460 Recipient Committee Campaign Statement - Termination 1-1-16 to 2-12-16 COVER PAGE
Recipient Committee Type or print in ink. r,�e m ,,,P y
Campaign Statement D [g l� u w E= . ..,_ A, C,O
Cover Page l'fol:. V
ifx.� _
(Government Code Sections 84200-84216.5) / of 6
Statement covers period Date of election if applicab c FEB 1 6 2016
j // /Zv (Month, Day, Year) Par Official Use Only
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from t //g .- L L //
SEE INSTRUCTIONS ON REVERSE through >r F 2 / 2,1 r� °t/ce( 156 CUPERTINO CITY CL RK
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 Measurelg
III
Statement III Statement
Q State Candidate Election Committee Committee III Semi-annual Statement ❑ Special Odd-Year Report
Q Recall 0 Controlled g Termination Statement
(Also Complete Part 5) Q Sponsored (Also file a Form 410 Termination) ❑ Supplemental-A Attach
Preelection
(Also Complete Part 6)
Statement-Attach Form 495
' ❑ General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
o Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee Also Complete Pa 7)
3. Committee Information I.D.NUMBER /3 Y/yo ` Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) S NAME OF TREASURER
MAILING ADDRESS d u( et
B412—Fey L'lt4x 62 W/g c'aecac L )--oicC //
STREET ADDRESS O P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME 0 ASSISTANT TREASURER/IIF ANY
(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 c.rrect. _
Responsible Officerof Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,slate Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
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Type or print in ink. COVER PAGE-PART2
Recipient Committee
Campaign Statement CALIFORNIA +ACO
Cover Page—Part 2 FORM me
�7
4 /
Page of 'CJ
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE '
/24-R-g� Oi-bkr a Cou- f tz L io fel
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
' ❑ SUPPORT
Ct (.PER r it c.r rry Cot-tic/Cr L
S ❑ OPPOSE
RESIDENTIAL/BUSINESS ADD ES/ (NO.-AND STREET) CITY
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
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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
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 •
COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
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' FPPC Form 460(January/06)
• FPPC Tall-Free Helpline:866/ASK-FPPC(866/276-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded _
Summary Page to whole dollars. Statement covers period CALIFORNIA 460
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from 17/AYa(6/ ;FOR2NI 'T\/
SEE INSTRUCTIONS ON REVERSE through 1�'1 f'a-pr.(� Page L oftt
NAME OF FILER
2A-p-F / Ci-14-J1,i/ / �� cc� � `� I.D. NUMBER
/� r V (jr N c�- 13 3-4(-0 e-
Contributions Received Column A Column B Calendar Year Summary for Candidates
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TOTALTHIS PERIOD CALENDAR YEAR
(FROMATTACHEDSCHEOULES) .TOTALTODATE Running in Both the State Primary and
1. MonetaryContributions - 7 7�� General Elections
Schedule A,Line 3 $ Cr��i.Oa�,i $
2. Loans Received Schedule B,Line 3 `, (9 O•'- 0 1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ —el CYO D- — $ )24-7 7 I; - 20. Contributions
Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 U 0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ' Add Lines3+4 $ '- -tri -n $ .Yd-' 77,(--; Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ $ Candidates
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7. Loans Made Scheduler!,Line 3
22. cumulative Expenditures Made*
8. SUBTOTALCASH PAYMENTS
Add Lines 6+7 $ $ (n Subject toVoluntary 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 Idd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $ _____/___/
/ $
Current Cash Statement ___T—J $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ Gyn. 9 '
To calculate Column B,add
13.Cash Receipts Column A,Line 3 above — 44CrO D. amounts in Column A to the
14. Miscellaneous Increases to CashD corresponding amounts *Amounts in this section maybe different from amounts
Schedule i,Line 4 from Column B of your last reported in Column B.
15. Cash Payments Column A,Line 6 above -2_8-4 . Qf report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ D figures that should be
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If this is a termination statement, Line 16 must be zero. subtracted from previous
period amounts. If this Is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule 13,Part2 $ for this calendar.year, only .
carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7, and 9(if
18. Cash Equivalents any).
9 See instructions on reverse $
19. Outstanding Debts Add line 2+Line 9 in Column 6 above $ V - FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded • Statement covers period {" ,.Monetary Contributions Received ALI
to whole dollars. CFORNIA, 4r
from !///y0/ 6 , : FOR' 4.D^M60
SEE INSTRUCTIONS ON REVERSE through Y//)-/>o t U Pageof 1j
NAME OF FILER
I.O. NUMBER '
9iw y ct.r/Hf6, Pot co.BW c4-1.7 D-c 9L • /3i Lit r
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
OFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS) •
SA-211 CH41./6, Won ASS5-. oy WIND
-').-6 14
COM
90TH ¢0100, e- c$em-0 ....-
FP?
FP? G df i 3 --71-r/ os Y
❑IND
❑COM
❑0TH
❑PTY
❑SCC
❑IND
ECOM
❑0TH
❑PTY _
❑SCC .
❑IND
9 COM
❑0TH
❑PTY
❑SCC .
❑IND
❑COM
❑0TH
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❑PTY
•
❑SCC •
SUBTOTAL$ 4 cot, _ - '
Schedule A Summary
*Contributor Codes
• 1. Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ LiCrenp. Com-Recipient Committee
(other than PTY or SCC)
2. Amount received this period-unitemized monetary contributions of less than$100 • $ D • OTH-Other(e.g.,business entity)
PTY-Political Party
3. Total monetary contributions received this period. SCC-Small ContributorCommittee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ '‘f CO 0 • '
'FPPC Form 460(January/05)
FPPC Toll-Free Helpline:066/ASK-FPPC(866/275-3772)
•
Type or print in ink. SCHEDULED-PART1
Schedule B—Part1 Amounts may be rounded Statement covers / M
period CALIFORNIA
Loans Received to whole dollars. I //7)-6i b FOR
from 460
SEE INSTRUCTIONS ON REVERSE through 1-4717A/ 6 Page ---St—
of l./
NAME OF FILER
I.D. NUMBER
A"it CPf440? F-07c co-u-/kr-L. moo/ lay/I'D.
FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (c) OUTSTANDING (e) (I) (9)
OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID INTEREST ORIGINAL CUMULATIVE
OFSELF-EMPLOYED,ENTER RECEIVED THIS LOSEOBALANEAT
(IFEDMMmEE,ALso ENTERI.o.NUMBER) BEGINNING THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE
Su6- CHAA16, •
/ •
/3fs`v/J � $ �7T0D �a 0 v. s � s b
6CTr- (-1a,t FORGIVEN RATE PER ELECTION"
7 84, $��6,t $ p $ .1 ()lib $ 0 tb/ ( $ D
It IND ❑ COM ❑ OTH Pry SCC `� DATE DUE DATE INCURR D
O PAID CALENDAR YEAR
$ $ _% $ $
o FORGIVEN RATE PER ELECTION"
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$ 5 $ ' $ S
t❑ IND 0 COM 0 OTH ❑ Pry 0 SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $- _% $ $
0 FORGIVEN RATE PERELECTION"
$ $ $
t❑ IND 0 COM 0 OTH 0 PT? 0 SCC DATE DUE $ DATE INCURRED $
SUBTOTALS $ $ ?1,D ., 1 $ -
(Enter(e)on
Schedule B Summary Schedule E.Line 3)
1. Loans received this period $ 0 . •
(Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes
i IND-Individual
2. Loans paid or forgiven this period $ 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 $ ._ t7°°? / SCC-Small Contributor Committee
Enter the net here and on the Summary Page,Column A, Line 2. (May"°'"°Be°"°number)
'Amounts forgiven or paid by another party also must be reported on Schedule A.**
If required. 11
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
Schedule E Type or print in Ink. SCHEDULES
Amounts may be rounded
Statement covers period CALIFORNIA / 60
Payments Made /
to whole dollars. (NYC' L FORM TN
from / _ / -(/'
SEE INSTRUCTIONS ON REVERSE through y/( y`> (-14 Page L< of "
NAME OF FILER
I.D. NUMBER
/3411/7 GF{' 'f C Cott:/ICA-I--o/'cL / ' ( a Jr
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PEI- petition circulating - TEL t.v.or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG - legal defense PRO professional services (legal, accounting) VOT.voter registration
UT campaign literature and mailings PRI print ads WEB information technology costs (internet, e-mail)
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NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTERI.D.NUMBER) . CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
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CJ t rp ST 7rLFrfti( ErrJT T7 8r `p ZcT�Ur
"-
8k/ A-12.673- cot CG&I 4 scAlraog ma/27- Zn/C-
C UCi 5).„0/,f
� zo 70
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* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ YZ�G�
Schedule E Summary
1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 2 1e4_ 97
2. Unitemized payments made this period of under$100 $ /
3. Total interest paid this period on loans.(Enter amount from Schedule B, Part 1,Column (e).) $ \
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)