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460 Semi-annual Type or print In Ink. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200~216.5) 8 -~ ForQfflclaI Ie: Date of eloctIon I' (Month, Day. Statement çovera pertod from 4/1105 of lJ;Only '8ar. CUPElnlNO CITY CLER o Quarieriy Statement o Special Qdd- Year Report o SupplementalPreele<:tion Stetement - Atmdl Form495 11/810 Type of Statement: o Pree_ Statement Ii!!J Seml-annual Stetement o Tennlnalion Slatement (Alsoflle a Form 410 TB!TT1Inatlon) o Amendment (Explain below) 2. 6/30105 Type of Recipient Committee: AI Com_ - Comp.... ......" 2, 3,'" 4. o OfflcehoIder, Candidate Controlled Committee Iii'! Primarily Fanned Ballot Measure o Slate CendldaleElectlon Committee Committee o Recall 0 Controlled 1_"_""") 0 Sponsored (A/<o_-5I o Primarily Fanned Candid' OflIœholder Commfttee (AIao Complete Pltrt1} ale! through SeE INSTRUCTIONS ON REVERSE o General Purpose Committee o Sponsored o Small ContrtJutorCommfttee o Political Party)Central CommI11ee 1. Treasurer(s) NAME OF TREASURER Elizabeth L. Whittaker Committee Infonnatlon 1.0. NUMBER 1264630 COMMITTEE NAME (OR CANDtDAfE'S NAME IF NO COMMlrrEE) Primarily Fonned Committee for the Amendments to the General Plan 3. AREA CODE/PHONE 408I25!H1527 ZIP CODE 95014 STATE CA AREA CODE/PHONE 4081996-0842 ZIP CODE 95014 STATE CA CITY Cupertino NAME OF ASS~TAÑT-tREASURER: IF ANY Kathey Holland MAILING ADDRESS 10318 Cold Harbor Ave. ciTY . Cupertino OPTIONAL: FAX / E-MAIL ADDRESS MAILING ÁODFfËss 20622 Cheryl Drive AREA CODE/PHONE 4081255-8527 STREET ADDRESS (NO P.O. BOX) 20622 Cheryl Drive STATE ZIP CODE CA 95014 (IF DWFERENT) NO. AND S"TREËT OR P.O. BOX CITY Cupertino MAILING ADDRESS AREA CODE/PHONE ZIP CODE STATE CITY certlly E.MAll ADDRESS Verification I have used all reasonableditigence In preparing and reviewing thts statement and By """ """ on Executed on EXeoJled on Exocuted Recipient Committee Type or print In ink. Campaign Statement Cover Page - Part 2 - - 5. Officeholder or Candidate Controlled Committee 6. Primarily Fonned Ballot Measure Committee - NAME OF OFFICEHOlDER OR CANDIDATE NAME OF BAllOT MEASURE General Plan Amendment Restricting Building Heights - BALLOT NO. OR LEITER I JURISOICTlON I i2I SUPPORT OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPUCABlE) NA o OPPOSE RESlDENTlAlJBUSlNESS ADDRESS (NO. AND STREET) CITY srAlE lip Identify the controlling offlcehold., Andldate. or ... menur. proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included In this Statement: L/st__ NA nøllncludtMl '" "". at.f8",..t tltat .,. conttolled by you or.. ptfma1fIy fonHd to twe8Iw OFFICE SOUGHT OR HELD DISTRiCT NO. IF ANY conltlbutlons or nutM øpettdItuIw 011 belt." 01 yout' candidacy. NA COMMITTEE NAME 1.0. NUMBER Primarily Formed Cendldate/Officeholder Committee LIlt".",.. of of/IceholrWto¡ or condIdoIo(o¡ for _ _ ........- ,.,.nm.tUy _. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPf'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 CANDIDATE OFFICE SOUGHT OR HELD o SUPf'ORT o OPPOSE Attach continuation sheets If necØ5HIY 7. NAME OF TREASURER CONTROLLEDCOMMITIEE7 DyES o NO COMMITTEEAOORESS STREET ADDRESS (NO P.O. BOX) CITY STAlE ZIP CODE AREA COOE/PHONE CQfIMITTEENNJlE 1.0. NUMBER NAME OF TREASURER CONTRa.LEDCOMMITTEE? DyES o NO COMMIITEEADORESS STREET ADDRESS (NO P.O. BOX) õiTY STÃiË ZIP COOE AREA COOEIPHONE FPpC Form .ceo (JanuaryIOS) FPpC Toll-Free H.IpUne: I8&'ASK·FPPC ("215--3772) State of Caltfom18 COVER PAGE - PART 2 Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 Primarily Formed Ballot Measure Committee NAME OF BAllOT MEASURE General Plan Amendment Restricting Building Set Back Lines BALLOT NO, OR lETTER JURISDICTION ~ SUppORT NA 0 OPPOSE 6. OffIceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Related Committee. Not Included in this Statement: LIstOllyçomm_ troIlncJuded In Ih,. .,.,."." ".., .. cøntrøHm by you or .,. pdmMIly formed to ~ conlribuflon. or nøb upendHuru on btJh." 01 your CMdJdacy. COMMITIEENAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO COMMITTEEÞDDRESS STREET ADDRESS (NO P.O. BOX) CITY srA1E ZIP CODE AREA CODElPHONE COMMITTEE NAME LD.NUMBER NAME OF TREASURER CONTROllED COMMITTEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CiTY SiÄŒ ztp CODE AA£A COOEIPHONE identify the controlling officeholder, candld.t., or state me..ure proponent. If any. NAME OF OFFICEHOlDER, CANDIDATE, OR PROPONENT NA OFFICE SOUGHT OR HELD I DISTRICT NO. IF MY NA 7. Primarily Formed Candidate/OffIceholder Committee List _ of o_rIw(.) or çlllldlrØlo(s) 10, which this comm_ /s prlmsr/Iy Iotmed. ZIP APPLICABlE) S1J\1E SOUGHT OR HELD (INClUDE LOCATION AND DISTRICT NUMBER IF CITY RESlDENTlAlIBUSINESS ADDRESS (NO. AND STREET) OFFICE NAME Of OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPpORT o oppOSE NAME OF OfFtCEHOlOER 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 CANDIDATE OFFICE SOUGHT OR HELD o SUppORT o OPPOSE Att.ch conllnu.tlon sheets" nøces..'Y FPPC Form 460 (JllnuaryI05) FPPC ToIl-Fnte Help"ne: 888/ASK.FPPC (8881275-3772) Støte of California SUMMARY PAGE Statement covers period 4/1105 Type or print In Ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page 8 p_~ of 1.0. NUMBER 1264630 6/30/05 from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Primarily Fonned Committee for the Catendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 CoIutm B CALENDAR YEAR TaTAL TOMTE Amendments 10 the General Plan ColumnA TOTAL THISPERIOD (FROM,qrACt£D SCHEDUlES) 10 Date 71 $ $ 20. Contributions Received $ 21. Expenditure. Mada $ 965.33 o 965.33 500.00 1465.33 $ $ 165.33 o 165.33 500.00 665.33 Contributions Received $ $ Schedule A, Line 3 Schedule B, LJnø 3 AddUnes1+2 Schedule C, l.Jne 3 AddUnes 3 +4 Monetary Conbibutions Loans Received SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions .............. TOTAL CONTRIBUTIONS RECEIVED ,. 2. 3. 4, 5. Expenditure Limit Summary for State Candidates $ $ Expenditures Made 6. Payments Made <85.00> o <85.00> o $ 85.00 o 85.00 o $ Schedule E, ÜIJfJ 4 Schedule H, Line 3 Dale Cumulative Expenditures Made· (f Subject tD Yoturrtll)' exMnditPN lInIIt) Totalta 22. Date of Election (mm/dd/yy) <500.00> <585.00> $ 500.00 585.00 $ AddUnøs6+ 7 $chedulB F, LJnø 3 Schedule C, Line 3 AddL.ine8B+Q+10 Loans Made ......... SUBTOTAL CASH PAYMENTS Aœrued Expenses (Unpaid Bills) Nonmonetary Adjustment ........ TOTAL EXPENDITURES MADE 7. 8. 9. 10. 11 $ $ "'Amounts in this section may be different from amounts reported in Column 8. ---1---1_ ---1---1_ To calculate Column S, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this Is the Int report being flied for this œlendar year, only cany over the amounts (rom Lines 2, 7, and 9 (W any). $ 2631.45 165.33 o 85.00 2711.78 $ $ $ PreIlÎOfnj SummaIy Page, Line 16 ......... CoIumnA,Line3aooæ ...........".. Schedule I, Line 4 ......... CoIumnA,LJneBabovø Add Unes 12 + 13 + 14, then subtract Line 15 Uns 16 must be zero. Current Cash Statement 12. Beginning Cash Balance ...... 13. Cash Receipts Miscellaneous Increases to Cash Cash Payments ..................... ENDINGCASHBALANCE ....... "this Is a termination statement, 14. 15. 16. o $ 17. LOAN GUARANTEES RECEIVED Schodn/ø 8, Pari 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents"' .......... See ínstruction8 on 1'91181'88 19. Outstanding Debts Add Line 2 + Line 9 in Column B above FPPC Fonn 480 (JanuaryI05) FPPC Tall-F.... Helpline: 8861ASK·FPPC (BBB/275-3772) o o $ $ SCHEDULE A Statement cov.r. p.rfod 4/1105 rom Type or p~nt In Ink. Amountll may be round.d to whole dollars. Schedule A Monetary Contributions Received PIIII 6 8 _of_ I.D. NUMBER 1264630 8130/05 through see INSTRUCTONS ON REVERSE NAME Of FILER Primarily Fonned Committee for the Amendments to the General Plan PER ELECTION TO DATE (IF REOUtREO) CUMULATIVE TO DATE CALENDAR VEAR (JAN. 1 . DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDMDUAL. ENTER OCCUPATION AND EMPLOYER (IF SeLF-EMPLOYeD, ENTER NAME OF 8lJSjNESS) NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 1 CONTRIBUTOR (IFCOMMlTTEE,ALSOENTERt.D,NUMBfR) CODE * fULL DATE RECEIVED $100.00 "'Contributor Codes !NO -Individual COM - Reclpiant Comm_ (other than PTY or SCC) OTH - Other (e,g.. business entity) PTY - Political Party see - Sman Contr1butorCommlttee $100.00 100.00 65.33 165,33 SUBTOTALS $ $ $ None Schedule A Summary 1. Amount received this period - itemized monetary contributions, (Include all Schedule A subtotals.) ............................,................ Amount received this period - un itemized monetary contributions of less than $100 Iii'!IND OCOM OaTH OPTY OSCC OIND o COM OOTH OPTY OSCC olND OCOM OOTH OPTY OSCC OIND o COM OaTH OPTY OSCC OIND OCOM OaTH OPTY OSCC Dave Riopel 10518 Whitney Way Cupertino, CA 95014 617105 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, 2. 3. FPPC Form 480 (Jon...rylO5) FPPC ToIl-F... Helpline: 888IASK-FPPC (864!1275-3772) TOTAL ) 1 Column A, Line Stolllment coy.... pe~.d 4/1/05 Typo or print In Ink, Amounta m.y be roundod to whol. d.II..... SchecluleC Nonmonetary Contributions Received P.",.-!.- of ~ I,D, NUMBER 1264630 6/30/05 from through SEE INSTRUCTIONS DNl!~"""RSE NAME OF FILER PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 . DEC 31) AMOUNTI FAIR MARKET VALUE DESCRIPTION OF GOODS OR SERVICES Primarily Formed Committee for the Amendments to the General Plan IF AN INDiVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·I!MPlOYED, ENT!A Nl\ME Of 8Ul1N!&8) CONTRIBUTOR CODE' FULL NAME, STREET ADDRESS AND ZIP COOE OF CONTRtBUTOR (II' COMMlTTI!, ALSO INTI!R I,D. NUMB!!") DATE RECEIVED $200,00 $200,00 Consuitant Fees Insurance Agent Whittaker Insurence Agency, Inc. $500,00 $300,00 Consultant Fees SUBTOTAL $ I nsurence Agant WhKtaker Insurance Agency, Inc, i21IND oCOM oOTH oPTY osce i2IlND DOOM oOTH oPTY Osee olND DOOM oOTH oPTY Osee olND oCOM oOTH oPTY Osee Dennis Whittaker 20622 Cheryl Drlva Cupertino, CA 95014 6/14/05 Dennis Whittaker 20622 Cheryl Drive Cupertino, CA 95014 6/15/05 500,00 o FPPC Form 460 (J.nu8ryI05) FPPC TolI.Frae H.lpllne: Bee/ASK·FPPC (8881275-3772) "'ContrIbutor Codes IND -lndMdual COM - RecIpient Committee (oth.rthan PTY or SeC) OTH - Other (e.g" business 8ntlly) PTY - Polllloal P.rty SCC - Small Contributor Committee Attach addltlonsllnformstlon on appropriately labeled continuation sheets, Schedule C Summary 1, Amount received this period -Itemized nonmonetary contributions, (Include ali Schedule C subtotals.). Amount 500,00 $ $ TOTAL $ this period - unltamized nonmonetary contributions of less than $100 10,) Coiumn A, Lines 4 and received Total nonmonetary contributions received this period, (Add Lines 1 snd 2, Enter here and on the Summary Page 2. 3, Statement cove... period 4/1/05 Type or print In Ink. Amounts may be rounded to whole doll..... Schedule E Payments Made P_~ of~ 1.0. NUMBER 1264630 6/30/05 from through SEE INSlRUCTIONS ON REVERSE NAME OF FILER Primarily Fanned Committee for the Amendments to the General Plan CODES: If one of the following codes accurately desaibes the payment, you may enter the code. Otherwise, describe the payment. 0vP campaign pøraphemaHa/mhK:. MR member oommunications RAD radio airtime and production costs o¿s campaJgn consultants MTG meetings and appearanoes R=D returned contributions CTB contribution (explatn nonmonetary)" a=c office expenses SAL campaign workers' salaries evc clYte donations FEr petition ci'culatlng 1B. t.v. or cable airtime and production costs FL candldatelllng/ballot fees PHO phone banks TRC candidate tra....,lodglng, and meals FfIÐ fundraislnQ events PQ. poUlog and survey research 1RS: stafflspouse travel, lodging, and meals N) Independent expenditure supporting/opposing others (explain)1II POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor lEG legal del8nse FRO professional services (legal, accounting) VaT voter raglstration UT campaign Ilteratura and mailings PRI' print ads VÆB Information technology costs (Internet, e-mal) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) COOE OR DESCRIPTION OF PAYMENT AMOUNT PAID o 85.00 o 85.00 SUBTOTAL$ $ $ $ TOTAL $ .. Payments that .,.. contributions or Independent 8xpend"ures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................... 2. Unitemized payments made this period of under $1 00 ........................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) FPPC Form 460 (JanuaryI05) FPPC Toll·Frae Helpline: 8661ASK.fPPC (866/275-3772) 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) 4. Total payments made this period. (Add Lines 1