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450 Recipient Committee Campaign Statement Short Form - Termination 1-1-18 to 6-30-184. Verification 1 have used all reasonable diligence in preparing and reviewing this statement STANT TREASURER Executed on DATE Executed on DATE Executed On DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR By By Clear Cover Pg Print Form Specify pages to print SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE: OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 450 (lanJ2016) FPPC Advice: advice@fppc.ca-gov (8661275-3772) WWw.f0I3C'Ca.aov Recipient Committee Campaign Statement Summary Page CONCERNED CITIZENS OF CUPERTINO Expenditures Made 1 Amounts may be rounded to whole dollars. ti.sZTii_i statement covers perioo from January 1, 2018 through June 30, 2018 I Page 2 of 3 1287471 $ 2211.51 FPPC roan 450 (!an/2016) Clear.Samrit ;P Print Form FPPC Advice: advice@fppc.ca.gov (866/275-3772) g Specify pages to print www.fppc.ca.gov 2. Expenditures under $100 made this period (Not itemized.) ........................... ..._.................................................................................... 3. SUBTOTAL EXPENDITURES MADE THIS PERIOD ................. Add Lines 1 + 2 $ 2211.51 4. Nonmonetary Adjustment... ........................ ............................................................................................................... From Line 8 Below ..................................................................... 5. Total expenditures made from previous statement..........Previous Summary Page, Line 6 $ 0 (if this is the first statement for the calendar year, enter zero.) 8. TOTAL EXPENDITURES MADE TO DATE .......... Add Lines 3 + 4 + 5 $ 2211.51 Contributions Received 7. Monetary contributions received thisperiod............................................................................................................................................ $ 8. Ikon -monetary contributions received this period..................................................................... .•---......................................................... 9. Total contributions received from previous statement.........................................................................Previous Summary Page, Line 10 $ (if this is the first statement for the calendar year, enter zero.) 10. TOTAL CONTRIBUTIONS RECEIVED TO DATE............................................................................................................ Add Lines 7 + 8 + 9 $ Current Cash Statement ...Previous Summa Page, Line 15 11. Beginning cash balance.. ............................... ................................................................................Summary 9 $ 0 12. Cash receipts this period_ ............. ................................... . ...,.... Line 7 above 0 13. Miscellaneous increases to cash •• $ 0 14. Cash expenditures this period .................... ........... Line 3 above 0 15. ENDING CASH BALANCE THIS PERIOD ............................... ....Add Lines 11 + 12 + 13, then subtract Line 14 $ 0 FPPC roan 450 (!an/2016) Clear.Samrit ;P Print Form FPPC Advice: advice@fppc.ca.gov (866/275-3772) g Specify pages to print www.fppc.ca.gov Recipient Committee Amounts may be rounded statement covers period CALIFORNIA 4 5. Campaign Statement — Short Farm to whole dollars. from January 1, 2018 FORM 11 through June 30, 2018 page 3 of 3 SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE I.D. NUMBER CONCERNED CITIZENS OF CUPERTINO 1287471 5. Payments Made (if more space is needed, use additional copies of this page for continuation sheets.) * Required only for payments which are contributions or independent expenditures. FPPC Form 450 (Jan/2036} Clear; Page Print Forret Specifiy pages to print FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.ippc.ca.gov NAME OF CANDIDATE AND OFFICE OR DATE * NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT NAME OF BALLOT MEASURE AND BALLOT NUMBER OR LETTER AND JURISDICTION AMOUNT THIS PERIOD CUMULATIVE � AMOUNTS TO DATE Calendar Year 7/25/2018 Friends of Better Cupertino, FPPC # 1395411 Contribution 2211.51 $ _ 2211.59 Other ❑ Support ❑ Oppose ® Contribution ❑ Ind. Exp. Calendar Year Other ❑ Support ❑ Oppose $ ❑ Contribution ❑ Ind. Exp. Calendar Year 5 Other ❑ Support ❑ Oppose $ ❑ Contribution ❑ Ind. Exp. SUBTOTAL $ 2211.51 * Required only for payments which are contributions or independent expenditures. FPPC Form 450 (Jan/2036} Clear; Page Print Forret Specifiy pages to print FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.ippc.ca.gov