425 Statement of No Activity 07-12-2010 Semi - Annual Statement of No Activity Type or print in ink Date Stamp STATEMENT OF NO ACTIVITY
+ .
For use by recipient committees that have not received any contributions and have not made any expenditures `'` U i idal Use Only
ar O
during the six -month period covered by a semi - annual statement. Candidate controlled committees formed for
an elective office may not use this form.
JUL 12 2010
See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and
information required to be provided to you pursuant to the Information Practices Act of 1977.
I.D. NUMBER
1. Committee Information 128747 Treasurer(
COMMITTEE NAME NAME OF TREASURER
CONCERNED CITIZENS OF CUPERTINO Marolyn O. Chow
MAILING ADDRESS
21941 Columbus Avenue
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE
20850 Pepper Tree Lane Cupertino CA 95014 408.257.7883
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 408,255.5175
%',A!L!!-G ADDRESS n>= rn9PrPPNT1 NO AND STREET MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX 1 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 10 ❑ July 1, through December 31, 20
3. Verification
I have used all reasonable diligence in preparing this statement, l have reviewed the statement and t th best of my owledge the information contained herein is
true and complete. I certify under penalty of perjury under the laws of the State of California that th fo oing is tr nd c
July 12, 2010
Executed on By
DATE SIGNATURE OF TR A RERtASSISTANT TREASURER
FPPC Farm 425 (Jan/01)
FPPC Toll -Free Helpline: 8661ASK -FPPC
8661275 -3772