460 Semi-Annual July
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
January 1, 2006
JLJQfl 30,~61J6
d~ Q,~
from
through
1. Type of Recipient Committee: All Committees
o Officeholder, Candidate Controlled Committee 0
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
Complete Parts 1, 2, 3, and 4.
Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(Also Complete Part 6)
~ General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1287471
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
3. Committee Information
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS (NO P.O. BOX)
20850 Pepper Tree Lane
CITY
Cupertino
MAILING ADDRESS (IF DIFFERENT) NO.
STATE ZIP CODE
CA 95014
AREA CODE/PHONE
408.255.5175
AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
COVER PAGE
Date of election if applica
(Month, Day, Year)
Official Use Only
2. Type of Statement:
o Preelection Statement
112I Semi-annual Statement
o Termination Statement
(Also file a Form 410 Termination)
o Amendment (Explain below)
o Quarterly Statement
o Special Odd-Year Report
o Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
Marolyn O. Chow
MAILING ADDRESS
21941 Columbus Avenue
CITY
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
ZIP CODE
AREA CODE/PHONE
408.257.7883
STATE
CA
95014
MAILING ADDRESS
CITY
STATE
AREA CODE/PHONE
ZIP CODE
OPTIONAL: FAX / E-MAIL ADDRESS
erein and in the attached schedules is true and complete. I certify
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k ~I. dge the information cont . e
under penalty of perjury under the laws of the State of California that the foregoing is true and correct ~
E t d July 29, 2006 B r
xecu e on y
Date Signatur Treasurer or Assistant Treasurer
Executed on By
Oate
Executed on By
Dale
~xecuted on By
Date
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
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
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Concerned Citizens of Cupertino
SCHEDULE A
from
January 1 , 2006
through
July 29, 2006
Page of
I.D. NUMBER
1287471
DATE
RECEIVED
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
6/17/06
$100
6/17/06
6/17/06
6/17/06
6/17/06
Donald Drucker
10416 Anson Avenue
Cupertino, CA 95014
i21IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
DIND
~COM
DOTH
DPTY
DSCC
Systems Manager,
Advanced Micro Devices
$100
Hans Tanner
10195 Avocado Place
Cupertino, CA 95014
James Walker
1101 South Winchester
SanJose,CA 95128
Ardith West
1021 Tuscany Place
Cupertino, CA 95014
Save Our City
20622 Cheryl Drive
Cupertino, CA
20
20
25
25
50
50
FPPC #: 1264630
1,000
1,000
SUBTOTAL $
$1 ,195 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
1,195.00
1,195.00
FPPC Form 460 (January/OS)
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
January 1, 2006
CALIFORNIA 460
FORM
from
Statement covers period
through
1
July 29,2006
Page 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 8, 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 ,195
1,195
1,195
$
1,195
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
7/1 to Date
$
1,195
20. Contributions
Received $
21. Expenditures
Made $
$
$
1,195
$
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 $
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(If Subjecl 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 ................................................... Column A, 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 $
/f this is a termination statement, Line 16 must be zero.
o
1,195
1,195
To calculate Column B, 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 8, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line 2 + Line 9in Column 8 above $
1.195
----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)