460 Recipient Committee Campaign Statement - Semi Annual 1-1-17 to 6-30-17Recipient Committee
Campaign Statement
Corner Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2017
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
O State Candidate Election Committee Committee
O Recall O Controlled
(AW C-Ompial?Pan5) O Sponsored
(Also C-pfefe Part 6)
❑ General Purpose Committee
O Sponsored ❑ Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (AW CO PiLlPan7)
3. Committee Information LD_ NUMBER
1309332
MC COY FOR COUNCIL 2018, ROBERT
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 CODEIPHONE
OPTIONAL FAX / E-MAILADDRESS
4. Verification
COVER PAGE
Date Stamp
Date of election if applicab ! ' of
(Month, Day, Year) �ff For Official Use Only
JUL� J 2m7
—• •—• ri � .oyt3 Lit I r CJ�[i'€�
2. Type of Stateme
❑ Preelection Statement ❑ Quarterly Statement
2 Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
4
Treasurer(s)
NAME OF TREASURER
BLOSSOM MCCOY
MAIL€NG ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OFASSISTANTTREASURER, IFANY
MAIUNGADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL FAX! E-MAILADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained
certify under penalty of perjury under the laws of the State of California that the foregoing is true and
By -
Signature ofContrnlling Oifieehplder, Candidate, State Measure Proponent
By
Signature of COnfroBing Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advlceOfppc.ca.gov (866/275-3772)
U#WW.fnnr_ra-0eV
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
ROBERT MCCOY
OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IFAPPLICABLE)
CUPERTINO CITY COUNCIL
RESIDENTIALIBUSINESS ADDRESS {NO.AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are con tTofie d by you or are primarily fonned to receive
contributions or make expenditures on behaff of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME LU, NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ ND
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COVER PAGE - PART 2
Page 2 of 4
6. Primarily formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily formed CandidatelOfficeholder Committee Listnames of
officeholder(s) or candidate(s) for which this committee is primarily formed.
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
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppe.ca.gov
Campaign Disclosure Statement Amounts may be rounded
to whole dollars.
Summary Page
Statement coders period
from 01/0112017
SUMMARY PAGE
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4
06/30/2017
3 4
$ 96.00
7. Loans Made, ...................................................................... schedule H, Line 3
0
through
S. SUBTOTAL CASH PAYMENTS .......................................... Add Lines e+7
Page of
SEE INSTRUCTIONS ON REVERSE
$ 96.00
9. Accrued Expenses (Unpaid Bills) ......................... ...... schedule F tine 3
0
0
10_ NOnmonetary Adjustment......................................................... Schedule C, Line 3
NAME OF FILER
0
0
11. TOTAL EXPENDITURES MADE ........................................ Add Limes s + 9 + 10
$
I.D. NUMBER
MC COY FOR COUNCIL 2018, ROBERT
Current Cash Statement,
1369332
Contributions Received
1352.45
Column A
TOTALTHIS PERIOD
Column B
Calendar Year Summary for Candidates
0
add amounts in Column
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Dunning in Both the State Primary and
A to the corresponding
14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4
General Elections
15. Cash Payments ......................................................... Column A, Line 8 above
0
0
1. Monetary Contributions.... ... ...........................................
Schedule A, Line 3
$ $
16. ENDING CASH BALANCE ..................Add Lines 12+ 13 + 14, then subtract Line 15
$
1256.45
be negative figures that
0
O
111 through 6130 711 to Date
2. Loans Received ......................... ..
Schedule B, Line 3
previous period amounts. If
0
0
20. Contributions
3. SUBTOTAL CASHCONTRIBUTIONS—........................... Add Lines l+2
$ $
0
Received $ $
0
0
Cash Equivalents and Outstanding Debts
4. Nonmonetary Contributions ............................................
schedule C, Line 3
0
any)'
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... .........
Add Lines 3+4
$ 0 $
0
Made $ $
0
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4
$
96.00
$ 96.00
7. Loans Made, ...................................................................... schedule H, Line 3
0
0
S. SUBTOTAL CASH PAYMENTS .......................................... Add Lines e+7
$
96.00
$ 96.00
9. Accrued Expenses (Unpaid Bills) ......................... ...... schedule F tine 3
0
0
10_ NOnmonetary Adjustment......................................................... Schedule C, Line 3
0
0
11. TOTAL EXPENDITURES MADE ........................................ Add Limes s + 9 + 10
$
96.00
$ 96.00
Current Cash Statement,
12. Beginning Cash Balance""""""""""........ Previous summary Page, Line 16
$
1352.45
To calculate Column B,
13. Cash Receipts........................................................... Column A, Line 3 above
0
add amounts in Column
0
A to the corresponding
14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4
amounts from Column B
15. Cash Payments ......................................................... Column A, Line 8 above
96.00
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12+ 13 + 14, then subtract Line 15
$
1256.45
be negative figures that
should be subtracted from
if this is a termination statement, fine 16 must be zero,
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED.. ............................. Schedule B, Part 2
$
0
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
0
any)'
18. Cash Equivalents ................................................ see instructions on reverse
$
19. Outstanding Debts .......... ,................... Add Line 2 + Line 9 in Column B above
$
0
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mmfddfyy)
I I $
Amounts in this section may be different from amounts
reported in Column S.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
MC COY FOR COUNCIL 2018, ROBERT
Amounts may be rounded
to whole dollars.
SCHEDULE E
Statement covers period CALIFORNIA
from 01/01/2017 FORM
through 06/30/2017 Page 4 of 4
I.D. NUMBER
1369332
CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia/mist.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonrnonetary)*
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
palling and survey research
TRS
staftlspouse travel, lodging, and meals
IND
independent expenditure supportinglopposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidatefspansor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
VVEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
i[F COMMITTEE, ALSO ENTER I.D. NUMBER)
BANK OF AMERICA
CODE OR DESCRIPTION OF PAYMENT
SERVICE FEES
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
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.).
....•................................ $
....................................... $
....................................... $
AMOUNT PAID
•. 8
3
TOTAL $ 96"00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov