425 Semi Annual Statement of No Activity 01-01-12 through 06-30-12 Semi-Annual Statement of No Activity Type or print in ink STATEMENT OF NO ACTIVITY
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For use by recipient committees that have not received any contributions and have not made any expenditures For Official Use Only
during the six-month period covered by a semi-annual statement. Candidate controlled committees formed for ��� Z g 2��2
an elective office may not use this form.
See the Information Manual on Campaign Disclosure Provisions ofthe Political Reform Actfor additional information and
information required to be provided to you pursuant to the Information Practices Act of 1977. Up�RT�N� �i�TY CLE K
I.D.NUMBER
1. Committee Information 1299673 Treasurer(s)
COMMITTEE NAME NAME OF TREASURER
Cupertino Chamber PAC Matt Wheeler
MAILING ADDRESS
20455 Silverado Ave
STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
20455 Silverado Ave Cupertino CA 95014 (408) 252-7054
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Cupertino CA 95014 (408)252-7054
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET MAILINGADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
(408) 252-0638/governmentaffairsC�?cupertino-chamber.org (408)252-0638/accountingC�3cupertino-chamber.org
2. Period of No Activity
No contributions have been received and no expenditures have been made during the period covering the dates below:
Check one of the following boxes and complete the year. �January 1, through June 30, 20 12 ❑July 1,through December 31, 20
3. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein is
true and complete. I certify under penalty of perjury under the laws of the State of California that t going is true and correct.
Executed on 6/26/2012 By � .
DATE SIGNATURE OF TREASURER/ASSISTANT TREASURER
FPPC Form 425(Jan/01)
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