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460 Recipient Committee Campaign Statement 06-30-2010 L5 © t tl \ L ri COVER PAGE Recipient Committee Type or print in ink. Date Stamp isR,L IPORNIA Campaign Statement 460 Cover Page AUG — 5 2010 raRM (Government Code Sections 84200 - 84216.5) 1 3 Statement covers period Date of election if applicable: 01/01/2010 (Month, Day, Year) CUPERTINO CITY CLEHK�o Official Use Only from SEE INSTRUCTIONS ON REVERSE through 06/30/2010 11/03/2009 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure IT Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ® Semi - annual Statement ❑ Special Odd -Year Report Q Recall 0 Controlled Termination Statement ❑ ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored Also file a Form 410 Termination) ) Statement - Attach Form 495 (Also 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) 1319625 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Darcy Paul for Cupertino City Council 2009 Betsy Shoup MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS Same 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 June 30 , 2010 By Date Signature of Treasu r or Assistant Treasurer Executed on June 30 , 2010 By 7--- Date Signature of Controlling ffif eho er, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866 /ASK -FPPC (866/2753772) State of California Type or print in ink. COVER PAGE -PART2 Recipient Committee Campaign Statement CALIFORNIA 46 0 Cover Page — Part 2 Page 2 of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Darcy Paul for Cupertino City Council 2009 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT Cupertino City Council ❑ 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 11.D. NUMBER 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 Li 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 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 ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. from 01/01/2010 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2010 Page 3 of 3 NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 2009 1319625 ColumnA Column a Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE g ma rY General Elections 1. Monetary Contributions Schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C, Line 3 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED AddLines3 +4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E, Line 4 $ $ Candidates 7. Loans Made Schedule H, Line 3 77 Cumulative. F Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C, Line 3 (mm/dd /yy) 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ $ ______/_J $ Current Cash Statement J_I $ 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 1,177 To calculate Column B, add 13. Cash Receipts Column A, Line 3 above amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I, Line 4 from Column B of your last reported in Column B. 15. Cash Payments Column A, Line 8 above repo Some amo in Column negative 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 1,177.14 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 B, Part 2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any Lines 2, 7, ands (if 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772)