425 Semi-Annual Statement of No Activity STATEMENT OF NO ACTIVITY
Semi-Annual Statement of No Activity Type or print in ink
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For use by redpient committees that have not received any contributions and have not made any expenditures For O(idal Use Only
during the six-month period covered by asemi-annual statement. Candidate controlled committees formed f cco
an elective office may not use this form. -
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See the Information Manual on Campaign Disclosure Provisions ofthe Political Reform Actfor additional information a d
information required to be provided to you pursuant to the Information Practices Act of 1977. ^~ C^ZIAIo nl~ n~Ce
LD.NUMBER~
1. Committeelnformation (2~~
Treasurer(s)
COMMITTEE NAME NAMEOFTREASURER
CONCERNED CITIZENS OF CUPERTINO Marolyn 0. Chow
MAILING ADDRESS
21941 Columbus Avenue
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE
20850 Pepper Tree Lane Cupertino CA 95014 408257.7883
CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 408.255.5175
MAILING ADDRESS (IF DIFFERENT) N0. AND STREET MAILWIi AuunESS
CITY STATE ZIP CODE AREACODEIPHONE CITY STATE ZIP CODE AREACODEIPHONE
OPTIONAL: FAXIE-MAILADDRESS
2. Period of No Activity
OPTIONAL: FAXIE-MAILADDRESS
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 _
3. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statemr
true and complete. I certify under penalty of perjury under the laws of the State of California
January 30, 2010
Ezecutetl on
DATE
By
~ July 1, through December 31, 20 09
to the best of my knowledge the information contained herein is
FPPC Form 425 (Jan101)
FPPC Toll•Free Helpline: 8661ASK•FPPC
86612753772