460 Semi-Annual July amendment
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
January 1, 2006
from
SEE INSTRUCTIONS ON REVERSE
June 30, 2006
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
D
Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
D Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(Also Complete Part 6)
Ii2I General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information
1.0. NUMBER
1287471
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS (NO P.O. BOX)
20850 Pepper Tree Lane
CITY STATE ZIP CODE
Cupertino CA 95014
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
AREA CODE/PHONE
408.255.5175
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAil ADDRESS
COVER PAGE
Date Stamp
[E~lE~\YI
Date of election if appliea
(Month, Day, Year)
DEe - 6 2006
CITY CLERK
o
D
D
2. Type of State me
D Preelection Statement
~ Semi-annual Statement
D Termination Statement
(Also file a Form 410 Termination)
Ii2I Amendment (Explain below)
inadvertant misstatement of contribution
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
Marolyn O. Chow
MAILING ADDRESS
21941 Columbus Avenue
CITY STATE
Cupertino CA
NAME OF ASSISTANT TREASURER, IF ANY
ZIP CODE
95014
AREA CODE/PHONE
408.257.7883
MAILING ADDRESS
CITY
STATE
AREA CODE/PHONE
ZIP CODE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my jr.no ledge 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 corrett. I ..~
Executed on
December 4, 2006
Date
By
Executed on
By
Executed on
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Date
Date
Executed on
By
Date
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Concerned Citizens of Cupertino
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A
CALIFORNIA 460
FORM
Statement eovers period
from
January 1, 2006
through
June 30, 2006
page~Of~
1.0. NUMBER
1287471
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE *
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
PER ELECTION
TO DATE
(IF REQUIRED)
6/17106
Save Our City
20622 Cheryl Drive
Cupertino, CA 95014
DIND
~COM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
OiND
DCOM
DOTH
DPTY
DSCC
FPPC#: 1264630
1,190.51
1,190.51
SUBTOTAL $
1,195.51 I
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period - unitemized monetary contributions of less than $100............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
1,365.51
1,365.51
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Concerned Citizens of Cupertino
Type or print in ink.
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
from
January 1, 2006
through
1
Statement covers period
CALIFORNIA 460
FORM
June 30, 2006
Page -3- of ~
I.D. NUMBER
1287471
Contributions Received
Column B
CALENDAR YEAR
TOTAl TO DATE
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Column A
TOTAl THIS PERIOD
(FROM ATTACHED SCHEDULES)
$
1,365.51
$
1,365.51
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30
7/1 to Date
$
1,365.51
$
1,365.51
20. Contributions
Received $
21. Expenditures
Made $
$
$
1,365.51
$
1,365.51
$
Expenditure Limit Summary for State
Candidates
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4 $
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ........ ........................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $
$
22. Cumulative Expenditures Made.
(If Subject to VOluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
Total to Date
$
-----1-----1_
$
$
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page. Line 16
13. Cash Receipts ................................................... ColumnA, Line 3 above
14. Miscellaneous 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 subtract Line 15
If this is a termination statement, Line 16 must be zero.
$ 0
1,365.51
1,365.51
$
$
$ 1,365.51
$
To calculate Column S, 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 (if
any).
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
-----1-----1_
$
"Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)