460 Semi-annual amendment
OVE
Officíal Use Only
F
PERTINO CITY CLERK
o Quarterly Statement
o Special Odd~ Year Report
o Supplemental Preelection
Statement - Attach Form 495
11/8105
2. Type of Statement:
o Preelectkm Statement
~ Semi-annual Statement
o Termination Statement
(Also file a Form 410 Termination)
Ii2I Amendment (Explain below)
Committee's name changed
Type or print In ink.
Date of election If appllc,
(Month, Day, Year)
Statement covers period
4/1/05
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
from
6/30/05
Type of Recipient Committee: All Comm_ - Complete P...." 2, 3, .nd a.
D Officehotder, CandIdate Controlled Committee i?1 Primarily Formed Ballot Measure
o State Candidate Election Committee Committee
o Recall 0 Controlled
(Also Comple. PM 5) 0 Sponsored
(Also CompJ8tø PM B)
through
SEE INSTRUCTIONS ON REVERSE
1.
o Primartly Formed Candidatel
Officeholder Committee
(AISQCompffltfJPEIrl7)
D General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
Treasurer(s)
D. NUMBER
1264630
IF NO COMMITTEE)
Save Our City, a Primarily Formed Committee to Support
Amendments to the General Plan
Committee Infonnatlon
COMMITTEE NAME (OR CANDIDATE'S NAME
3.
NA.ME OF TREASURER
Elizabeth L. Whittaker
MAILING ADDRESS
20622 Cheryl Drive
the
STATE ZIP CODE AREA CODE/PHONE
CA 95014 408-255-8527
IFANY
STATE ZIP CODE AREA CODE/PHONE
CA 95014 408-996-0842
CITY
Cupertino
NAME OF AssisTANT TREASURER,
Kathey Holland
MAILING ADDRESS
10318 Coid Harbor
CITY
Cupertino
OPTIONAL: FAX
AREA CODE/PHONE
408-255-8527
STATE ZIP CODe
CA 95014
NO. AND s"TR'ËEr OR P.O. BOX
STREET ADDRESS (NO P.O. BOX)
20622 Cheryl Drive
CITY
Cupertino
MAILING ADDRESS (IF DIFFERENT)
Ave.
AREA CODE/PHONE
ZIP CODE
STATE
CITY
certify
the attached schedules is true and complete.
in
E-MAIL ADDRESS
contained herein and
E-MAIL ADDRESS
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the infonnation
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
, '
~- I_OS .
Executed on _ By
"""
º- ") By
"""
FA)(
OPTIONAL:
4.
Executed on
FPPC Form 460 (JlnUllrylO5)
8681ASK-FPPC (8861275-3772)
state of California
Cafldtløtø, Stet8 MIIIUIIQ PmpQnant
FPPC ToIf.F1'H Hetplll'Ml:
~nattnlclConlrolingOlf\c:ehoklEr,Cancli:løtø.StateM_Proponant
Signa1ln DfCo1lroling otIicehDkIEr,
By
By
"""
¡;;¡;
Execuled on
Executed on
SUMMARY PAGE
pertod
Statement çovers
fr 4/1/05
om
Type or print In Ink.
Amounts may be rounded
to whole doll.,...
Campaign Disclosure Statement
Summary Page
5
of
2
Page
I,D, NUMBER
1264630
6/30/05
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Save Our
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
10 Date
71
$
$
through 6130
1
$
$
Contributions
Received
Expenditures
Made
20.
21
Column B
CALENDAR YEAR
TOTAL TO DATE
965.33
o
965.33
500.00
1465.33
the Amendments to the General Plan
$
$
165.33
o
165.33
500.00
665.33
Column A
TOTAL n'1I5 PERIOO
(FROMATTACHED SCHEDULES)
a Primarily Formed Committee to Support
Contributions Received
City,
$
SchøduJe A, Line 3
Schedule e, Line :3
Monetary Contributions
Loans Received
$
Add Lines 1 + 2
Schedule C, Uns 3
Add Lines 3 + 4
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions ..............
TOTAL CONTRIBUTIONS RECEIVED
1.
2.
3.
4.
5.
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Mad.·
(If Subject to VCluntlllY ex¡»ndlture LImit)
Total to Date
Date of Election
(mm/ddiyy)
<85.00>
o
<85.00>
o
<500.00>
<585.00>
$
$
$
<85.00>
o
<85.00>
o
$
$
<500.00>
<585.00>
$
Schedule E, Line 4
ScheduJø H. Uns 3
Add Lines 6 + 7
. Schedule F. Line 3
Schedule C, Line 3
AddLifJ6s8+9+1O
Loans
SUBTOTAL CASH PAYMENTS
Expenditures Made
6. Payments
7.
8.
Made
Made
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment ........
11. TOTAL EXPENDITURES MADE
$
$
*Amounts in this section may be different from amounts
reported in Column B.
----1----1_
----1----1_
To cak1tlate Column B, add
amounts in Column A to the
COffespondmg amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that shook! be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
cany over the amounts
from Unes 2, 7, and 9 (if
any).
$
2631.45
165.33
o
<85.00>
2711.78
$
$
$
Previous SummaryPage, Line 16
Column A. Line 3 above
Schedu/6 I, Line 4
Column A, Lin6 8 abolo9
Add Lines 12 + 13 + 14, then subtract Line 15
16 must be zero.
Current Cash Statement
12. Beginning Cash Balance ........
13. Cash Receipt. ........................
14. Increases to Cash
15. S .....................
6. IALANCE .......
atien statement,
Misce,laneous
Une
o
$
Schedule B, Pert 2
17. LOAN GUARANTEES RECEIVED
FPPC fann * (January,lOS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
o
o
$
$
Cash Equivalents and Outstanding Debts
8. Cash Equivalents. See Îf $tn.Jctions on 1$\I&ISe
9. Outstanding Debts
Add Line 2 + Line 9 in Column B above
Statement cover. period
f 4/1/05
rom
Type or print In Ink.
Amounts may be rounded
to whole dolla....
Schedule A
Monetary Contributions Received
5
3
Page _ of
.D. NUMBER
1264630
6/30/05
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Save Our City, a Primarily Formed Committee to Support the Amendments to the General Plan
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 . DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF -EMPLOYED, ENTER NAME
OF BU5INESS)
NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IfCQMMmEE,ALSOENTERI,Q,NUMBER) CODE *
FULL
DATE
RECEIVED
00.00
$1
·Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCe)
OTH - Other (e.g., business entity)
PTY - Potttical Party
see - Small Contributor Committee
$100.00
100.00
SUBTOTAL $
None
~IND
o COM
oOTH
oPTY
osee
olND
oCOM
oOTH
oPTY
OSCC
olNO
oCOM
oOTH
oPTY
DSCC
olNO
o COM
oOTH
DPTY
OSCC
olND
oCOM
oOTH
oPTY
OSCC
Dave Riopel
10516 Whitney Way
Cupertino, CA 95014
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) .
617105
100.00
65.33
165.33
$
$
TOTAL $
than $100
Amount received this period - unitemized monetary contributions of iess
Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line
2.
3.
FPPC Form.eO (JanuaryI05)
FPPC ToII·Free Helptlne: 8661ASK·FPPC (866/275-3712)
1.)
Schedule C Type or print In Ink. SCHEDULE C
Nonmonetary Contributions Received Amounts may be rounded Statement_period Em
to whole dollars.
fTom 4/1/05
through 6/30/05 P.ge~ of~
SeE INSTRUCTIONS ON REVERSE -
- -
NAME OF FILER I.D. NUMBER
Save Our City, a Primarily Formed Committee to Support the Amendments to the General Plan 1264630
- - - -
IF AN INDIVIDUAL, ENTER AMOUNT! CUMULATIVE TO PER ElECTION
DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE TO DATE
RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF·EMPLOYEO. ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED)
(IF COIAMITTEI!'. AlSO ENTER I.D_ NUM8ER) NAME OF BUSINESS) (JAN 1 - DEC 31)
$200.00
$500.00
·Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SeC)
OTH - Other (e.g., business entity)
PTY - Political Party
see - Small Contributor Committee
Dennis Whittaker ~IND I nsurance Agent Consultant Fees
6/14/05 OCOM $200.00
20622 Cheryl Drive OOTH WMtaker Insurance
Cupertino, CA 95014 OPTY Agency, Inc.
osec
-
Dennis Whittaker ~IND Insurance Agent Consultant Faes
6/15/05 OCOM $300.00
20622 Cheryl Drive OOTH Whittaker Insurance
Cupertino, CA 95014 OPTY Agency, Inc.
OSec
OIND
OCOM
OOTH
OPTY
Oscc
-
OIND
OCOM
OOTH
OPTY
Oscc
Attach additional Information on appropriately labeled continuation sheets. SUBTOTAL $ 500.00
-
Schedule C Summary
1. Amount received this period - itemized nonmonetary conbibutions. 500.00
(Include all Schedule C subtotals.) .... ............ ............. ................................... .......... ....... ............ $ -
2. Amount receiyed this period - unitemized nonmonetary contributions of less than $100 ............$ 0
-
3. Total nonmonetary contributions received this period. 500.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAl $
FPPC Form 460 (JanuarylOS)
FPPC TolI·Frae Helpllna: 8661ASK-FPPC (868127S-3712)