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470 Annual Officehol~er and Candidate Campaign Statement - Type or print In Ink. Short Form (Government Code Section 84206) Date of election If applicable: D Amendment (Explain Bel (Month, Day, Year) ~ERTINO CITY CLER 1. Statement Covers Calendar Year 20 ~ . 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Sandra James f':ity r.nl1nr:il STREET ADDRESS JURISDICTION (LOCATION) DISTRICT NUMBER (IF APPLICABLE) 21614 La Playa Court CllY STATE ZIP CODE Cupertino CA 95014 AREACODElDAYTIME PHONE NUMBER OPTIONAL: FAX/E·MAILADDRESS 408-253-7617 4. Committee Information List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy COMMITTEE NAME AND 1.0. NUMBER COMMITTEE ADDRESS NAME OF TREASURER 5. Verification , I declare under penalty Df pe~ury that to the best of my knDwledge I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during the calendar year and that I have used all reasonable diligence in preparing this statement. FPPC Form 450 (June/01) FPPC Toll-Free Helpline: 866/A$K-FPPC