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460 Semi-annual Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from July 1, 2006 SEE INSTRUCTIONS ON REVERSE December 31, 2006 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. o Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) Ii2l 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 Date of election if appl (Month, Day, Year) 2. Type of Statement: o Preelection Statement Ii2l Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) ~ 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 STATE CA ZIP CODE 95014 AREA CODE/PHONE 408.257.7883 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAil ADDRESS e in and in the attached schedules is true and complete. I certify 4. Verification I~ /1 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k~E{W~IEie the infor under penalty of perjury under the laws of the State of California that the foregoing is true and corr1 E t d January 29, 2007 B fLlJd xecu e on Y Date Executed on By Date Executed on By Date Executed 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 Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period July 1, 2006 CALIFORNIA 460 FORM December 31, 2006 2 4 from through 1 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 20.00 $ 1,405.51 $ 20.00 $ 1,405.51 $ 20.00 $ 1,405.51 of Page 1.0. NUMBER Contributions Received 1287471 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 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ $ $ 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 Subject to Voluntary EXPEonditure 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 $ Ifthis is a termination statement, Line 16 must be zero. 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 9 in Column 8 above $ 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). ---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 (866/275-3712) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SCHEDULE D Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1, 2006 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER th h December 31, 200E roug 3 4 Page_ of_ I.D. NUMBER 1287471 D Support D Oppose TYPE OF PAYMENT ~ Monetary Contribution 0 Nonmonetary Contribution D Independent Expenditure D Monetary Contribution 0 Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 10/20/06 CARe No on D & E $500.00 $500.00 ~ Support D Oppose D Support D Oppose SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $ 2. Unitemized contributions and independent expenditures made this period of under $1 00 ..................................................................................... $ 500.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE E Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1,2006 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER through )ecember 31, 200E P 4 f 4 age_ 0_ I.D. NUMBER 1287471 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0vP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Washington Mutual Bank Bank Checks 10250 South DeAnza Boulevard OFC $20.00 Cupertino, CA 95014 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 20.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 20.00 20.00 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)