425 Statement of no activity (2) ~r~il[~~~~~1
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Semi-Annual Statement of No Activity
Type or print in ink STATEMENT OF NO ACTIVITY
Date Stamp - - . ,
For use by recipient committees that have not received any contributions and have not made any expenditures
during the six-month period covered by asemi-annual statement. Candidate controlled committees formed for
an elective office may not use this form.
See the Information Manual on Campaign DisGosure Provisions of the Political Reform Ad for additional information and
information required to be provided to you pursuant to the Information Practices Ad of 1977.
1. Committee Information 11287471
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS (NO P.O. BOX)
20850 Pepper Tree Lane
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 408.255.5175
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET
Treasurer(s)
For Official Use Only
NAME OF TREASURER
Marolyn O. Chow
MAILING ADDRESS
21941 Columbus Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 408.257.7883
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
OPTIONAL: FAX/E-MAIL ADDRESS
2. Period of No Activity
No contributions have been received and no expenditures have been made during the period covering the dates below
Check one of the following boxes and complete the year. ^ January 1, through June 30, 20 - ^X July 1, through December 31, 20 08
3. Verification
have used all reasonable diligence in preparing this statement. I have reviewed the statement and 4-the best of my knowled ~ n~mation coptained herein is
true and complete. I certify under penalty of perjury under the laws of the State of California that tly~for pjng fl'u -end re 1
January 28, 2009 Ltt- ~~~ `''~-, ~ ~ ~- ~, _ . ~ ~ . ~/
Executed an By
DATE SIGNATURE OF TR~.45 ER/ASSISTANT TREASURER
FPPC Form 425 (Jan101)
FPPC Toll-Free Helpline: 866lASK-FPPC
8661275.3772