100.00)
792.MERIDIAN WAY, SUITE A [] COM *CONTRIBUTIO RETURNED-~'*
SAN JOSE, CA 95126 [] OTH
SUBTOTAL $ 600.00
CHEDULE C
Schedule C
Non-Monetary Contributions Received ~ 09/23/2001
th~il 10/20/2001 P~q~B 6 of 8
NAME OF FILER I.D. NUMBER
GEOFF PATNOE, GEOFF PATNOE FOR CITY COUNCIL 1-233678
IF AN INDMDUA[~ ENTER DESCRIPTION OF FAIR MARKET CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE FULL NAME, MAIMNG ADDRESS AND ~ONTRIBUTOR OCCUPATION AND EMPLOYER GOODS OR SERVICES VALUE CALENDAR YEAR OTHER
RECEIVED ZiP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED ENTER (JAN 1 - DEC 31 ) (IF APPMCABLE)
(IF COMMITTEE, ALSO ENTER I.D, NUMeER) NAME OF BUSINESS)
zo/18/2OOl ELEANE HALL [] IND OFFICE MANAGER ACCOUNTING 100.00 100 . 00
13410 OLD OAK WAY SERVICES
;ARATOGA, CA 95070 [] eOM TOM n. HALL, CPA
[] OTH
lO/15/2ool GEOFF PATNOE [] IND PUBLIC AFFAIRS REIMBURSEMENT 39.90 3,739 .90
10384 ALPINE DRIVE, fi2 SPECIALIST FOR WEBHOSTIN¢ Includes Loan,
CUPERTINO, CA 95014 [] COM THE WEBER GROUP
[] OTH
[] IND
[] COM
[] OTH
[] ~ND
[] COM
[] OTH
[] ~ND
[] CO~
[] OTH
SUBTOTAL $ 139.90
Non-Monetary Contributions Summary
1. Amount received thi.~ period - non-monetary contributions of $100 or more.
(Include all Schedule C subtotals.) ................................................................................................... $ 13 9.9 0
2. Amount received this period - non-monetary contributions of less than $100.
(Do not itemize.) .............................................................................................................................. $ 0.00
3. Total non-monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Col,mn A, Line 4.) .............. TOTAL $ 13 9.9 0
chedule E
Payments Made
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 cor~r~ufl~ (eXl~ain nonmonetary)*
CVC civic do~adons
FND fundraising events
IND independent exper~liture supl~:xting/opposing others (explain)*
LIT carnpaig~ literature and mailings
MTG meetings and appaarances
OFC office expenses
PET p~ition circulating
PHO phone banks
POL polling and surwey research
POS Ix~tage, de#ve~, and messenger senAces
PRO prde~sional ser~k:es (legal, accounting)
PRT print ads
RAD radio &irtime and production costs
I.D. NUMBER
1233678
RFD retumad comrtbutio~s
SAt. campaign workers salaries
TEL t.v. re'cable airtime and production coats
TRC candidate travel, lodging and meaJs (explain)
TRS staff/spouce travel, lodging and meals (explain)
TSF transfer between cx)mmittees of t~e same candidate/sponsor
VOT voter registration
WEB infom~(~on technology costs (internet, e-mai])
· Paymante that are =ontrlbutfoce or independent expendltrca muet al~ be eummarlzed on Schedule D.
NAMEANDADDRESSOFPAYEEORCR~ITOR
0FCOMMITTEE'ALSOENTERI'D'NUM~R CODE OR DESCRIPTION~PAYME~ AMOUNTPND
AARON, THOMAS & ASSOCIATES LIT 3,480.58
9260 OWENSMOUTH AVENUE
CHATSWORTH, CA 91311
CANDIDATE'S OUTDOOR GRAPHIC SERVICE CMP 818.00
951 OLD COUNTY ROAD
BELMONT, CA 94002
RANCHO LOREE NEIGHBORHOOD ASSOCIATION IPRT 100.00
10116 STERN AVENUE
CUPERTINO, CA 95014
SUBTOTAL $ 4,398.58
Schedule E Sumrnam/
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
4,931. 58
50. 00
0.00
4,981.58
chedule E
(Continuation Sheet)
Payments Made
~. 09/23/2001
~,,.~,,1o/2o/2ooi
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.
OFC office expenses
PET patidon drculating
PHO phone banks
POL polling and survey research
POS postage, deliver/and messenger sen/ices
PRO profeesional servioes (legal, ao~ounting)
PRT print ads
RAD radio airtime and pmducU~n costs
CMP campaign paraphernalia/misc.
CNS campaign consultants
CTB comn%mk~ (explain nonmonetary)*
CVC civic donations
FND fundraising events
IND independent expendRure suppoSing/opposing others (explain)"
UT campaign literature and mailings
MTG meetings and appearances
'Paymonte that ere cantrlbutlone or Independent expendltre~ meat mtso be cummerbund on ~hedule D.
SCHEDULE E (CONT.)
Pa~e 8of 8
I.D. NUMBER
1233678
RFD returned contributions
SAL campaign workers salaries
TEL t.v. or cable airtime and production ccats
TRC candidate travel, IodgJrtg and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer b~v~ca ~ommittees of the came candidate/sponsor
VOT voter registration
WEB information technology costs (inteme~, e-mail)
NAMEANDADDRE~OFPAYEEORCREDITOR
(IFCOMMI~EE,ALSOE~ERI.D. NUM~R COOE OR DESCRIPT~NOFPAYMENT AMOUNTPND
THE FREMONT UNION HIGH SCHOOLS FOUNDATION CVC 125.00
589 W. FREMONT AVENUE
SUNNYVALE, CA 94087
U.S. POSTMASTER POS 408.00
CUPERTINO, CA 95014
SUBTOTAL $ 533.00