460 Semi-annual
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
from
July 1, 2006
SEE INSTRUCTIONS ON REVERSE
December 31, 2006
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
o
Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
o Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(Also Complete Part 6)
Ii2l General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1287471
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
3. Committee Information
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS (NO P.O. BOX)
20850 Pepper Tree Lane
CITY
Cupertino
MAILING ADDRESS (IF DIFFERENT) NO.
STATE ZIP CODE
CA 95014
AREA CODE/PHONE
408.255.5175
AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAil ADDRESS
Date of election if appl
(Month, Day, Year)
2. Type of Statement:
o Preelection Statement
Ii2l Semi-annual Statement
o Termination Statement
(Also file a Form 410 Termination)
o Amendment (Explain below)
~ Quarterly Statement
o Special Odd-Year Report
o Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
Marolyn O. Chow
MAILING ADDRESS
21941 Columbus Avenue
CITY
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
STATE
CA
ZIP CODE
95014
AREA CODE/PHONE
408.257.7883
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAil ADDRESS
xecu e on Y
Date
Executed on By
Date
Executed on By
Date
Executed on By
Date
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate. State Measure Proponent
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
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
Statement covers period
July 1, 2006
CALIFORNIA 460
FORM
December 31, 2006
2
4
from
through
1
Column A Column B
TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
$ 20.00 $ 1,405.51
$ 20.00 $ 1,405.51
$ 20.00 $ 1,405.51
of
Page
1.0. NUMBER
Contributions Received
1287471
1. Monetary Contributions ........................................... Schedule A. Line 3
2. Loans Received ...................................................... Schedule 8. 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
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
7/1 to Date
20. Contributions
Received $
21. Expenditures
Made $
$
$
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 $
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If Subject to Voluntary EXPEonditure 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 ................................................... Column A, 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 $
Ifthis is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $
To calculate Column B, 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).
---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 (866/275-3712)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SCHEDULE D
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
July 1, 2006
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
th h December 31, 200E
roug
3 4
Page_ of_
I.D. NUMBER
1287471
D Support
D Oppose
TYPE OF PAYMENT
~ Monetary
Contribution
0 Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
0 Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
10/20/06
CARe
No on D & E
$500.00
$500.00
~ Support
D Oppose
D Support
D Oppose
SUBTOTAL $
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $
2. Unitemized contributions and independent expenditures made this period of under $1 00 ..................................................................................... $
500.00
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE E
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
July 1,2006
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through )ecember 31, 200E P 4 f 4
age_ 0_
I.D. NUMBER
1287471
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
0vP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
ND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Washington Mutual Bank Bank Checks
10250 South DeAnza Boulevard OFC $20.00
Cupertino, CA 95014
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
20.00
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).) ............................................................................... $
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
20.00
20.00
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)