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460 Semi-Annual July amendment Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period January 1, 2006 from SEE INSTRUCTIONS ON REVERSE June 30, 2006 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. D Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) D Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) Ii2I General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information 1.0. NUMBER 1287471 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) CONCERNED CITIZENS OF CUPERTINO STREET ADDRESS (NO P.O. BOX) 20850 Pepper Tree Lane CITY STATE ZIP CODE Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 408.255.5175 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAil ADDRESS COVER PAGE Date Stamp [E~lE~\YI Date of election if appliea (Month, Day, Year) DEe - 6 2006 CITY CLERK o D D 2. Type of State me D Preelection Statement ~ Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) Ii2I Amendment (Explain below) inadvertant misstatement of contribution Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Marolyn O. Chow MAILING ADDRESS 21941 Columbus Avenue CITY STATE Cupertino CA NAME OF ASSISTANT TREASURER, IF ANY ZIP CODE 95014 AREA CODE/PHONE 408.257.7883 MAILING ADDRESS CITY STATE AREA CODE/PHONE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the Officer of Sponsor Date Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Concerned Citizens of Cupertino Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A CALIFORNIA 460 FORM Statement eovers period from January 1, 2006 through June 30, 2006 page~Of~ 1.0. NUMBER 1287471 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE * CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD PER ELECTION TO DATE (IF REQUIRED) 6/17106 Save Our City 20622 Cheryl Drive Cupertino, CA 95014 DIND ~COM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC OiND DCOM DOTH DPTY DSCC FPPC#: 1264630 1,190.51 1,190.51 SUBTOTAL $ 1,195.51 I Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized monetary 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, Line 1.) ....................... TOTAL $ 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 1,365.51 1,365.51 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Concerned Citizens of Cupertino Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE from January 1, 2006 through 1 Statement covers period CALIFORNIA 460 FORM June 30, 2006 Page -3- of ~ I.D. NUMBER 1287471 Contributions Received Column B CALENDAR YEAR TOTAl TO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Column A TOTAl THIS PERIOD (FROM ATTACHED SCHEDULES) $ 1,365.51 $ 1,365.51 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date $ 1,365.51 $ 1,365.51 20. Contributions Received $ 21. Expenditures Made $ $ $ 1,365.51 $ 1,365.51 $ Expenditure Limit Summary for State Candidates Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........ ........................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ $ 22. Cumulative Expenditures Made. (If Subject to VOluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date $ -----1-----1_ $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page. Line 16 13. Cash Receipts ................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 0 1,365.51 1,365.51 $ $ $ 1,365.51 $ 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 first report being filed for this calendar year, only carry over the amounts from Lines 2. 7, and 9 (if any). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above -----1-----1_ $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)