425 Statement of No Activity 01-18-2011 Semi-Annual Statement of No Activity Type or print in iA ..' y STATEMENT OF NO ACTIVITY
CALIFORNIA 425
FORM
For use by recipient committees that have not received any contributions and have not made any expenditures JAN 2 4 2011 For Official Use Only
during the six -month period covered by a semi - annual statement. Candidate controlled committees formed r trI
an elective office may not use this form.
See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional informatior aCUPERTINO CITY CLERK
information required to be provided to you pursuant to the Information Practices Act of 1977.
I.D. NUMBER
1. Committee Information 1299673 Treasurer(s)
COMMITTEE NAME NAME OF TREASURER
Cupertino Chamber PAC Matthew Wheeler
MAILING ADDRESS
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL. FAX! E -MAIL F. DRESS 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 beiow:
Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 13 July 1, through December 31, 20 10
3. Verification
1 have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my'<nowledge the information contained herein is
true and complete. I certify under penalty of perjury under the laws of the State of California that th �is true and correct.
January 18, 2011 By
�
Executed on
DATE SIGNATURE OF TREASURER /ASSISTANT TREASURER
FPPC Form 425 (Jan /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
866/275 -3772