470 Officeholder and Candidate Campaign Statement 08-03-2010 Officeholder and Candidate SHORTFORM
Campaign Statement — Type or print! n ink D a a PR , Short Form
(GovernmentCodeSedon84206) Date of election ifapplicable: El Amendment (E )pIanBebw) ,, �t0 OfraelUseOny
(Month, Day, Year)
1 1/8/2009 C PERTINO CITY CLE 1K
1. Statement Covers Calendar Year 20 10 .
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT ORHELD
Orrin Mahoney City Counciimember
STREET ADDRESS JU RISDICTION (LOCATION) DISTRICT NUMBER
(IF APPLICABLE)
10940 Miramonte Rd City of Cupertino
CITY STATE ZIPCODE
Cupertino CA 95014
AREA CO DE/DAYTIME PHONE NUMBER OPTIONAL: FAX /E -MAIL ADDRESS
408- 725 -1767 oninmahoney @comcas
4. Committee Information
List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS NAME OF TREASURER
Orrin Mahoney for Council -2009 10940 Miramonte Rd Carolyn Krizek- Mahoney
1319770 terminated 2- 5-2010 Cupertino, CA 95014
5. Verification
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $1,000 nd that I will spend less than $1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statement. I cert er pe erjury under the laws of the State of
California that the foregoing is tnie and correct
Executed on 3 v BY
DATE SIGNATURE OF OVIHCLDER ORCANDIDATE
FPPC Form 470 (June/01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC