470 Annual
Officehol~er and Candidate
Campaign Statement - Type or print In Ink.
Short Form
(Government Code Section 84206) Date of election If applicable: D Amendment (Explain Bel
(Month, Day, Year)
~ERTINO CITY CLER
1. Statement Covers Calendar Year 20 ~ .
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Sandra James f':ity r.nl1nr:il
STREET ADDRESS JURISDICTION (LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
21614 La Playa Court
CllY STATE ZIP CODE
Cupertino CA 95014
AREACODElDAYTIME PHONE NUMBER OPTIONAL: FAX/E·MAILADDRESS
408-253-7617
4. Committee Information
List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy
COMMITTEE NAME AND 1.0. NUMBER COMMITTEE ADDRESS NAME OF TREASURER
5. Verification
,
I declare under penalty Df pe~ury that to the best of my knDwledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws Df the State of
California that the foregoing is true and correct.
Executed on - By ,. -4::1" 'f' '" ~
DATE IER OR CANDIDATE
FPPC Form 450 (June/01)
FPPC Toll-Free Helpline: 866/A$K-FPPC