1st 460 Semi-annual
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Date of election if app
(Month, Day, Year
covers period
xrr
Ç/~ / ~
Statement
1/
from
~ 3>1 CUPERTINO CITY CL8RK
r:'f
t
through
SEE INSTRUCTIONS ON REVERSE
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
o
o
o
2. Type of Statement:
Preelection Statemen
Semi-annual Statement
Termination Statement
(Also fife a Form 410 Termination)
(Explain below)
o
125!
o
All Committees - Complete Parts 1, 2, 3, and 4.
Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(Also ComplaœPart6)
o
Committee:
ø Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Ccmplete Part 5)
Recipient
Type of
1
o Amendment
Primarily Formed Candidatel
Officeholder Committee
(Also Complete Part 7)
o
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
Treasurer(s)
NAME OF TREASURER
"74
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D. NUMBER
I.
Committee Information
3.
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
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STREET ADDRESS (Nð'P.O.
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ASSISTANT TREASURER,
AREA CODE/PHONE
ZIP CODE
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STATE
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(IF DIFFERENT) NO. AND STREET OR
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
CITY
AREA CODE/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 contained herein and in the attached schedules is true and complete.
under penalty ofpe~ury under the laws oftl)e State of California that the foregoing is true and correct.
FAX
OPTIONAl:
E-MAIL ADDRESS
FAX
OPTIONAl:
certify
Treasurer
SignatureofContrdling
By
By
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Executed on
Executed on
er.Caodidate.StataMeasureProponan'
Signature of Controlling Officeholder, Caodidate, State Measure Propanenl FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866!ASK-FPPC (866/275-3172)
State of California
By
By
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Executed on
Executed on
COVER PAGE· PART 2
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2
Measure Committee
Primarily Formed Ballot
6.
Officeholder or Candidate Controlled Committee
5.
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
ì
l\..rvv
f any.
o SUPPORT
o OPPOSE
the controlling officeholder, candidate, or state measure proponent
JURISDICTION
BALLOT NO. OR LETTER
Identify
ZIP
LUDE lOCATION AND DISTRICT NUMBER IF APPLICABLE)
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STATE
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USUSINESS ADDRESS
OFFIC
RESIDENT~.
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Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STAlE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
DISTRICT NO. IF ANY
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
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7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s} or candldate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D 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 D SUPPORT
D OPPOSE
Attach continuation sheets
if necessary
FPPC Fonn 460 (January(05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
SUMMARY PAGE
covers period
~r
Statement
from
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
."
<~
of
oS
Page
b(~/Yc'Tr
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
.0. NUMBER
~ 7:'7 í
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Column B
CALENDAR YEAR
TOTAL TOOATE
to Date
7
through 6/30
1
t
L
$
ColumnA
TOTAL THIS PERIOD
{FROM ATTACHED SCHEDULES)
Q.
t
()
Contributions Received
$
Schedule A, Line 3
Schedule B, Line 3
Monetary Contributions
Loans Received. ........
SUBTOTAL CASH CONTRIBUTIONS
2,
3
$
$
20. Contributions
Received
Expenditures
Made
21
(
C
$
$
+2
Schedule C, Line 3
Add Lines
Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED
4,
5,
$
for State
Summary
$
Expenditure limit
Candidates
$
$
Add Lines 3 + 4
Expenditures Made
6, Payments Made
c
$
t
.~,
$
Schedule E, Line 4
Schedule H. Line 3
Made
Loans
7,
22. Cumulative Expenditures Made""
{If SubJecllo Voluntary Expenditure LImit}
!:.
~
$
$
Add Lines 6 + 7
SUBTOTAL CASH PAYMENTS
8,
Total to Date
Date of Ejection
(mm/dd/yy)
C'
Schedule F, Line 3
Schedule C, Line 3
(Unpaid Bills)
Nonmonetary Adjustment ........
TOTAL EXPENDITURES MADE
Accrued Expenses
9,
10.
$
$
"'Amounts in this section may be different from amounts
reported in Column B.
To calculate Column 8, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (i
any).
$
$
AddLínes8+9+1O
Cash Statement
Beginning Cash Balance
Cash Receipts
11
Current
12,
$
Previous Summary Page, Line 16
Column A, Line 3 above
13,
c
~
Line 4
Column A, Line 8 above
I,
Schedule
14. Miscellaneous Increases to Cash
15, Cash Payments
16. ENDING CASH BALANCE
$
Add Lines 12 + 13 + 14, then subtract Line 15
c
$
Schedule B, Part 2
Cash Equivalents and Outstanding Debts
8. Cash Equivalents. See instructions on reverse
Outstanding Debts
16 must be zero.
Une
17, LOAN GUARANTEES RECEIVED
this is a termination statement,
If
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
c
$
$
Add Line 2 + Line 9 in Column B above
19