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460 Quarterly 4th Typo or print In Ink. Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) D_ of elKtlon If appl (Month, Dey, Year Statement cover. period 1011104 Only Officill Us. ., PERTINO CITY CUERK C 'rom Committee. - Complete hrta 1, 2, 3, and 4. iii Balk>t Measure Committee ~ Primarily Formed o ConIrOHed o Sponsored (A/80Compl6/ePtJtt8) o Primarily Formed Candidatel OffIceholder Committee (AJfIOCom¡:JtttaPN17 Quarterly Statement Special Odd-Year Repori Supplemental Preelection Statement - Attach Form 495 !XI o o NA Type of Statement: o Preelection Statement o Semi·annual Statement o Termination Statement o Amandment (Explain below) 2. 12131104 through SEE INSTRUCTIONS ON REVERSE Type of Recipient Commlttae: All o omceholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (AfsoCompletfiPørf6) 1. o General Purpose Committee o Sponsored o Small Contributor Committee o POllllcal Party/Central Committee Treasurer(s) NAME OF TREASURER Elizabeth L. Whittaker I,D. NUMBER Committee Information 1264630 COMMITTEE NAME {OR CANOJDATE"S NAME IF NO COMMITTE~ the Amandments 3. to the General Plan Primarily Formed Committee for MAILING ADDRESS 20622 Cheryl Drive AREA COOE/PHONE 4081255-8527 ZIP CODE 95014 STATE CA CITY Cupertino NAME OF ASSISTANT TREASURER; IF ANY Kathey Holland MAILING ADDRESS 10318 Cold Harbor Ave. AREA CODE/PHONE 4081255-8527 STREET ADDRESS (NO P.O. BOXj 20622 Cheryi Drive lIP CODE 95014 DIFFERENT) NO. AND STREET OR P.O. BOX STATE CA CITY Cupertino MAILING ADDRESS (IF AR'~A CODE/PH bNE 4081996-0642 ZIP CODe 95014 STATE CA CITY Cupertino OPTIONAl..: F=AX AREA CÖDË/PHO¡irE zip CODE STATE CITY E-MAIl.. ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this s1atement and to the best of my knowtedge the Information certify under penalty of perjury under the laws of the State of California that the f Executed on ..."" FPPC FDrm 480 (JuneJ01) FPPC ToIlofrw Helpline: 88IIASK-FPpC Stat. of CaJtfomia ent- ... ...... .. C8nøldlitt: '" ",.,. ...... By By Daïi Executed on Executed on Recipient Committee Typo or print In Ink. Campaign Statement Cover Page - Part 2 - - 5. OffIceholder or Candidate Controlled Committee 6. Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE General Plan Amendment Restricting Building Heights OFFICE SOUGHT OR HELD (INCLUDE LOCATION ANI:! DISTRICT NUMBER IF APPLICABLE) - BALLOT NO, OR LETTER JURISDICTION 1111 SUPPORT NA o OPPOSE RESIDENTIALlBUBINESS AODRESS (NO, AND STREET) CiTY ¡¡:;¡re ZiP Identify the controlling offlahold." candid"., or stat. m...ur. proponent, If any. NAME OF OFFICEHOlDER, CANDIDATE, OR PROPONENT NA OFFICE SOUGHT OR HELO DISTRICT NO. IF ANY NA NA 7. Primarily Formed Committee LI.tn.mo.ofof/l..holdor(.¡ or..ndldllt(./for which 'hi. commlttøll primarily formed. Related Commltt_ Not Included In this Statement: LI,'.nycommlttHfJ not Included In thl. .t.fftlMllt that are controllR by you or .,. prlmllrlly form.cl to reel/v. contributions or make upend/lum on HIM" of your candkMcy. ,D. NUMBER COMMI1'TEE NAME NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO o SUPI'ORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANOIDATE OFFICE SOUGHT OR HELD o SUpPORT o OPPOSE CONTROLLED COMMJ1TEE? DvES DNO AREA CODEIPHONE .D, NUMBER CONTROLLED COMMITTEE? o VES 0 NO ZIP CODE STREET ADDRESS (NO P,O. BOX) STATE NAME OF TREASURER NAME OF TREASURER COMMITTEE ADDRESS CITY COMMmEE NAME Att8Ch contJnu8t1on sheet. if mrce".ry AREA. CODElPHONE STREET AODRESS (NO P.O. BOX) ZIP CODE STATE COMMITTEEAODRESS CITV FPPC Form 480 (JunolO1) FPPC TolI·Froo Holplln.: 8661ASK·FPPC State of California Recipient Committee Type or print In Ink. COVER PAGE - PART2 . Campaign Statement Cover Page - Part 2 3 _01_ - 5. OffIceholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOlDER OR CANDIDATE NAME OF BALLOT MEASURE General Plan Amendment ReSlrictlng Housing Density OFFICE SOUGHT OR HELD (INCLUDE lOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION IXI SUProRT NA o OPPOSE Related Committe.. Not Included In this Statement: Llotonycomml_ not Included In thl. .t.te",.nt "-, aNI contrøHø/ by you Of .,. primarily fomrld to rec.J~ DontrlbufJona or make upendlture. on beh.1f of your Rnd/daCY· COMMJTTEENAME 1.0, NUMBER NAME OF TREASURER CONTROllED COMMITTEE? o YES 0110 COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE liP CODe AREA CODElPHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? o YES o NO COMMITTEEAODRESS STREET ADORESS (NO P.O. BOX) ëiTŸ STÄTE ZIP CODe AREA CODElPHONE identify the controlling officeholder, G.neild.t., or ,tat. me..ur. proponent, If .ny. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT NA OFFICE SOUGHT OR HELO DISTRICT NO, IF ANY NA NA 7. Primarily Formed Committee Llo/ nom.. of affh:oholdor{o) or .ond/dlltt(o) for which 'hi. commJUH I. prlm.rlly form.d. ZIP STATE CITY RESIOENTIALlBUSINESS AOORESS (NO. AND STREET) NAME OF OFFICEHOlOER OR CANDIDATE OFFICE SO\JGHT OR HELD o SUPPORT o OPPOSE NAME 01= OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OF!: HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation ,heet. If necess.ry FPPC Form 480 (JunolO"'I) FPPC TolI-Froe HOJpllnll: 8861ASKpFPPC State Df California Type or print In Ink. COVER PAGE - PART 2 Recipient Committee . Campaign Statement Cover Page - Part 2 4 _ of_ - 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE General Plan Amendment Restricting Building Set Back Lines OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION III SUÞPORT NA o OPPOSE Relatsd Committees Not Includad In this Statement: LI.t ..y committee. not IncJutMd In fhl. .f.,.",."t fh.f ,.,. contlDllttd by you or .,. primarily formed to receive contrlbutløn. or mat. u".ndltu,.. on behalf øf your ~ndkMcy, COMMInEE NAME 1.0, NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? o VES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE liP COOE AREA CODElPHONE CQMMITTEENAME 1.0. NUMBER NAME OF TREASURER CONTROlLED COMMITTEE? DYES o NO COMMITTEE ADDRESS STREET AODRESS (NO P.O. BOX) CiTY SiÄiE lIP CODE AREA COOEJPHONE Identify the controlling offlcehoklerJ c.ndld.t., or .tlte m..aur. propon.nt, If -ny. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT NA OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY NA NA 7. Primarily FDrmed Committee LI.t n.",.. ofofflcoholder(.¡ ",c..dldo/.r.) for which th. commlftft I. primarily formed. ZIP STATE CITY RESIOENTIAUBUSINESB AODRESS (NO. ANO STREET) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE BOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CAND!DATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation .heet. If nece..ary FPPC Form 4GO (JunoJ01) FPPC TolI·Froo Holpllnl: 86ØJA8K~FPPC Stile of California Statement cover. period 'rom 1011104 Type or print In Ink, Amount. may be rDundod to whole dolla.... Campaign Disclosure Statement Summary Page 8 of pogo ~ - - I.D. NUMSER 1264630 12131104 through seE INSTRUCTIONS ON REVERSE NAME OF FILER Primarily Formed Committee for the Amendments to the General Plan Calendar Year Summary for Candidates Running In Both the State Primary and General Elections Column B CALIHCAR mR TOTAL TODATI 10 Date 7/1 $ $ 6130 through 1 20. Contributions Received $ 21. Expenditures Mode $ 9033.35 o 9033.35 4475.00 13508.35 $ $ Column A TOTAL THIS PERIOD (fROMATTACHEDSCHEDULES) 4187.35 o 4187.35 o 4187.35 Contributions Received $ $ Schedul. A, Line 3 Schedule 8, Line 3 Add LlMS 1 ... 2 Schedule a, Line 3 Monetary Contributions Loens Received .......... SUBTOTAL CASH CONTRIBUTIONS Nonmonetery Contributions .............. TOTAL CONTRIBUTIONS RECEIVED 1. 2. 3. 4. 5. Expenditure Limit Summary for State Candidates 22. Cumulatln Exp.ndltur.. Mid.· (II'SUbjlcfklVOlunfllrylxptfKfftUI'ILImI1) Total to Dste Date 01 Election (mm/ddlyy) .90> o .90> o o .90> $ <7201 $ <7201 $ <4372.10> o <4372:10> o o <4372.10> $ $ $ AddUnes 3'" 4 Schedule E, Line 4 Schedule H, LIM 3 . AddLlnesB+ 7 , Schedult f, LIne :1 Schedule 0, Llns 3 AddUnø8"'9+10 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Aoèrued Expenses (Unpaid Bills) 10. Nonmonetary AdJuatment ........ 11. TOTAL EXPENDITURES MADE $ $ $ $ $ $ --1--1_ --1---1_ --1---1_ be ·Slnce January 1 2001. Amounts In this section may different from amounts reported In Column B. To calculate Cotumn 8, add amounts In Column A to the c0fT8spondlng amounts from Column 8 of your last report. Some amounts In Column A may be negative flgureo that ohouid be subtracted from previous pened amounto, If thla 10 the flrst rapon being flied for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (W any). <7201 $ 2016.20 4187.35 o <4372.10> 1831.45 $ $ Prevfou, Summar¡ PIJ(XI, Llnø ......... Column A, Llf16 3 above .........."... Sch,dule I, Une 4 ......... Column A, Line Babove Add Llnss 12 + 13 + 14, th.n subtrect Lln. Un9 16 must be zero. ,. Cash Statement 2. Beginning Cash Balance ....... 13. Cash RØèaipta ....................... 14. Mlsceiianeous Increases to Cash 15. Cash Payments..................... 16. ENDING CASH BALANCE ....... If thIs Is ø termInation statemønt, Current $ 16 o $ Schedule a, Perl 2 17. LOAN GUARANTEES RECEIVED FPPC Form 460 (JunoI01) FPPC TolI·Fro. Holpllno: 8I161ASK·FPPC o o $ $ on raversÐ Add LInG 2 + Line 9 in Column B abovÐ Cash Equivalents and Outstanding Debts 8. Cash Equivalents. See Instructions 9. Outstanding Debts Schedule A Type or print In Ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statoment COV81'1 period to whole dollars, from 1011104 through 12131104 P-g. 6 of 8 see INSTRUCTIONS ON REVERSE NAME OF FILER 1.0. NUMBER Primarily Formed Committee for the Amendments to the General Plan 1264630 DATE FULL NAME. STREET ADDRESS AND 21P CODE OF CONTRIBUTOR ~ I IF AN INDIVIOUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION <IF COMMlTTEE,Al.SOENTER 1.0. NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE· (IFSELHMPLOYED,ENTERNNdE PERIOD (JAN. 1 . DEC. 31) (If REQUIREO) Of BUSINESS) 1014104 Robert Hendrickson IKJIND Applications Engineer $1000.00 $1000.00 o COM 10535 Mira Vista Ave. OOTH Califomia Hydronics Cupertino, CA 95014 DPTY Corp. OSCC 10121104 Norman Damico IIINO None $100.00 $300.00 o COM 22181 McClellan Rd. OOTH Cupertino, CA 95014 OPTY OSCC 10128104 Opal Lemmer IiIIND None $100.00 $100.00 OCOM 1120 S. Stelling Rd. OOTH Cupertino. CA 95014 OPTY DSCC 11129104 Lucille Honig IiIIND None $300.00 $300 .00 DCOM 20745 Scofieid Dr. DOTH Cupertino. CA 95014 DPTY DSCC 1216104 Concerned Citizens of Cupertino DIND Graesroots Organization $612.35 $3212.35 o COM 20622 Cheryl Drive IIOTH Cupertino, CA 95014 OPTY DSCC SUBTOTAL $ 2112.35 ~1~lill~ï~I¡~},lllll~i~L~i~~ì~r~¡i~l¡r¡ Schedule A Summary "Contributor Codes 1. Amount received this period - contributions of $1 00 or more. IND -Individual (Include all Schedule A subtotals.) ............................................,.................. ...........$ 3962.35 COM - Recipient Comm~tee (other than PTY or SCC) 2. Amount received this period - unltemized contributions ofless than $1 00.... ............ $ 225.00 OTH - Other PTY - Pollllcal Party 3. Total monetary contributions received this parlod. see - Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page. Column A, Line TOTAL $ 4187,35 FPPC Form 480 (JuneI01) FPPC TolI-Fr.e Holpllna: 86B1ASK-FPPC SCHEDULE A (CONT.) Statement çover. period 1011104 Typo or print In Ink, Amount. mlY be rounded to whole doHI,... Schedule A (Continuation Sheet) Monetary Contributions Received from pag.-Z-of 8 I.D. NUMBER 1264630 12131104 through NAME OF FILER Prlmerlly Formed Committee for the Amendments to the General Plan PER ELECTION TO DATE (IF REOUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 - OEC, 31) AMOUNT RECEIVED THIS PERK)O IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I' S!LP.J!!MPlCY!D, INTI!R NAU! OFB\1SINESS) FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR I CONTRIBUTOR (I'COMwrTII!,ALSOE'NT!RtO.NUMBI!R) CODe. $500,00 $500.00 Teacher Sunnyvale Elementary School District $500.00 $500.00 Dentist Darrel W, Lum DDS $599.00 $500.00 ReaKor C-21 Champion $100.00 $100.00 None $400,00 $250.00 Realtor Patricia Smith Properties 1850.00 SUBTOTAL $ IXIIND o COM OOTH OPTY OSCC IXIIND o COM OOTH OPTY OSCC IXIIND o COM OOTH OPTY OSCC IiJIND o COM OOTH OPTY OSCC IiJIND oeOM OOTH DPTY OSCC Joanne C.Y, Tong 22339 McClellan Rd Cupertino, CA 95014 DATE RECEIVEO 1217104 Darrel W, Lum 7746 Orogrande PI. Cupertino, CA 95014 12/5104 Virginia Tamblyn 19621 Bixby Drive Cupertino. CA 95014 1215104 Erwin J. Conens 10480 Pinevllle Ave. Cupertino, CA 95014 1216104 Patrlcle Smith 10317 Cold Harbor Dr. Cupertino, CA 95014 12123/04 FPPC Form 460 (JuneI01) FPPC TolI-Froo Helpline: B66/ASK-FPPC 'Contrlbutor Code. IND -lndMdual COM - Recipient Commtltee (other than PTY or SCC) OTH - Olhar P1'( - Political Pariy see - Small Contributor Committee Statement cover. period 1011104 Typo or print In Ink. Amount. may be roundad to whole dollar.. Schedule E Payments Made from 8 8 Pogo_of_ I,D. NUMBER 1264630 12131/04 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Primarily Formed Committee for the Amendments to the General Plan Otherwise, describe the payment RAD radio alrilm. and production RFD returned contributions SAL campatgn workers' salaries 1EL t.v. or cabkl ai1lme snd production COSt8 1RC candldat. travel. lodging, and mealo TRS øtøff/spouse travel, lodging, and meals TSF transfer between committees of the ssme candldate/.ponsor VaT voter reglstretlon WëB Information technology costs CODES: If one of the following codes accurately describes the payment, you may enter avP campa~n paraphernalia/misc. flIeR member communications CNS campaign consultants MfG meetings and appearances CTB contribution (explain nonmonetary)t OFC office expenses CNC civic donations ÆT petition circulating FL candldat. filing/ballot ,... A-iO phone banks fN) fundrslslng events POl. polling and survey research K> Independent .xpondltur. .upporilng/opposlng oth.rs (.xplaln)' POS postag.. dellv.ry and m....ng.r ..rvlces LEG klgal defense PRO professional 8srvlC88 (klgal, accounting) lIT campaign Ilteratur. and PRT print ad. code. the e-mail NAME AND ADDRESS OF PAYEE AMOUNTPAtO (IF COMMITTEE. AUIO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAVMENT Rusty Britt Legal and filing fees to Gary Wesley, Lawyer 20860 Pepper Tree Lane LEG 707 Continental Circle. #424 $4372.10 Cupertino, CA 95014 Mountain View. CA 94040 I - - (Int.rn.t. costs mailing. SUBTOTAl $ 4372.10 """"".$- 4372.10 "".".",,$- 0 ".".",,$- 0 TOTAL $_ 4372.10 FPPC Form 460 (Juna/01) FPPC TolI·Fr.. H.lpllnø: 866/ASI<.fPPC .. Payment. that are contribution. or Independent expenditure. mu.t allo be lummarlzed on Schedule D. = Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ,,,,,,,,,,,,,,,,,,,,.,,,,," 2, Unitemlzed payments made this period ofunder$100 """.".".""""""".""""."""""""""."".,,.,," 3. Total interest paid this period on loans. (Enter amountfrom Schedule 8, Part 1, Column (e).) ".",,, 4. Total payments made this period, (Add Lines 1, 2. and 3. Enter here and on the Summary Page, Column A, Line 6