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460 Pre-Election 3rd '~ PAGE - LONG FO1L%~I Recipient Committc= Campaign Statement (Govemment Code SectJons 84200 - 84216,5) 1. Type of Recipient Committee: ,..., lO/21/2oo3 timmgh 10/30/2003 [] Officeholder, Candidate Controlled Committee [] Ballot Measure Committee O State Candidate EleclJan Committe~ [] General Purpose Committee 0 Sponsored 0 Small Conatbuter Committee 0 PolilJceJ Par[y/Canlral Committee 3. Committee Information RE-ELECT RICHARD LOWENTHAL O Primmily Fom~d O Can~'olled 0 Sponsored [] Pfimadly Formed Candidate Offloedolder Committee 21602 VILLA MARIA COURT CUPERTINO CA 95014 (408)973-8494 (408) 255-8033/ 11/04/2003 2. Type of Statement: [] Pm-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) of 7 For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pm-election Statement - Attach Form 495 Treasurer(s) TOM HALL 21040 HOMESTEAD RD CUPERTINO CA 95014 (408)773-1400 ( ) 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 t~ue and compile. I certify under penalty of perjury ME.~SU RE PRO~ON ENT OR R ESP~N,~eLE OFFICER OF SPONSOR Executed on By Executed on By S/CCW - PCAP08 01504 (Rev. 9/99) State of California Fair Political Practices Commission. ecipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee COVER PAGE - PART 2 ~ 2~ 7 RICHARD LOWENTHAL City Council Membez, District 21602 VILLA MARIA CT CUPERTINO CA 95014 Related Committees Not Included in this Statement: LJst any committees not included in this consolidated statement that are cena'ol~d by you or which are p~rna~#y formed to r~c~ive con~bugon$ or to make expenditures on behaff of your candidacy. Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONEHT 7. Primarily Formed Committee Campaign Disclosure Statement Summmy Page ~ont 10/21/2003 throu~.10/30/2003 SUMMARY PAGE ~ 3o{ 7 NAMEOF FILER RICHARD LOWENTHAL, Contributions Received RE-ELECT RICHARD LOWENTHAL 1. Monetary Cont~bufions .....................................ScbeduleA, Line3 2. Loans Received ................................................ Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS .................. Add Lines 1 + 2 4. Non-monetaly Cont~bufions ............................. Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. AddLines 3 + 4 Expenditures Made 6. Cash Payme~s ................................................ Schedule E, Une 4 7. Loans Made ...................................................... Schedule H, Une 7 8. SUBTOTAL CASH PAYMENTS ............................ Add Unes 6 + 7 9. Accn.~d Expenses (Unpaid Bills) ...................... Schedule F, Une 3 10. Nonmonetary Adjustment ................................ Schedule C, Une 3 11. TOTAL EXPENDITURES MADE .................. AddUnes8+9+lO $ Current Cash Statement 12. Beginning Cash Balance .......... Previous Summary Page, Une 16 $ 13. Cash Receipts ......................................... Column A, Une 3 above 14. Miscellaneous Increases t~ Cash ..................... Schedule I, Une 4 15. Cash Payments ....................................... Column A, Line 8 above 16. ENDIHG CASH ~es12 +13 +14, then sub~cf Une15 $ If ~his is a Terminal'on Statement, Une 16 must be zero. 17. LOAN GUARANTEES RECEIVEDSchedule B, Part 1, Column (b) $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................................................ $.,, 19. Outstanding Debts .......... Add Line 2 + Line 9 in Column C above $ Column A $ 225.00 3,000.00 $ 3,225.00 100.00 3.325.00 Column B $ 2,954.00 12,000.00 $ 14.954.00 398.00 15,352.00 $ 5,000.00 $ 13,829.64 0.00 0.00 5,000.00 $ 13.829.64 0.00 0.00 100.00 5,100.00 ~,899.36 3,225.00 0.00 5,000.00 1,124.36 0.00 0.00 12,000.00 398.00 $ 14,227.64 I.D. NUMBER 1256061 Running in Both the S~,a~ Primary and General Eleclions 1/1 through 6/30 7/1 to Date Received .... $ Q Q 21. Expenditures 0 0 Made .......... $ 22. Cumulative Exenditure Made* (if Sul:je~ to Volunla~ F-.xm,~aure Umi~) S/CCW - PCAFO8 01504 (Rev. 9/99) CHEDULE A Schedule A s;.;..._[,..-..,-~ =.,=,~,~r~'l "--Mone[ary Conffibufions Received ~ 10/21/2003 th~ 10/30/2003 $~ 4 Of 7 ,AMEOFFILER RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL LD. NUMBER 1256061 IFAN INDNIOUAL, ENTER DATE FULL NAME, S~:IEET ADDRESS AND ZiP CODE OF CON'~RIBUTOR CON~:IIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION RECEIVED (IF C(~MMITTEE, ~ ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED ENTER HAME 1~115 PERIO0 CALENOAR YEAR TO 8ATE ~ ~N~) (JAN 1 - DEC 31) (IF REQUIRED) 10/24/2003 A[~AR GHRTA [] IND CTO - NETWORK 100.00 100.00 100.00 18460 FARMINGEAH ~AY [] COM ?LAT¥ORHS CUPER?INO, CA 95014 [] OTH NOEIA [] ~c 10/28/2003 DENNIS WHITTAKER [] IND INSURANCE SALES 100.00 ~00.00 100.00 20622 CHERYL DRIVE [] COM CUPERTINO, CA 95014 [] OTH STATE FARM []scc [] IND [] OTH El P'n, [] scc [] mD [] COM [] OTH []Ply [] scc [] IND [] COM [] OTH [] SCC S~um~mAL $ 200.00 (P03) (PO3) Mon~tam~/Contributions Summam~ 1. Amount received this period - contxlbutions of $100 or more. (Include all Schedule A subtetals.) .................................................................................................. 2. Amount received this period - con~butions of less than $100. (Do not itemize.) .............................................................................................................................. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Susmnary Page, Colonm A, Line 1.) .............. TOTAL 200.00 25.00 225.00 chedule B - Part I Loans Received NAMEOFFILER RICHARD LOWENTHAL, RICHARD LOWENTHAL 21602 VIL[~ MARIA CT CUPERTINO, CA 95014 RI CH~RD LOWENTHAL (Continued) RICHARD LOWENTHAL (Continued) (Continued) RE-ELECT RICHARD LOWENTHAL Candidate (a) $ 21000 $ 71000 $ 0 $ 0 $ 0 $ 0 ~.. lO/21/~oo~ ~r~10/30/2003 07/01/2004 $ 0 09/03/2004 $ 0 $ 0 $ 3,000 SUBTOTAL $ 3,ooo,oo $ o.oo$ ~2,ooo.oo$ o.oo ScJtedule B Summa~, 1. Loans received this period ............................................................................................................ $ 3,0o0,0o (Total Column (b) plus initemized loans less than $100.) SCHEDULE B - part t Pa~e 5~ 7 I.D. NUMBER 1256061 2. Loans paid or forgiven this period ................................................................................................ $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2 0,00 3,000.00 CHEDULE C Schedule C ~:--..-~= .... ,,-~ ~ ~ Non-Monetary Con~bu§ons Received ~ro= 10/"21/2003 tltn:~g~ 10/30/2003 ~ 6 oJ 7 NAMEOFFILER RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL I.D. NUMBER 1256061 IF AN ~NDMDUAL, ENTER DESCRIPTION OF FAJR MARKET :UMULAT~VE TO DATE CUMULA~NE TO DATE DATE FULLNAMF~ STREETADDRESSAND ~ONi~IBUTOR OCCUPATION AND EMPLOYER GOODS OR SERV~C~S VALUE CALENOARY~ OTHER RECEIVED Z~P COOE OF CON~IBUTOR COOE * 0F SEL~EUF~.OYEO EN~R (JAN 1 - DEC 31) (IF APPUCABLE~ O; COU~W~ ~LSO ENTER ~.0. NUUmm) N~ME O~ BUS~N~SS) 10/30/2003 ELEA~E HALL [] IND SECRSTAR¥ ACCO[~T[NG 100,00 100.00 100.00 21040 EOM~STEAD ROAD [] COM SERVICES CUPERTINO, CA 95014 [] OTH TOM L. HALL, CPA [] SC¢ [] IND [] coM [] om [] IND [] om [] scc [] om [] scc [] coM [] OTH r-lpw [] scc 00 (P03) SUBTOTAL $ lOO.OO Non-Monetary Contributions Summary l. Amount received this period - non-monetary contributions of $100 or more. (Incindc all Schedule C subtotals.) ................................................................................................... 2. Amount received this period - non-monetary contributions of Ices than $100. (Do not itemize.) .............................................................................................................................. 3. Total non-monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Snmmaly Page, Coh~mn A, Line 4.) .............. TOTAL 100.00 0,00 100,00 chedule E Payments Made NAMEOFFt~R RICH~qD LOWENTHAL, RE-ELECT RICH~qD LOWENTHAL h'om 10/2~/2003 t~10/30/2003 SCHEDULE E ~ 7 ~ 7 I.D. NUMBER 1256061 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc CNS campaign consultants CTB comr~ufio~ (explain nonmenetary)* CVC civic clo~atior,,s F1L candidate filing/be~o~ fees IND independent expaaditum supp<xting~pposing others (e~plaln)* LEG legal defense DFS ASSOCIATES, INC. LIT 5,000.00 1346 THE ALAMEDA, SUITE 7-172 SAN JOSE, CA 95126 SUBTOTAL $ 5,000.o0 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................... 2. Unitemized payments made this period of under $1 O0 .................................................................................................................... 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column(d).) .................................... 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summ~ry Page, Column A, Line 6.) .... TOTAL 5,000.00 0.00 0.00 5,000.O0