460 Termination ecipient Committee
Campaign Statement
(Government Code Sections 84200 - 84216.5)
Date of EIo~lo~ If ~
(Month, Day, Ye~)~~E:L
~. 10/31/~003
COVER PAGE - LONG
JAN 2 ~ 2004 i 1°~
% For Official U~eOnly
~ERTINO CITY CLEI
mm~h 12/31/2003
1. Type of Fle¢ipient Committee:
[] Officeholder, Candidate Controlted Committee [] Ballot Measure Committee
0 State Candidate Election Committee
C) nsc~
D General Purpose Committee 0 Sponsored
0 Small Contributor Committee
0 Political Party/Cent]al Committee
3. Committee Information
O Primarily Formed
O Controlled
0 Sponsored
[] Primarily Formed Candidate
Officeholder Committee
RE ELECT RICHARD LOWENTHAL
21602 VILLJ% 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)
[] Quarlerty Statement
[] Special Odd-Year Report
[] Supplemental Pm-election
Statement - Attach Form 495
Treasurer(s)
NAME O~ TREASURER
TOM HALL
21040 HOMESTEAD RD
CUPERTINO CA 95014 (408)773 -1400
( )
4. Verification
I have used all reasonable diligence in preparing and
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE F~OPCN ENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
S/CCW - PCAP08 01504 (Rev. 9/99) State of Caltiomla Fair Political Practices Commission.
ecipient Committee
Campaign Statement
Cover Page- Part 2
5. Officeholder or Candidate Controlled Committee
COVER PAGE - PART 2
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
RICHARD LOWENTHAL
city Council Membei,
21602 VILLA MARIA CT CUPERTINO CA 95014
Related Committees Nat Included in this Statement: List any ~'nmli~s
not included in this consolidated statement that are controlled by you or whio~ are pdmadly
formed to receive cont~butions or to make expenditures on behalf of your candidacy.
NAME OF TREASURER
Identify the controlling officeholder, candidate, or state measure proponent, ff any. -
NAME OF OFFICEHOLD;R, CANDIDATE ~1F%qOFONENT
,.O..UM'~. 7. Primarily Formed Committee
CONTROU. ED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OF~ CANDIDATE OFFICE SOUGHT O~ HELD
Campaign Disclosure Statement
Summary Page
NAMEOFFI~R RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL
Contributions Received
1. Monetary Contributions .....................................Schedule A, Line 3
2. Loans Received ................................................ Schedule B, One 7
3. SUBTOTAL CASH CONTRIBUTIONS .................. Add Ones I + 2
4. Non-monetary Contributions ............................. Schedule C, One 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. Add Dunes 3 + 4
Expenditures Made
6. Cash Payments ................................................ Schedule E, Une 4
7. Loans Made ...................................................... Schedule H, Dune 7
8. SUBTOTAL CASH PAYMENTS ............................ Add Dunes 6 + 7
9. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Line 3
10. Nonmonetary Adjustment ................................ Schedule C, One 3
11. TOTAL EXPENDITURES MADE .................. AddLines8+9+lO
Current Cash Statement
12. Beginning Cash Balance .......... Previous Summa~/Page, Dune 16
13. Cash Receipts ......................................... Column A, One 3 above
14. Miscellaneous Increases to Cash ..................... Schedule I, One 4
15. Cash Payments ....................................... Column A, Dune 8 above
16. ENDING CASH BAl~//~es 12 + 13 + 14, then subtract Dune 15
ff this is a Termination Statement Line 16 must be zero.
17. LOAN GUARANTEES RECEtVEDSchedule B, Part I, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................................................
19. Outstanding Debts .......... Add Dune 2 + Dune 9 in Column C above
Column A
TOTAL THIS PERI(DO
(FROM AT~ACHED ~CHEDULES)
$ 12,975.64
{12. 000.00)
$ 975.64
0.00
975.64
$ 2,100.00
0.00
$ 2,100.00
0.00
0.00
2,100.00
1,124.36
975.64
0.00
2,100.00
0.00
0.00
0,00
0,00
SUMMARY PAGE
C~umnB
15,929.64
0.00
15,929.64
398.00
16,327.64
15.929.64
0.00
15,929.64
0.00
398.00
16.327.64
Calendar Year Summa~ for Candidates
Running in Both the State P~iman] and
Gened Eleolic~s
1/1 through 6~30 7/1 to Date
20. Cont rib~ions
Received,... $ Q
21. Expenditures
Made .......... $ 0
E.xpenditure Umit Su.anmy for S;.~
Can~dates
22. Cumulative Expenditure Made*
(if Subje~ to Volur~ar/Expenditure Limit)
Date d E~ion Total to Date
(mm/dd/yy)
S/COW - PCAP08 01504 (Rev. 9/99)
CHEDULE A
Monetary Con~bufions Received
through 12/31/__2003 PO 4 o~ 7
NAMEOF FILER RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL LD. NUMBER
1256061
IF AN INDIVlDUAI~ ENTER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULAtiVE TO DA'~ PER ELECTION
OF BUSrNESS) (JAN 1 - DEC 31) (IF REQUIRED)
12/16/2003 RICHARD LOWENTHAL [] IND Candidate 2,000.00 12,975.64 975.64
21602 VILLA MARIA CT [] COM *FORGIVEN LOt ~ncludes 12,000.0(
12/16/2003 CUPERTINO, CA 95014 [] OTH 7,000.0Q Loan(s)
[] PTY *FORGIVEN LO)
12/16/2003 [] SCC 3,000,0~
*FORGIVEN LOt
RICHARD LOWENTHAL (c, ontinued) [] IND
12/16/2003 [] COM 975.64
[] OTH *FORGIVEN LOt
[] P~Y
[] SCC
[] IND
[] COM
[] OTH
[] PTY
[] SCC
[] IND
[] COM
[] OTN
[]
[] SCC
[] lED
[] COM
[] OTH
[] PTY
[] SCC
.64(GO3)
fPO3)
SUBTOTAL $ 12,975.64
Moneta~j Contributions Summary
l. Amount received this period - contributions of $ lO0 or more.
(Include all Schedule A subtotals.) .................................................................................................. $
2. Amount received this period - contributions of less than $100.
(Do not il~mize.) .............................................................................................................................. $
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Col. mn A, Line 1 .) .............. TOTAl $
12,975.64
0.00
12,975.64
chedule B - Part I
Loans Received
~ ~o/~i/2oo~
~12/31/2003
SCHEDULE B - Part I
Page 5 of 7
NAMEOFFI~R RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL
RICHARD LOWENTHAL
21602 VILLA MARIA CT
CUPERTINO, CA 95014
ra,.o Doc~ I-Io~. O~rY Oscc
RICHARD LOWENTHAL
(Continued)
E],~~ rlco~Do~ O.w Dscc
RICHARD LOWENTHAL
(Continued) (Continued)
rl,.o Dco~ Oo~ D~r~ Osc~
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
Candidate
$ 71000
3,000
fo)
AMOUNT
RECEIVED THIS
PERIOD
$
$ 0
$ 0
fo}
[] PND
$ 0
[] FORGIVEN
$ 2tO00
[] PAID
$ 0
7r000
[] PAID
$ 0
$ 0
o~/ol/~OO4
DATE O43E
$ 0
o~/o3/~ooa
$ 0
10/21/2004
(e)
0.000
PATE
$ 0
$ 0
0.000
PATE
I.D. NUMBER
1256061
(1) (g)
ORIGINAL CUMULATIVE
07/01/2003 $ 12r000__ ~/O ~
09/03/2003 12. 000 PO9
10/21/2003 $ 12 000 POh
SUBTOTAL $ o.oo $ 1~,ooo.oo $ o.oo $ o.oo
Schedule B Suaaery
1. Loans received this period ............................................................................................................ $
(Total Column (b) plus initemized loans less than $100.)
2. Loans paid or forgiven this pedod ................................................................................................ $
(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 .) ...................................................
Enter the net here and on the Summary Page, Column A, Line 2
NET $
975.64
12,975.64
(12,000.00)
SCHEDULE B - Part I (cont.)
Schedule B - Part I (Continuation Sheet) =---~...-.~,~,, ~a
Loans Received
~ 10/31/2003
th~l 12/31/2003 I~ 6 ~ 7
NAMEOFF. LER RICHARD LOWENTHAL. RE-ELECT RICHARD LOWENTHAL 1D. NU.BER
1256061
FULL NAME, I~FREET AD•RE ~,~ AND Z}P CODE IF AN INDIVIDUAL, ENTER C~JT,~[)N GIN G (b) (c) ~(JTS'~DING (e) ~ (g)
OF I~N~ER OCCUPATION AND EMPLOYER BALANCE AMOUNT AMOUNT PAID BALANCE AT INTE REI~T ORIGINAL CUMULATIVE
(IF SELF-EMPLOYEO ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLO~E OF ~IIS PND THIS AMOUNT Of= CONTRIBUTIONS
RICHARD LOWENTHAL [] PArD CAUSNDARYEAFI
(Continued) (Continued)
(Continued) $ 0 $ 0 % 0,000 $ 975 $ 12 975
[] FORGIVEN RATE PEn ELECTION
I--lIND DCOMJ-'IoTH ~--]PTY []SCC $ 0 $ 975 $ 975 3.1/05/2004 $ 0 11/05/2003 $ 12~000
$ % $
D'"o D~o- Do~ D~" D= ' $ $ ' '
$ $ % $
[] F(~GIVEN RATE PER ELECTION
DIND [~coMDoTH OPT~ Dscc s $ $ . $ __ S
$ $ ~ $
[] FORGIVEN RATE ER ELECTION
DIN• Elco- Do~, I-I~ E]scc $ $ $ $
$ $ % $ $
r-I,ND D~MOo~ Dm i-lscc ' s s '
PO3
SUBTOTAL $ 97~.e,~ $ 9~5.~ $ $ o.o,
chedule E
Payments Made
h'om 10/31/2003
mroM~ 12/31/2003
SCHEDULE E
Page 7 of 7
NAMEOFFI~R RICHARD LOWENTHAL, RE ELECT RICHARD LOWENTHAL
CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenvise, describe the payment.
CMP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
I.D. NUMBER
1256061
POL Ix~ling and suwey research
POS postege, de{ivery and messenger services
PRO prole~sional Se~k:es (legal, accounting)
NAMEANDADDRESSOFPA~EORCREDITOR
OF CO~MI~EE, AL~ E~ER I.D. NUM~fl CODE OR DESCRrPT~N OF PAYMENT AMOUNT MID
TINA FERGUSON TRS ELECTION VICTORY PARTY 2,100.00
5278 RAFTON DRIVE
SAN JOSE, CA 95124
SUBTOTAL $ 2,[00.00
Schedule E Summmy
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................... $
2. Unitemized payments made this period of under $100 .................................................................................................................... $
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 Summary Page, Column A, Line 6.) .... TOTAL $
2,100.00
0.00
0.00
2,100.00