460 Recipient Committee Campaign Statement 7-1-12 through 12-31-12 Reci ientCommittee - - covERaACE
p Type or print in ink. S
Campaign Statement D ' � • 1
Cover Page
(Government Code Sections 84200-84216.5) JAN 3 1 2013 P � of Y
StatemenY covers period Date of election if applicabl .
�, (Month, Day,Year) For fficial Use Only
from �'� �� Z�� �–
�2 - 3 � _ z� �,� ��- � _ �o y� CUPERTINO CITY C ERK
SEE INSTRUCTIONS ON REVERSE through �
1. Typ2 Of ReClpient COmmltte2: a��committees-comp�ete Parts�,z,s,a�a a. 2. Type of Statement:
� Officeholder,Candidate Controlled Committee � Primarily Formed Ballot Measure ❑ Preelection Statement � Quarterly Statement
Q State Candidate Election Committee Committee � Semi-annual Statement � Special Odd-Year Report
� Recall Q Controlled Termination Statement
❑ Supplemental Preelection
(AlsoCompletePartS) � Sponsored Also file a Form 410 Termination
� ) Statement-Attach Form 495
(AlsoComplefePaR6) Amendment Ex tain below
❑ General Purpose Committee ❑ � P )
Q Sponsored � Primarily Formed Candidate/
�Small Contributor Committee Officeholder Committee
� PoliticalParty/CentralCommittee (AlsoCompletePart7)
3. Committee Information l.D. NUMBER Treasurer(s)
l32i �-o�-
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
�L( Z c''_ l��;c�L�
/� r MAILING ADDRESS r r
/`S JY a 2 Y I'� :f'A��C 1 i<, "Lrs-» /1.n-i. ,(;.� : cLt� t? / l i//_(—�'1 r�:;��/',7 Il.! t;^7 Q. t �� .�.n /' /' .�-
� ' _ " ' � ' ' �/'Y/"/ " v —� w '-/t
STREET ADDRE (NO P.O. BOX) CITY � STATE ZIP CODE AREA CODE/PHONE
1 / �-s�� ����o� Jz�-� c zrz c��- �('v'�e r��J � , c/� 9�s--a%� ���-6��'�'��9�
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, I ANY
��� Tz�� � c /� ��<<F ��6�-G'39� .
MAILING ADD ESS (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.
� I � ,. �.
Executed on � ���� � — By
Date Signat ofTreasurerorAssistantTreasu
Executed on � — � � — yd � 3 gy �
Date SignaNreofCont Officeholder,Candida eMeasureProponentorResponsibleOfficerofSponsor
/
Executed on By
Date Signature of Controlling Officeholder,Candidate,Stata Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January105)
FPPC Toll-Free Helpline:866/ASK-FPPC(866I2753772)
. SWte of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period � -
Summary Page ca Wno�e dollars. �
from
r/ - � _ �, �,� � _ • 1
SEE INSTRUCTIONS ON REVERSE through � y '�� � ��� Page � of Y
NAME OF FILER I.D. NUMBER
-�-h C�-T�ti� '7%0 l2 C�z.�,�'C�L ���' /'.��- ! �D.�
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAF2 Runnin in Both the State PrimaN and
(FROMATTACHEOSCHEDULES) TOTALTODATE g , •'
General Elections
1. Monetary Contributions ........................................... scned�ie.a,une s $ D $ �
�/1 through 6/30 7!1 to Date
2. Loans Received ...................................................... scneduie e,Line 3 b D
3. SUBTOTALCASH CONTRIBUTIONS ......................... Addllnes�+2 $ f$ (�} 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... scneduie c,Llne 3 /`� � 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED ...........................Add�ines3+4 $ � g � Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... scneduie E,Line 4 $ � $ � Candidates
7. Loans Made............................................................. scneduie H,une a C' (i
8. SUBTOTALCASHPAYMFNTS a,�,�i�„A�a+� a � � n 22. Cumulative Expenditures Made'
..'_' __ " . � _ � 1�.�.' � ..v.�r•r•:�:j�.".`p.'.i...•w��r��i��
9. Accrued Expenses (Unpaid Bills)...............................scheduie F une 3 � �% Date of Election Total to Date
10. Nonmonetary Adjustment ..........................................scneduie c,Line 3 C� (�^ (mm/dd/yy)
11. TOTALEXPENDITURESMADE................................Add�ines8+g+10 $ �) $ v �� $
Current Cash Statement r� p —�� $
12. Beglnning Cash 681anCe....................... PreviousSummaryPage,Llne 16 $ � `t"�V � 6 Y
To calculate Column B,add
13.Cash Receipts ....................................... Column A,�ine s above � amounts in Column A to the
..........
U corresponding amounts RAmounts in this section may be different from amounts
14. Miscellaneous Increases to Cash........................... scneduie i,Line 4 from Column B of your last reported in Column B.
15.Cash Payments.................................................. Column A,�ine s above � report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE.......... Add lines�2+�3+14,then subtract Line 15 $ � ���` �Y 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........................... scnedu�e B,Part z $ for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts arnm Lines 2,�,and 9(if
Y)•
18. Cash Equiv218ntS........................................ See instructions on reverse $
19. OUtSt8f1d1f19 DBbtS............. ........... Add Line 2+Line 9 in Column 8 above $ v� �'d'`- ' FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)