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460 Recipient Committee Campaign Statement - Semi Annual 1-1-17 to 6-30-17Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period from 01/01/2017 SEE INSTRUCTIONS ON REVERSE I through 06/30/2017 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored ❑x General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 1299673 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) CUPERTINO CHAFER OF COMMERCE PAC STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. veriticatlon I have used all reasonable diligence in preparing and reviewing this statement and to schedules is true and complete. I certify By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign StatementFORM Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA • 1 Page 2 of 9 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESI DENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP ❑ SUPPORT ,. Identify the controlling officeholder, candidate, or state measure proponent, if any. ❑ OPPOSE NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees ❑ SUPPORT 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. NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE NAME I.D. NUMBER ❑ SUPPORT 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attachcontinuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfi/e.com Campaign Disclosure Statement SUMMARYPAGE mo Aunts may be rounded � . Summary Page to whole dollars. Statement covers period • from 01/01/2017 •' SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions .................................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) 6,600.00 0.00 through Column B CALENDARYEAR TOTALTO DATE $ 6,600.00 0.00 6,600.00 $ 6,600.00 2,350.00 2,350.00 8,950.00 $ 8,950.00 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line $ 11,451.87 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... AddLines6+7 $ 11,451.87 9. Accrued Expenses (Unpaid Bills)...............................Schedule F, Line -8,152.56 10. Nonmonetary Adjustment .......................................... Schedule C, Line 2,350.00 11. TOTAL EXPENDITURES MADE ............. ................... AddLines8+9+10 $ 5,649.31 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 8,950.31 6,600.00 0.00 11,451.87 4,098.44 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2+Line 9 in Column B above $ 15,089.61 www.neffile.com $ 11,451.87 0.00 $ 11,451.87 15,089.61 2,350.00 $ 28,891.48 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 06/30/2017 Page 3 of 9 I.D. NUMBER 1299673 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A SCHEDULE A Moneta Contributions Received Amounts may be rounded dollars. Statement covers period _ to whole ! ' from 01/01/2017 F.' P4 of 9 through 06/30/2017 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. MBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EFTA ITRE,ALSAND I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 02/15/2017 KEITH WARNER MIND MANAGING PARTNER 150.00 150.00 ❑ OTH ❑ PTY ❑ SCC 02/21/2017 LUIS BUHLER RIND PRINCIPAL/CFO 150.00 150.00 ❑ OTH ❑ PTY ❑ SCC 02/21/2017 KEN TERSINI [KIND PRESIDENT 800.00 800.00 ❑ OTH ❑ PTY ❑ SCC 02/23/2017 RICHARD ABDALAH MIND ATTORNEY 500.00 500.00 ❑COM ❑ OTH ❑ PTY ❑ SCC 03/03/2017 DONNA AUSTIN MIND RETIRED 150.00 150.00 ❑COM ❑ OTH ❑ PTY ❑ SCC ------------------ SUBTOTAL$ 1,75o 00 �* a Yiiw 3nmRC'pil P Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)................................................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... www.neffile.com $ 6,300.00 $ 300.00 TOTAL $ 6,600.00 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) ...ve ■va,c�1 y vv11161 I&JULIv11.7 [XV%,V1 V WVU —muunw may Lie rounuea Statement covers period towholedollars. CALIFORNIA from 01/01/2017 FORM through 06/30/2017 Page 5 9 of NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPDEO RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSAND IT I.D. ) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) 03/03/2017 NANCY HARPER RIND OF BUSINESS) 100.00 100.00 ❑COM ❑ OTH ❑ PTY ❑ SCC 03/03/2017 RICHARD LOWENTHAL El COM CHARGEPOINT ❑ OTH ❑ PTY ❑SCC 03/03/2017 STEVEN TING [:]COMHOUZZ ❑ OTH ❑ PTY ❑SCC 03/24/2017 CUPERTINO HOTEL ❑COM ] OTH ❑ PTY ❑ SCC 0372-472017 SAN JOSE WATER COMPANY ❑IND 800.00 800.00 ❑ COM K] OTH ❑ PTY ❑ SCC SUBTOTAL$ 4, 550 00,Tk *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov P�m 70 -re M Mei RCHFnt 11 F C Hmounrs may De rounaea Contributions Received to Statement covers period • - NIA A of wholedollars. from 01/01/2017 FORM through 06/30/2017 Page 6 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IFAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS)(IF (JAN 1 -DEC 31) REQUIRED) 3/03/2017 SAND HILL PROPERTY COMPANY AND ❑IND FOOD AND BEVERAGE 2,350.00 2,350.00 AFFILIATED ENTITIES ❑COM x❑OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC []IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,350 00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) .................................................. .............................................. $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .... www.netfile.com ................... $ TOTAL $ 2,350.00 0.00 350.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Statement covers period PaymentsMadeAmounts may be rounded to whole dollars. from 01/01/2017 SEE INSTRUCTIONS ON REVERSE through 06/30/2017 NAME OF FILER CUPERTINO CHAFER OF COMMERCE PAC Page 7 of 9 I.D. NUMBER 1299673 E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 FIL civic donations candidate filing/ballot fees PET PHO petition circulating phone banks TEL t.v. or cable airtime and production costs FND fundraising events POL polling and survey research TRC TRS candidate travel, lodging, and meals 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID SUTTON LAW FIRM PRO SUTTON LAW FIRM PRO TERRIS BARNES WALTERS (TBW) IND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)................................................................................. 2. Unitemized payments made this period of under $100............................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .................................................. 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............. www.netfile.com SUBTOTAL$ 9,196.30 11,354.66 97.21 0.00 11,451.87 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA .1 Payments Made to whole dollars. from 01/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 8 of 9 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 PET 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 FND fundraising events POL polling and surrey 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUTTON LAW FIRM PRO 2,158.36 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,158.36 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule F SCHEDUL70 E Fstatement covers Amounts may be rounded period CALIFORNIA Accrued Expenses (Unpaid dills) to whole dollars. from 01/01/2017 •' ! • SEE INSTRUCTIONS ON REVERSE NAItOt Ur riLtre CUPERTINO CHAFER OF COMMERCE PAC through 06/30/2017 Page 9 of 9 I.D. NUMBER 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalialmisc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)' MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FIL FND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel, lodging, and meals IND LEG independent expenditure supporting/opposing others (explain)* POL POS polling and surrey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor Lff legal defense literature PRO professional services (legal, accounting) VOT voter registration 11,422.30 campaign and mailings PRT print ads IAX:R f ,+; , + , rayMeuw WdL are coninoutoons or maepenoent expenditures must also be SUBTOTALS summarized on Schedule D. $ 23,242.17$ 0.00$ 8,152.56$ 15,089.61 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................. 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total un itemized payments on accrued expenses under $100.) ....... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)...................................................................................................... www.netfile.com INCURRED TOTALS $ .... PAID TOTALS $ 0.00 8,152.56 ............................... NET $ 98, 152.56 May be a ne ative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov NAME AND ADDRESS OF CREDITOR CODE OR (a) (b) (c) (d) (IF COMMITTEE, ALSO ENTER I.D. NUMBER DESCRIPTION OF PAYMENT OUTSTANDING AMOUNTINCURRED AMOUNTPAID BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLI OSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD TERRIS BARNES WALTERS (TBW) IND TERRIS BARNES WALTERS (TBW) IND SUTTON LAW FIRM PRO rayMeuw WdL are coninoutoons or maepenoent expenditures must also be SUBTOTALS summarized on Schedule D. $ 23,242.17$ 0.00$ 8,152.56$ 15,089.61 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................. 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total un itemized payments on accrued expenses under $100.) ....... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)...................................................................................................... www.netfile.com INCURRED TOTALS $ .... PAID TOTALS $ 0.00 8,152.56 ............................... NET $ 98, 152.56 May be a ne ative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov