460 Pre-Election Amendment
0nr'4
LûlJ'
2 7
OCT
Type or print In Ink.
n
Recipient Comm ittee
Campaign Statement
Cover Page
(Govemment Code Sections 84200-84216.5)
Dele of election W I
(Month, Dey, VI
cover. period
01101/04
Statement
01
~ Uiõ Only
For
SPUF1ERTINO CITY CLERK
from
o Quarterly Statøment
o Speaal~YearReport
o Sup~IPreeitctlon
Statement- Attach Form 495
to,
1Ype of Statement:
o Semi-annual statement
o Termination stetemont
p!! Amendment (Explain below)
2.
3/31/04
1,2.3. ..:I"
[i Ballot Measure Committee
e Primerlly Formed
o Controlled
o Sponsored
(At.oCOlnpllålPM6)
through
1Ype of Recipient Commlttea: AI Co_ - Complete p_
O OIIIcehoIdor, Candidate Controlled Committee
o State Candidate Election Commiltee
o Recall
(A'-:J~PMð)
seE INSTRUCTIONS ON REVERSE
1.
o Primarily Formed Clndidatel
OIIIceholdor Committee
(AIsoCc.mpMMPM1)
o Generel Purpose Com_
O Sponsored
o Small Contributor Committee
o Pollllcel PartylCentlal Committee
TntllllUl'8I(e)
NAME OF TREASURER
Elizabeth L. Whittaker
MAILING ADDRESS
20622 Cheryl Drive
CITY
Cupertino,
Committee Information
COMMITTEE NAME (OR CANDIOATE'S NAME IF NO COMMITTEE]
Primarily Formed Committee for the Amendments to the General Plan
NUMBER
I.C.
3.
AREA CODE/PHONE
4087/255-8527
ZIP CODE
95014
STATE
CA
STREET ADDRESS (NO P.O. BOX)
20622 Cheryl Avenue
AREA CODE/PHONE
4081996-0842
ZIP CODE
95014
STATE
CA
Kathey Holland
MAILING ADDRESS
10318 Cotd Harbor Ave.
CITY
Cupertino,
OPTIONAL: FAX.
AREA CODE/PHONE
408/255-8527
STATE ZIP CODE
CA 95014
DIFFERENt) NO. AND S"TRii'T óR P.O. BOX
CITY
Cupertino
MAILING ADDRESS
AREA CODE'PHONE
ZIP COOE
STATE
(IF
CITY
E-MAIL ADDRESS
4. Verification
I have used 811 reasonable diligence In preparing and reviewing this statement and to the best of my knowledge the Information contained
certify under penelty 01 ptfjury under the laws 01 the State 01 Calilomie that the foregoing I
Candldlte,SI8te
By
on
Executed
FPPC Fonn 4tO CJunelO1)
Toll$r. "-!pitRe: H8JASK-FppC
State of c.urom..
FPPC
.",......
nerd
'e81U1e
uredQ rtroII~
By
By
"'"
Executed on
Executed on
..
SUMMARY PAGE
! ~
~
St.tement co v.,. period
fr 01101/04
om
œ
Type or print In Ink.
Amount. may be rounded
to whole doll.....
.-"
/'~/
Campaign Disclosure Statement
Summary Page
11
Calendar Veer Summary for Candidates
Running In Both the State Primary and
General Elections
1/1 "'ugh 8130 7/1 .. Dale
20.
21
01
p_ 3
I.D. NUMBER
N/A
$
$
3/31/04
Contrtbutlons
Received $
Expenditures
Mode $
through
CoIumnB
CAIB<Oo\Ry....
'TOTAL TOD'JE
2769.00
o
2789.00
1626.08
4395.08
$
$
ColumnA
TOTÞL 1H8PER1OO
lffQII ATTACHÐ SCI£U.E8'I
2769.00
o
2769.00
1626.08
4395.08
Primarily Formed Committee for the Amendments to the Ganeral Plan
ContrIbutions Received
$
$
Schedule A, Un. 3
ScheduI. 8, Un. 3
. AddUnø1+2
Sc_ C, Uno 3
AddUnu3+4
Monetary Contributlona
Loana Received ................
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contrlbutlona ..............
TOTAL CONTRIBUTIONS RECEIVED
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
1.
2.
3.
4.
5.
Expenditure Umlt Summary for State
Candidates
$
$
Cumulative Expendlturn Mad.·
(1r8ubfdto "'IU..-y....RdIlllflU......
Total to Date
$
$
$
$
$
$
22.
Date 01 Elaction
(mmfddlyy)
--'--'-
--'--'-
--'--'-
--'--'-
--'--'-
--'--'-
o
o
o
<740.00>
o
<740.00>
$
$
$
o
o
o
<740.00>
o
<740.00>
$
$
Schedul. E, Un. 4
ScheduI. H. U,.. 3
Add Un.. 6 + 7
Schedul. F, Une 3
ScltedIH C. Un. 3
AddUnø8+8+10
SUBTOTAL CASH PAYMENTS
Accrued Expenaea (Unpaid Blfta)
Nonmonetary AdJustm.nt ........
TOTAL EXÆNOtTURES MADE
Expenditures Made
6. paymenta Mad.
7. Loana Mad.
8.
9.
10.
11
rreybe
.Slnce January 1, 2001. Amounts in this section
dltf8rent from amounts reported in Column B.
To celculett Column B, edd
amounts in Column A to the
corresponding amounts
from Colurm 8 of your lIst
report SO",. amounbl In
Column A may be negative
"gu.... that should be
subtracted from prevtoul
period amoun1s. Wthls Is
the "rot report being filed
for this calendar Y'lr, only
carry over the amounts
from Lines 2, 7, snd 9 (W
any).
o
o
o
o
'109.DO
$
$
~woue SutnlMty PIP, Une 18
Column A, Un. 3 abov.
SchedUI.I, Un. 4
Current Cash Statement
12. Be9lnnlng Caah Balance
13. C.sh R.ceipts
14. Mlacenan80Ua
'2... b"}.D
$
CoJumn A, Una' abcwe
Add Unn12. 13. 14, fIlM tubIracf Una 15
Une 16 must Þ. zero.
Increaaea to Cash
15. Cash Payments.....................
16. ENDIIIGCASHBALANCE .......
ff this /0 a Ittminallon slalemonI.
o
$
FPPC Form _ (JunelO1)
FPPC ToIl·Free Helpline: II85IASK-FPPC
o
<740.00>
$
$
17. LOAN GUARANTEES RECEIVED S_. S, Pen 2
Cash Equivalents and Outstanding Debts
18. Cash Equlval.nts.... .......... See/MINc1I...on.."'"
19. OUtstanding D.bts Add Un. 2+ Lln.9ln CdumoSobo..
Statement cover. period
lrom 01/01/04
{',
Type or print In Ink.
Amount. m.y be rounded
to whole doll.,..
.?/
,;..:>/
,~uIeA
""ónetary Contributions Received
11
p... ~0I
ID. NUMBER
N/A
3/31/04
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Primarily Formed Committee for
PER ELECTION
TODATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR VEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVEO THIS
PERIOD
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF 8ELF.eMPl.OYB). ENTER fWE
OF...._
Real Estate Broker
the Amendments to the General Plan
FULL NAME, 5mEET AODRESS AND ZIP CODE OF CONTRIBUTOR
ØFCOMMI'TTa.AL80ENTERtD. NM8ER)
CON11IIBUTOR
CODE .
150.00
150.00
¡>~c.\c<- S......,fu
-.!....,r"'rt¡~$,
NDna
2500.00
2500.00
KlIND
oCOM
oOTH
oPTV
oSCC
KlIND
oCOM
oOTH
oPTV
oSCC
olND
o COM
oOTH
oPTV
KlSCC
KlIND
oCOM
oOTH
oPTV
oSCC
olND
oCOM
oOTH
oPTV
Osee
DATE
RECEIVED
Patricia Smith
10317 Cold Harbor Avenue
Cupertino, CA 95014
3/23/04
Robert L. Garten
21344 Dexter Drive
Cupertino, CA 95014
3/24/04
·ContrlMrtor Code.
IND -individual
COM - RociplentConniItoe
(other than PTY or SCC)
OTH - Other
PTY - PolRical Porty
SCC -Smell ContributorCommlUee
FPPC Form 480 (June/O"I)
FPPC ToII.,F_ Helpline: IB8IASK-FPPC
2676.08
2650.00
119.00
2769.00
SUBTOTALS
$
$
TOTAL $
1.)
Line
Schedule A Summary
1. Amount received this period - contributions of $1 00 or more.
(Include all Schedule A subtotals.) .......................................
2. Amount received this period - unitamized contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A,