460 Recipient Committee Campaign Statement - Amendment 1-1-18 to 9-22-18 CQVER PAGE
Recipient Committee `� a P
Campaign Statement � � • i
�
Cover Page t
Statement covers period Date of election if applicabl V�� � s ���� P e �+ � of 3
from
1/1/2018 (Month,Day,Year) o otscia�use only
SEEl1VSTRUCTIONSONREVERSE 9��201$ 11/6/2018 �PFRTl��O C�T},r � ��K
fhrough
1. Type of Recipient Committee: All Committees-Complete Parts 1,z,s,and 4. L. Type of Statemenf:
0 Officehotder,Candidate Con#rolled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ (,�uarterty Sta#ement
� Sfate Candidate ElecNon Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
� Recal! � Controlled ❑ Termination Statemen#
(lilsoCompletePart5) � Sponsored (Also file a Form 41Q Termination)
(AlsroComptetePad6J [] qmendment(Explainbelow}
❑ General Purpose Committee
O Sponsored ❑ Primarily Formed Candidate/ Add Reeology Inc PAC num6er and change contribution code to
� Smatl Contributor Committee Officeholder Committee
O Politicaf Party/Central Committee (�socomp�etePart� COM on Sehedule A page 4 af original report
3. Committee lnformation I.D.NUMBER Treasurer(s}
'1407834
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMftTEE) NAME OF TREASURER
Mahoney for Council-2018 Carolyn Krizek-Mahoney
MAILING ADDRESS
MAILING ADDRESS(IF DIFFERENT)NO.AtVD STREET OR P.O.BOX MAILING ADDRESS
4. Verification
I have used ail reasonabfe diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached scheduies is true and compfete. I
certify under penaity of perjury underthe Iaws of#he State ofi Cafifiomia that the
Executed on By
Date Signature of ControtGng Officeholder,Candidate,State Measu�Proponent
6cecuted on By
Date Signature of Controlling OfFceholder,Candidate,State Measure Proponent
FPPC Form 460(lan/2015)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www fppc.ca.gov
COVER PAGE-PART 2
Recipient Commit�ee
• � � • � . r
Campaign Statement . -
Cover Page— Part 2
Page 2 of 3
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballo#Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Orrin Mahoney
OFFICE SOUGHT OR HELD(INCLUDE LOCA710N ANB DISTRICT NUMBER FFAPPLICABLEj BFV-LOT NO.OR LETfER JURiSDICTION �SUPPORT
Cupertino City Courtcil ❑oPPose
RESIDENTlAVBUSINESSADDRESS (NO.ANDSTREET) C1TY STA'fE ZIP
' Identify the controlling officeholder,candidate,or state measure proponent,if any.
iJAME OF OFFICEI-Y�LDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: tfst a�y co.r,►n�tt�s
nof included en this sfatement ffiaf are controlled by you or are primarily tormed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contri6ufions ormake expendifures on beha/f of your candidacy.
GOMMITTEE NAME i.D.NUMBER
NAME OFTREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candida#e/OfPiceholder Gommittee ListnamesOf
o�ceho/der(s)or candidafe(s)for which fhis commiftee is primarily formed.
❑YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (PIO P.O.$OX) f�1AME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE RREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR tiELD
❑SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? {JRME OF OFFICEHOLDER OR CANDIDATE OFFlCE SOUGHT OR HELD
❑YES ❑ NO ❑SUPPORT
❑ OPPOSE
COMMITTEEADDf2ESS STREETADDRESS {NO PO.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE qftach continuafion sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(865/Z753772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars. Statemen#covers period � . �
1(1/2018 � i
from • .
through 9f22/2018 page 3 of 3
SEE iNSTRUCTIONS ON REVERSE
NAME OF F1LER I.D.NUMBER
1407834
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRfBUTOR �pNTRIBUTOR �F AN 1NDNIDUA�,ENTER AMOUNT CUMULATNE TO DATE PER ELECFION
{IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE
RECEIVE6 CODE* (lFSELF-EMPLOYE6,ENTERNAME PERIOD (JAN,1-DEC.31} (IF REQUIRED)
OF BUSiNESS)
Recology Inc ���D
9/11/2018
��T�
PAC 921099 �P�
❑scc
❑iN�
❑conn
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑QTH
❑PTY
❑5CC
�wa
❑conn
❑o�rff
❑�Tv
❑SCC
❑IND
❑COM
❑OTH
❑PTY
p scc
SUBTOTAL$
Schedule A Summary �Confributor Codes
1. Amount received this period-itemized monetary confribu#ions. itvQ-ind�vidua�
COM—Recipient Committee
(Include all Schedul�A subtotals.)-•-•.........................................................�.................--._---...................$ (other tnan►��or scc)
OTH-Other(e.g.,business entity)
2. Amount received this period-unitemized monetary contributians of less than$100...........................$ p7y_pofitieal Party
3. Totaf manetary contribufions received this period. SCC-Smait Contributor committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1_)......................TOTAL $
FPPC Form 46Q(1an/ZOS6)
FPPC Advice:advice@fppc.ca.gov(866J275-3772)
www.fppc.ca.gov