460 Recipient Committee Campaign Statement 07-30-2010 Recipient Committee T ype or print in ink Date Stamp IrO fficiall 7On
Cover Page [5 [ [] W
(Government Code Sections 84200 - 84216.5) o Statement covers period Date of election if applica
from 01/01/2010 (Month Day, Year) AUG — 2 2010 Use
SEE INSTRUCTIONS ON REVERSE through 06/30/2010
1. Type of Recipient Committee All Committees— Complete Parts 1 , 2, 3, and 4. 2. Type of Statemen .
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement
Q State Candidate Election Committee Committee Semi - annual Statement ❑ Quarterly Statement
Q Recall Q Controlled ® ❑ Special Odd -Year Report
Co Q S E] Termination Statement E] Supplemental Preelection
(Also Recall
Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495
F General Complete Part 6) ) General Purpose Committee ❑ Amendment (Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party /Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER Treasurer(s)
1320352
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Marty Miller for Council 2009 Claudette Miller
MAILING ADDRESS
2 03 4 8 Clay Street
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE
20348 Clay Street Cupertino CA 95014 408/253 -1168
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 408/253 -1168
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS
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.
Executed on Z/ By
�Z Date / S' surerorAss' nt r
Executed on 1 By '
Date 'Sioudure of Controlling r, Candidate. State Measure Proponent or Responsible Officer ofSponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Sgnature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2763772)
State of California
Recipient Committee Type or print in ink. COVERPAGE -PART2
CALIFORNIA
Campaign Statement • 1
Cover Page — Part 2 FORM
Page
S. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Marty Miller N/A
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
City Council f Cupertin ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
N/A
NAME OF TREASURER CONTROLLED COMMITTEE? 7 • Primarily Formed Candidate /Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
N/A NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES r - 1 NO E] SUPPORT
❑ OPPOSE
COMM ITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2764772)
State of Califonila
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded
Summary Page to whole dollars. Statement covers period CALIFORNIA I
from
01/01/2010 FORM •
SEE INSTRUCTIONS ON REVERSE through 0 6/30/201 0 Page --13-- of
NAME OF FILER
/ I.D. NUMBER
2 C'0 t-+ ti'c 1 v C 1320352
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions ............ ............................... Schedule A Line 3 $ $
2. Loans Received ....................... ............................... Schedule s, Line 3 1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines l +2 $ �rZ�cG I L ' $ _�G�L�gU 20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... Schedule C Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...... ..................... Add Lines 3 +4 $ '.2�oGl• �� $ � `�d Y yy Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule E, Line 4 $ 0 $ Candidates
7. Loans Made .............................. ............................... Schedule H Line 3 U
22. Cumulative Expenditures Made*
8. SUBTO ALCASHPAYMENIS ..... ............................... Add Lines 6 +7 $ C:° $ (if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 C , rZ"i
Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... Schedule C Line 3 Q (mm /dd/yy)
11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ C $ _�� $
Current Cash Statement $
12. Beginning Cash Balance ....................... Previous summary Page Line 16 $ D 1 3 ; / U To calculate Column B add
13. Cash Receipts .................... ............................... Column A, Line 3 above amounts in Column A to the
1
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 tV corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B.
15 . Cash Payments ................... ............................... Column A, Line 8 above �o ' 1 • l report. Some amounts in
COlumn A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
any).
18. Cash Equivalents ......... ............................... See instructions on reverse $ }� f
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ w' C I O FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Type or print In ink
Schedule B —Part 1 Amounts may be rounded Statement covers period C
Loans Received to whole dollars. 01/01/2010 i !
from FORM
th 06/30/2010 Pa o
SEE I NSTRUCTIONS ON REVERSE a � 9
NAME OF FILER I.D. NUMBER
Al TG/ /11 l L L t e_. V P— uA-r 1320352
IF AN INDIVIDUAL, ENTER OUTSTANDING M t�) OUTSTANDING e
FULL NAME, STREET ADDRESS AND 21P CODE AMOUNT AMOUNT PAID INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE BALANCEAT
OF (ENDER OFSELF.EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
( IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD* PERIOD LOAN TO DATE
+- I ❑ PAID CALENDAR YEAR
d a, ' 1 r a j_ Ile k_ r o f� d f 3 IIt)
C) �-�` ( C �} JT + � I , ,- ❑ FORGIVEN RATE PER ELECTION`
f
T IND ❑ COM ❑ OTH ❑ PTY ❑ SCC f f DATE DUE DATE INCURRED f
❑ PAID CALENDAR YEAR
❑ FORGIVEN RATE PER ELECTION
f f f S f
to IND n COM n OTH n PTY rl SCC DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
❑ FORGIVEN RATE PERELECTION"
f f f S f
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ 9.& $ -� V q'q $
(Erder(e)on
Schedule B Summary Sd*dL#e E, LO& 3)
1. Loans received this period ...................... $ 0
....... ........................................................ ...............................
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
IND individual
2. Loans paid or forgiven this period .......................................................................... ............................... $ � I, Q COM Recipient Committee
(Total Column (C) plus loans under $100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity)
PTY — Political Party
3. Net change this period. (Subtract Line 2 from Line 1.)... ............. ............................... NET $ Contributor Committee
Enter the net here and an the Summary Page, Column A, Line 2. (May be aneWAvenumber)
+Q forgiven or paid by another party also must be reported on Schedule A.
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK -FPPC (8661275 -3772)