460 Quarterly 3rd
D
or print in ink.
Type
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
2004
26
OCT
of
OffIcial U;; Only
Ie'.
F'
CUPERTINO CITY CUERK
Date of el8ctlon If appl
(Month, Day, Year:
covers period
1,2004
Statement
July
from
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
III
o
o
NA
Type of Statement:
o Preelection Statement
o Semi-annual Statement
o Termination Statement
o Amendment (Explain below)
2.
through September 30, 2004
Type of Recipient Committee: A" Comm..... - Complet. P...." 2, 3, .nd ..
o Officehotder, Candidate Controlled Committee [;i Ballot rv1easure Committee
o State Candidate Election Committee e PrlmarUy Formed
o Recall 0 Controlled
(Also CompIfItfI Pari Ii) 0 Sponsored
(A/90CompleleP8rt6)
SEE INSTRUCTIONS ON REVERSE
1
Primarily Formed Candldatel
Offlceholder Committee
(AI!O Complete Pwt 7)
o
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political PartylCentral Commltlee
Treasurer(s)
NAME OF TREASURER
Elizabeth L. Whittaker
MAILING ADDRESS
Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME
Primarily Formed Committee for the Amendments to the General Plan
I.D, NUMBER
1264630
IF NO COMMITTEE)
3.
AREA CODE:lPHONE
408/255-8527
ZIP CODE
95014
STATE
CA
20622 Cheryl Drive
CITY
Cupertino
NAME OF ASSISTÄN.f-ÿREASURER,·fj:-ANv
BOX)
STREET ADDRESS (NO P,O.
20622 Cheryl Drive
ëiTŸ
Kethey Holland
MAILING ADDRESS
AREA CODE/PHONE
408/255-8527
STATE ZIP CODE
CA 95014
DIFFERENT) NO. AND sTRE'Ër OR P.O. BOX
Cupertino
MAILING ADDRESS
10318 Cold Harbor Ave
êi'TŸ
(IF
ARE'" COOE/PHONE
408/996-0842
ZIP CODE
95014
STATE
CA
Cupertino
OPTIONAL: FAX
AREA COÖE/PHONE
ZIP CODE
STATE
cIty
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
certify under penalty of pe~ury under the laws of the State of California that the foregoing is true and correct.
E-MAIL ADDRESS
FAX
OPTIONAL:
complete.
contained herein and In the attached schedules Is true and
By
WIÝ 't
Executed on
By
Executed on
Off\cørolS¡x¡nsor
FPPC Form 460 (JuneJ01)
FPPC Toll-Free HelpUne: 866/ASK-FPPC
State of California
er,Candldate,Sla1eM8ßsUl'eProponent
s¡g¡m¡¡¡¡'¡ofCOnli'Olfng OIiICeholder, Cllndldate, StateMeasU!'e Piwonent
SlgnatureofCOñb-Ol!ng
By
By
"""
Executed on
Executed on
Recipient Committee Typo or print In ink.
Campaign Statement
Cover Page - Part 2
-
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME OF OFFICEHOlDER OR CANDIDATE NAME OF BALLOT MEASURE
General Plan Amendment Restricting Building Heights
OFFICE SOUGHT OR HElD (INCLUDE lOCATION ANO DISTRICT NUMBER IF APPLICABLE) BALLOr NO. OR LETTER JURISDICTION 1111 SUPPORT
NA D OPPOSE
identify the controlling officeholder, candidate, or atate me.sur. proponent, if any.
NAME OF OFFICEHOlDER, CANDIDATE, OR PROPONENT
NA
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
NA NA
7. Primarily Formed Committee LIst n.m.s of offlceholder(.) or c.ndldsle(.) for
which this committee I. prImarily formed.
ZIP
Releted Committees Not Included In this Statement: LI...nycommlt....
not Included In this .t.tement th.t are controlled by you or are prlmllrlly formed 10 recelv.
contributions or m." upendltu,... on ø.h.H of your candidacy.
COMMITTEE NAME
srATE
CITY
.0. NUMBER
RE$IDENTIALlBUSINESS ADDRESS (NO. AND STREET)
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFfiCE SOuGHT OR HELD o SUPPORT
o OPPOSE
CONTROLlEDCOMMITTEE1
DyES DNO
AREA CODElPHONE
.D. NUMBER
CONTROllED COMMITTEE?
DYES DNO
ZIP CODE
STREET ADDRESS (NO P.O. BOX)
srATE
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
If necessary
Attach continuation sheers
AREA CODE/PHONE
STREET ADDRESS (NO P.O. BOX)
ZIP COOE
srATE
COMMITTEE ADDRESS
CITY
FPPC Form 460 (JuneI01)
FPPC TolI·Free HelPline: 886/ASK-FPPC
State of California
Type or print in ink. COVER PAGE - PART 2
Recipient Committee -
Campaign Statement
Cover Page - Part 2
3
_of_
-
5. OffIceholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
General Plan Amendment Restricting Housing Density
OFFICE SOUGHT OR HelD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION !XI SUPPORT
NA o OPPOSE
Related Committees Not Included In this Statement: LI.'.nyeommllto..
nOllncluWd In thl. .t.menl that .,. controlled by you or .,. prlmtully formed to receive
contributions 01' melee expenditures on behalf of your candidacy.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROlLED COMMITTI:.E?
DYES 000
COMMITTEE ADDRESS STREET ADDRESS (NO P.O, BOX)
CITY STAiE ZIP CODE AREA CODElPHONE
COMMITTEE NME I.D. NUMBER
NAME OF TREASURER CONTROlLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P,O. BOX)
ëiTY SiÄiE ZIP CODE AREA CODElPHONE
Identify the controlling officeholder, candidate, or stllte menure proponent, tf any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
NA
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
NA NA
7. Primarily Formed Committee LI.t no.... of otrh:eholder(.¡ 01' e.ndhls"¡,¡ for
whIch 'his commJtt.. I. primarily formed.
liP
srATE
CITY
(NO. AND STREET)
RESIDENTIAL!BUSINESS ADDRESS
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOuGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPDRT
o OPPOSE
NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Attach continuation sheets If nece5sary
FPPC Form 460 (JunelO1)
FPPC TolI·Free Helpline: 8U6IASK·FPPC
State of California
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD
D SUPPORT
o OPPOSE
NAME OF OFFICEHOlDER OR CANDIDATE OFfiCE SOUGHT OR HELD D SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
FPPC Form 460 (JunøI01)
FPPC TolI·Free Helpline: 866/ASK-FPPC
stil.h~ of Caltfornia
NAME OF BALLOT MEASURE
General Pian Amendment Restricting Building Set Back Lines
BALLOT NO, OR LETTER JURISDICTION IIJ SUPPORT
NA o OPPOSE
Identify the controlling officeholder, candidate, or .tat. me..ura proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
NA
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
NA NA
7. Primarily Formed Committee Llatna...a.f.ff/cehokhJr(a) orcandldo"'a)f.,.
whIch 'hi_ commltfH I. primarily fornMd.
COVER PAGE - PART 2
necessary
If
continuation sheets
Type or print in Ink.
-
6. Ballot Measure Committee
Attach
Related Committees Not Included In this Statement: Llaranyc.mmltœea
not Included In thl" .t.l8menllh., .re conlroUed by you or II,. primarIly formed 10 receive
contributions or melee expenditure. on belnJlf of your c.ndlcMcy.
COMMrnEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROlLED COMMITTEE?
o YES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O, BOX)
CITY STAlE ZIP CODE AREA CODEJPHONE
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROlLED COMMITTEE?
o YES ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P,O. BOX)
ëiTŸ šTÄTE ZIP CODE AREA COOEIPHONE
ZIP
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. OffIceholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
STA1E
CITY
(NO. AND STREET)
RESIDENTIAllBU$INESS ADDRESS
SUMMARY PAGE
covers period
1,2004
Statement
July
Type or print In Ink.
Amounta may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
8
5 of
Page
1.0. NUMBER
1264630
from
through September 30, 2004
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Primarily Formed Committee for the Amendments to the General Plan
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
to Date
71
$
6130
through
1
$
20. Contributions
Received
Expenditures
Made
21
Column B
C^lENDAR YEAR
TOTAl TO DATE
4846.00
o
4846.00
4475.00
8893.00
Column A
TOTAL. THIS PERIOO
(FROMATTACHEO SCHEDUlES)
200.00
o
Contributions Received
$
$
SchOOufe A, Line 3
Monetary Contributions
Loans Received
$
200.00
443.00
643.00
$
Schedule B, Una 3
Schedule C, Line 3
+2
Add Lines
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions ..,...........
TOTAL CONTRIBUTIONS RECEIVED
,.
2.
3.
4.
5.
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Mad.·
(If Subject to Voluntary Expenditure Limit)
$
<2829.80>
o
<2829.80>
o
$
$
$
<625.00>
o
<625.00>
o
$
$
$
Add Lines 3 + 4
SchBdufa H, Line 3
AddLines6+ 7
Schedule E, Line 4
Expenditures Made
Payments Made
Loans Made ......
SUBTOTAL CASH PAYMENTS
Accrued Expenses (Unpaid Bills)
6.
7.
8.
9.
10. Nonmonetary Adjustment
11. TOTAL EXPENDITURES MADE
Total to Date
Date of Election
(mmlddlyy)
<4475.00>
<7304.80>
<443.00>
<1068.00>
Schedule F, Lins 3
Schsduls C, Lins 3
$
$
$
AddUnøs8+9+10
$
$
$
$
$
~Slnce January 1, 2001. Amounts in this section may be
different from amounts reported in Column 8.
To calculate Column 8, add
amounts in Column A to the
correspondIng amounts
from Column B of your last
report. Some amounts in
Corumn A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being flied
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
2441.20
200.00
o
<625.00>
2016.20
$
$
16
P19Vious Summary pags,
Column A, Lins 3 above
Linø4
Column A, Uns 8 abovs
12+ 13+ 14, fhsn subtract Line 15
Line
Schedule
Add Lines
Cash Statement
Beginning Cash Balance ......"
Cash Receipts .......................
Miscellaneous Increases to Cash
Cash Payments .....................
ENDING CASH BALANCE .......
Jf this is B termJnation statement,
Current
12.
13.
14.
5.
6.
o
$
Schedule S, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents. See instructions 01
Outstanding Debts
16 must be zero.
Line
7. LOAN GUARANTEES RECEIVED
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866JASK-FPPC
o
o
$
$
reverse
Add Lins 2 + Uns 9 in Co/woo B above
19.
SCHEDULE A
Statement covers period
from July 1, 2004
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Schedule A
Monetary Contributions Received
8
Page ~ 01
1.0. NUMBER
1264630
through September 30, 2004
SEE INSTRUCTIONS ON REVERSE
NAME OF fiLER
Primarily Formed Committee for
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAl, ENTER
OCCUPATION AND EMPLOYER
{IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
the Amendments to the General Plan
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IfCOMMITIEE.AlSOENTER I.D.NUMSER) CODE '"
DATE
RECEIVED
00.00
$1
$100.00
$100.00
Administrative Assistant
Stanford University
~IND
o COM
OOTH
OPTY
OSCC
OIND
DCOM
OOTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
Kathey Holland
10318 Cold Harbor Ave.
Cupertino, CA. 95014
9/28/04
IND -Individual
COM - Recipient Commntee
(other than PTY or SeC)
OTH - Other
PTY - Political Party
see - Small Contributor Committee
FPPC Form 460 (Junef01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SUBTOTAL $
OIND
o COM
OOTH
OPTY
OSCC
OIND
o COM
OOTH
OPTY
OSCC
Schedule A Summary
1. Amount received this period - contributions of $1 00 or more
(Include all Schedule A subtotals.)
100.00
100.00
200.00
$
$
TOTAL $
1
Line
Amount received this period - unitemized contributions ofless than $100
Total monetary conlributlons received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page,
Column A,
2
3.
Statement covers period
from July 1, 2004
th h 3eptember 30, 200L 7 8
roug Page_ 01_
LD. NUMBER
1264630
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Schedule C
Nonmonetary Contributions Received
SEE !NSTRUCTIONS ON REVERSE
NAME OF FILER
Primarily Formed Committee for the Amendments to the General Plan
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
AIv1DUNTI
FAIR MARKET
VALUE
DESCRIPTION OF
GOODS OR SERVICES
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
w.\ME OF aUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND
lIP CODE OF CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER!
DATE
RECEIVED
$420.00
$420.00
$400.00
Donation to St.
Jude's Church
for use of
community room
Insurance Agent
Whittaker Insurance
Agency, Inc.
IX]IND
OCOM
OOTH
OPTY
DSCC
DIND
OCOM
OOTH
OPTY
OSCC
OIND
o COM
OOTH
OPTY
osee
OIND
OCOM
OOTH
OPTY
osee
Dennis Whittaker
20622 Cheryl Drive
Cupertino, CA 95014
9/8/04
"Contributor Codes
fNO -IndIvidual
COM - Recipient CommKtee
(other than PTY or See)
OTH - Other
PTY - Political Party
sec - Small Contributor Committee
SUBTOTAL $
Attach additional Information on appropriately labeled continuation sheets.
Schedule C Summary
1 Amount received this period - nonmonetary contributions of $100 or more
(Include all Schedule C subtotals.)
Amount received
400.00
43.00
$
$
period - unitemized nonmonetary contributions olless than $100
this
2.
3.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
443.00
TOTAL $
Total nonmonetary contributions received this period
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A. Lines 4 and 10
SCHEDULE E
covers period
1,2004
Statement
July
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
8 8
Page_of_
I,D. NUMBER
1264630
from
through )eptember 30, 200'
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Primarily Formed Committee for the Amendments to the General Plan
Otherwise, describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign wOfkers' salaries
1El t.v. or cable airtime and production oosts
TRC candidate travel. lodging, and meals
TRS staff/spouse travel, lodgIng. and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (Internet,
codes accurately describes the payment, you may enter the code
fvSR member communications
MTG meetings and appearances
OFC office expenses
ÆT petition circulating
PI-IO phone banks
POL polling and sUlVey research
POS postage, delivery and messenger services
~ professIonal servIces (legal, accounting)
FRf print ads
(explain)
others
CODES II one 01 the following
campaign paraphernalia/mIsc.
campaign consultants
contribution (explain nonmonetary)"
civic donations
candidate fillng/bellot fees
fundraising events
independent expenditure supporting/opposing
legal defense
campaign literature and mailings
eM'
CNS
CTB
CVC
FL
FI'oÐ
lID
LEG
Lff
e-mal
NAME AND ADDRESS OF PAYEE
(If COMMITTEE. ALSO ENTER to. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
De Anza College Printers Printing 01 Hang Tags
21250 Stevens Creek Blvd. PRT $625.00
Cupertino, CA 95014
SUBTOTAL $ 625.00
-
..... $~ 625.00
....... $- 0
......... $- 0
TOTAL $_ 625.00
FPPC Form 460 (JuneI01)
FPPC Toll-Free Helpline: 8661ASK~FPPC
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ...................
2. Unltemized payments made this pariod olunder $100 .............................. ...............
3. Total interest paid this period on loans. (Enter amount lrom Schedule B, Part 1, Column (e).) .....
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6