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460 Recipient Committee Campaign Statement 12-31-2009 ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink, Statement covers period from 10/18/2009 through 12/31/2009 1. Type of Recipient Committee: All comminees -complete Parts t, 2, 3, and 4. ^ Officeholder, Candidate Controlled Committee ^ Primarily Farmed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (AlsoComplefePadS) Q Sponsored (Also Complete Part 61 x^ General Purpose Committee ® Sponsored ^ Primarily Formed Candidate) QSmaIlContributorCommittee Officeholder Committee QPoliticalPartylCentralCommittee (Also Complete Pert 7J 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) STREET ADDRESS (NO P.O. BOX) 20455 Silverado Avenue CITY STATE ZIP CODE AREA CODEIPHONE Cupertino, CA 95014 408-252-7054 MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I EMAIL ADDRESS Treasurerls) NAME OF TREASURER Bob Adams MAILING ADDRESS 20455 Silverdo Avenue CITY STATE ZIP CODE AREA CODEIPHONE Cupertino, CA 95014 408-252-7054 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 908-252-0638 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge 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 correct. n ~ ,~ -- --. Executed on `r ~ i l' ~' gy r + ~ ~' Dale Sgpptu ofTreasurerorAssistaMTreasurer Executed on d ~ O gy (l\//~\ Date SanatureM lira Ofiaelwlder CandiAateS .Meaurte PmmroMrcRxmnciNcrNfimrr~Rmrenr Executed on gy Date SignalureMConttdFngOficelwlder,Candidate, Slate Meawre Proponent Executed on g Date y SignatureMConaolrngOfiaelwlder,Candidale,SlateMeasureProponent FPPCForm460(JanuarylOS) FPPC Toll•Free Helpllne: 8661ASK•FPPC (88612753172) State of Callfomla Date of election If appll (Month, Day, Year) 2. Type of ^ Preelection Statement ® Semi-annual Statement ^ Termination Statement Date Stamp [~C~L~UU COVER PAGE 1 of 11 FEB " ~ ~ For Official Use Only ^ Quarterly Statement ^ Special Odd-Year Report (Also file a Form 410 Termination) ^ Amendment (Explain below) ^ Supplemental Preelection Statement-Attach Form 495 Recipient Committee Campaign Statement Cover Page -Part 2 Type or print In Ink, COVER PAGE-PART2 Page z of u 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALIBUSINESSRDDRESS (N0. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Lisranycommiffees not included in this statement that are controlled by you or are primarily formed to receive confrihufions or make expenditures on hehaN of your candidacy. COMMITTEENAME NAME OF TREASURER I.D. NUMBER CONTROLLEDCOMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS(NOP.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLEDCOMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE 6. Primarily Formed Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOTNO.ORLETTER I JURISDICTION ^ SUPPORT ^ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT N0. IF ANY 7. Primariy Formed CandidatelOfficeholderGommittee Lisrnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE Attach continuation sheets i/necessary FPPC Form 460 (January106) FPPC Tollfree Helpline: 8661ASK•FPPC (6661276)712) State of California Campaign Disclosure Statement Summary Page Type or print In Ink. Amounts may be rounded to whole dollars. $ 11,752.85 SUMMARY PAGE SEE INSTRUCTIONS ONREVERSE through 12/31/2009 Page 3 of 11 NAME OF FILER I.D. NUMBER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) 1299673 Contributions Received Column A column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHEDSCHEDULE5) CALENDARYEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................... ................ s~neduieA, Line 3 $ 9, 950.00 $ 11, 950.00 2. Loans Received ...................................... ................ scnedule B, Line 3 0.00 0.00 1H through 6130 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ..... .................... Addlines t +2 $ 9, 950.00 $ 11, 950.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................... ................ schedule c, Line 3 0.00 0.00 21. Expenditures 5. TOTALCONTRIBUTIONSRECElVED .... ....................... Addlines 3+4 $ 9, 950.00 $ 11, 950.00 Made $ $ Expenditures Made 6. Payments Made .......................................... ............. scnedDlee,une4 $ 11,599.85 7. Loan$ Made ................................................ ............. Schedule H,Line3 0.00 0 CI IDT/1Tlll !\"PIIDA\~I "r\ITn u. ~w l v lnwnon rr+unuv l ~ ................... ................. Add Lines 6 t 7 $ 11, 599.85 9. Accrued Expenses (Unpaid Bills) .............. .................scneduleFUne3 -6,448.66 10. Nonmonetary Adjustment .......................... ................scneduiec,line3 0.00 11. TOTAL EXPENDITURESMADE .................. ..............Addunesa+9~to $ 5,151.19 Current Cash Statement 12. Beginning Cash Balance ....................... arevious summaryPage, Line is $ 2,195.23 13. Cash Receipts ................................................... Column A,une3above 9,950.00 14. Miscellaneous Increases to Cash ........................... scnedmel,une4 0.00 15. Cash Payments .................................................. Column A, LineBabove 11,599.85 16. ENGING CASH BAtJ1NCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 545.3 8 I(this is a termination statement, Line 16 must 6e zero. 17. LOAN GUARANTEES RECEIVED ........................... schedule e, Parr2 $ o. 00 Cash Equivalents and Outstanding Debts 1 ii. C2sh EqulvalentS ........................................ See inshucfions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line2+Line9inCDlumnaabove $ o.oo Statement covers period from 10/18/2009 0.00 $ 11,752.85 o.oo $ 11.152.85 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). Expenditure Limit Summary for State Candidates 22. Cumulative Exoendltures Made" Ja SubJectto Volunhry Etpendnure Limn) Date of Election Total to Date (mmlddtyy) ~ ~-~ $ ~~ $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 480 (January105) FPPC Toll•Free Helpllne; 8881ASK•FPPC (8881278x772) chedule A Type or print in Ink. SCHEDULE A monetary contnputions Received ~~~~~~~~~~ ~~~ar 4a i~anavu Statement covers period to whole dollars. ~ ~ • ~ ~ ' from to/la/zoo9 , ~ SEEINSTRUCTIONS ON REVERSE through 12/31/2009 page a of 11 NAME OF FILER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) I.D. NUMBER 1299673 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE70 DATE PER ELECTION RECEIVED pFCOMMinEE,AfsoENrERi.D.NUMBERI CODE OCCUPATIONANDEMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QFSEIF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 10/23/2009 PG&E ^IND 1,500.00 1,500.00 ^COM 77 Beale StreeC 0 0TH Received through in ermediaxy ^ PTY Cupertino Chamber o 20455 Silverado Ave Commerce ue San Francisco, CA 94105 ^SCCi Cupertino, CA 95 14 10/28/2009 irokawa John X^IND Administrator 100.00 100.00 ^ COM 20132 Chateau Drive ^ 0TH Santa Clara County S ^ PTY aratoga, CA 95070 ^s~~ 10/28/2009 Laurie Smith -Sheriff (8980190) ^IND 1,000.00 1,000.00 QCOM 2110 Park Avenue r-l I1Tu U ~,„ San Jose, CA 95126 ^ PTY ^SCC 10/28/2009 plaza Loans ^IND z5o.oo 250.00 ^COM 1155 Meridian Avenue, 8214 x^OTH San Jose, CA 95125 ^ PTY ^SCC 10/28/2009 C r1s[op er sc u RIND Attorne Y 500.00 500.00 ^COM 10 Almaden Blvd., Suite 1250 ^OTH Self-Employed (Same) San Jose, CA 95113 ^ PTY ^SCC SUBTOTALS 3, 350 00 3~ ~~, ~ ~~~ ~ ~ ~ . Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................ $ 9, 950.00 2. Amount received this period- unitemizetl monetary contributions of less than $100 ............................. $ o. 00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 9, 9so. 00 '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 FPPC Form 480 (January105) FPPC Toll•Free Helpiine: 8581ASK-FPPC (8881275.3772) chedule A (Continuation Sheet) Type orprlntlnlnk SCHEDULER (CONT.) aa~..~L~.... A~._L :L..a!_~_ A_ _ _ _ _~ rnVrrr~afy VUtI[fI1JUilOflS K@C@IVeQ Amounrsmayoerounaea Statamentcoversperlod ' towholedollars. a ~ I from 10/18/2009 , ~' through lz/31/zoo9 page 5 of 11 NAME OF FILER I.D. NUMBER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) 1299673 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED prcoMNInEE,ALSOENrERLD.NUMeERI CODE * OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OFBUSINESS) 11/02/2009 PPle Inc ^IND ^COM 6,000.00 6,000.00 1 Lnfinite Loop ^x OTH Cupertino, CA 95019 ^ PTY ^SCC 11/02/2009 Carl Thomas Guardino ^xIND ^COM CEO 100.00 100.00 489 Bird Avenue ^OTH ^ Pn, Silicon Valley Los Gatos, cA 95032 Leadership Group ^SCC 11/02/2009 Orley Bros. LLC ^IND nrn~e __,., 500.00 500.00 506 North Santa Crvz Avenue ^x 0TH Los Gatos, CA 95030 ^ Pn ^SCC ^IND ^COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTALS ` 6 600 00 ,~ 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH - Ofher (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Fonn 480 (January105) FPPC Toll•Free Helpllne: 8861ASK•FPPC (8861215.3772) Schedule D el 1~.,~.,.,. ,.~ ~,........a:....-- S(:HFtxJI Ff) VNIIIIIINI' VI VA`/611WRNI~i, lyptl ur pnn[ m ma' Statement covers period Supportingl0pposingother amounts may be rounded ~ 1 ~ - 1 ~ ' to whole dollars, ~- ~ Candidates, Measures and Committees to/1e/2oo9 from SEEINSTRUCTIONS ON REVERSE through 12/31/2009 Page 6 of 11 NAME OF FILER I.D. NUMBER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) 1299673 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, QF REDUIRED) CALENDAR YEAR TO DATE ORCOMMITTEE PERIOD IJAN.1-DEC.31) QFREDUIRED) 10/29/2009 Darcy Pau 0 Monetary Mailer 1,708.06 3,957.62 Ci[y Council Member Contribution Ci[y of Cupertino ~ Nonmonetary Contribution ® Independent ~x Support ~ Oppose Expenditure 10/29/2009 Mahesh Nihalani ~ Monetary Mailer 1,708.07 3,857.62 City Council Member Contribution City of Cupertino ~ Nonmonetary ('.nnfrihi Jinn ^x Independent ® Support 0 Oppose Expenditure 10/29/2009 Oxrin Mahoney Mailer 1 708.06 3 857 61 Q Monetary , , . City Council Member Contribution Ci[y of Cupertino ~ Nonmonetary Contribution ~ Independent © Support ~ Oppose Expenditure SUBTOTAL E 5 124 19 ';' ~ ~ ; , ~~ ..,..~ ; x Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $ 5,124.19 2. Unitemizetl contributions and independent expenditures made this period of under $100 ..................................................................................... $ o. 00 3. Total contributions and independent expenditures made this period. (Atltl Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ 5,124.19 FPPC Form 480 (January105) FPPC Toll-Free Helpllne: 8661ASK-FPPC (8861275.3772) chedule E Payments Made SEEINSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. NAME OF FILER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) Statement covers period SCHEDULEE from 10/18/2009 through 12/31/2009 Page ~ I.D. NUMBE of 11 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ClvP campaign paraphemalialmisc. MBR membercommunicatians RAD radio airtime and production costs CNS campaign consultants MiG 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 filinglballot fees PFp phone banks TRC candidate travel, lodging, and meals FNA fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals ~ independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads VuEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF PAYEE prcouMinee,AtsoFNleRlo.NUUSeR) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Robinson Communications Inc. IND Mailer to support Nihalani, Mahoney and Paul for Cupertino 2,000.00 City Council (See Sch D) 10679 Farallone Drive ' ~upci uuu, in 9>viti Robinson Communications Inc. IND Mailer to support Nihalani, Mahoney and Paul for Cupertino 3,350.00 City Council (See Sch D) 10679 Farallone Drive Cupertino, CA 95014 Robinson Communications Inc. IND Mailer to support Nihalani, Mahoney and Paul for Cupertino 2,129.19 City Council (See Sch D) 10679 Farallone Drive Cupertino, CA 95019 x Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTALS 7,474.19 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 11, 572.85 2. Unitemizedpaymentsmadethisperiodofunder$100 ...:...................................................................................................................................... $ z7.oo 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column (e).) ............................................................................... $ o. 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 11, 599.85 FPPC Form 480 (January105) FPPC Toll•Free Helpline; 8881ASK•FPPC (8881275.3772) chedule E (Continuation Sheet) Payments Made NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) Statement covers period SCHEDULE E (CONY) from 10/18/2009 through 1z/31/zoo9 Page a of 11 I.D.NUMBER 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CfvP campaign paraphemallalmisc. ~ CNS campaign consultants MTG CTB contdbution (explain nonmonetary)` OFC CVC civic donations p~ FIL candidate filinglballot fees p-p FPD fundraising events ppL DD independent expenditure supportinglopposing others (explain)` POS LEG legal defense p~ L(T campaign literature and mailings PR7 member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staftlspouse travel, lodging, and meals TSF transfer between commidees of the same candidatelsponsor VOT voter registration WEB information technology costs (intemet, a-mail) NAMEANDADDRESSOFPAYEE pF COMMITTEE, AL50 ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Robinson Communications Inc. 10679 Farallone Dzive Mailer to support Nihalani, Mahoney and Paul for Cup City Council (See Sch D) rtino Cupertino, CA 95019 o~~,: ~..,,., n IND 3,000.00 10679 Farallone Drive Cupertino, CA 95014 IND Mailer to support Nihalani, Mahoney and Paul for Cup City Council (See Sch D) rtino 1,098.66 r'ayments that are contributions or Independent expendhures mustalso be summarized on Schedule D. SUBTOTAL E 4, 098.66 FPPC Form 480 (January105) FPPC Toll-Free Helpline: 8861ASK-FPPC (6861275.3772) chedule F Type or print In Ink SCHEDULE F Amounts may be rounded Statement covers period 1 ' 4 , ' Accrued Expenses (Unpaid Bills) toWhol@dollars. 10/18/2009 1 from SEEINSTRUCTIONSONREVERSE through 12/31/2009 page 9 of 11 NAME OF FILER I.D. NUMBER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHP campaign paraphemalialmisc. 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 FlL civic donations candidate filinglballot fees Ffr pefition circulating TEL t.v, or cable airtime and production costs FND fundraising events PFIO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals stafflspouse travel, lodging and meals PiD independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF , transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LfT campaign literature and mailings PRT print ads VNEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF CREDITOR pP coMMirrEE, Aso ENTER rD. NuMaERI CODE OR DESCRIPTION OF PAYMENT (Q OUTSTANDING (b) AMOUNTINCURRED lot AMOUNTPAID (d) OUTSTANDING BALANCEBEGINNING THIS PERIOD THIS PERIOD BALANCEATCLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Robinson Communications Inc. IND Mailer to support 6,498.66 0.00 6,498.66 0 00 Nihalani, Mahoney and . 10679 Farallone Drive Paul for Cupertino City Cupertino, CA 95019 Council (See Sch D) ^ rayments roar are contributions or independent ezpenddures must also be summarized on Schedule D, SUBTOTALS a 6, 448.66E 0.00 ~ 6, 448.66 ~ 0.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ o. 00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 6, 448.66 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ -6,448.66 8`/ b2 B~IVe nUlAbpf FPPC Form 480 (January105) FPPC Toll•Free H@Ipllne: 8861ASK-FPPC (8651275.3771) chedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) NAME OF AGENT OR INDEPENDENT CONTRACTOR Pacific Printing Type or print In ink. Amounts may be rounded towholedollars. Statement covers from to/le/zoo9 through 12/31/2009 Page to of 11 I.D. NUMBER 1299673 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CfuP campaign paraphernalialmisc. MBR membercommunications 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 FlL civic donations candidate filinglballat fees PE7 petition circulating TFl t.v. or cable airtime and production costs FND fundraising events PIiO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals staftlspouse travel, lodging and meats PD independent expenditure supporlinglopposing others (explain)" POS postage, delivery and messenger services TSF , transfer between committees of the same candidalelsponsor LEG LIT legal defense PRO professional services (legal, accounting) VOT voter registration campaign literature and mailings PRT print ads VuEB information technology costs (intemet, a-mail) 'Payments that are contributions or Independent expenditures mustalso be summarized on Schedule D. NAMEANDADDRESSOFPAYEEORCREDITOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID United States Postal service 21701 Stevens Creek Blvd. Cupertino CA 95014 IND Postage for mailer to support ""`''" didiiuiiey auu paui i~ee SChpD) 1 1,019.88 Attach additional information on appropriately labeled continuation sheets. TOTAL* E 1, 019. as " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (January105) FPPC Toll•Free Helpllne: 8561ASK•FPPC (8661275.3772) chedule G Payments Made by an Agent or Independent Type or print in ink. Amounts may be rounded SCHEDULE G Statement covers period . Contractor (on Behalf of This Committee) towholedollars, ~ , from 10/18/2009 ~ • ' ~ ' SEEINSTRUCTIONSONREVERSE through 12/31/2009 Page 11 Cf it NAME OF FILER I.D. NUMBER Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) 1299673 NAME OF AGENT OR INDEPENDENT C(?NTRACTOR Robinson Communications .Inc. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtuP campaign paraphemalialmisc. MBR membercommunications RAD radio airtime and production costs CNS campaign consuflants MiG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryp OFC office expenses SAL campaign workers' salaries CVC civic donations FlL PET petition circulating TEL t,v or cable airtime and production costs candidate flinglballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals ~D independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (intemet a-mail) * Payments that are contributions or Independent expendRures must also be summarized on Schedule D. NAMEANDADDRESSOFPAYEEORCREDITOR QF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing IND Mailing services for mailer to 795.15 2260 Monterey Road support Nihalani, Mahoney ono Paul (See Sch D) San Jose CA 95112 Pacific Printing IND Postage for mailer to support 1,019.88 2260 Monterey Road Nihalani, Mahoney and Paul (See SCh D) San Jose CA 95112 Pacific Printing IND Printin for mailer to su ort g PP 1,652.19 2260 Monterey Road Nihalani, Mahoney and Paul (See SCh D) San Jose CA 95112 Attach additional information on appropriately labeled continuation sheets. TOTAL* 5 3, 467.22 " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 450 (January105) FPPC Toll•Free Helpline: 85WASK•FPPC (6661275.3772)