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460 Pre-election #3 Amended Recipient Committee COVERPAGE Type or print in ink. D to to Campaign Statement • 1 Cover Page 'i (Government Code Sections 84200-84216.5) JUN 2010 1 8 Statement covers period Date of election if ap licab ge of January 1, 2007 (Month, Day,Ye r) For Official Use Only from CUP -RTINO CITY CLER SEE INSTRUCTIONS ON REVERSE through Sept 22, 2007 November 6, 2 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled Termination Statement E] ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 F-1 General Complete Part 6)General Purpose Committee ® Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ door hanger expense 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1280503 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee to Elect Raj Abhyanker for Cupertino City Council Raj Abhyanker MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 408-398-3126 none MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS same CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee Campaign Statement O CALIFORNIA 460 Cover Page—Part 2 Page 2 of 8 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Raj Abhyanker none. OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council, Cupertino CA, Santa Clara County ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER none. NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. F-1 YES F-1 NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT Raj Abhyanker Cupertino City Council ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT none. ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded statement covers period - Summary Page to Whole dollars. ' from January 1,2007 FORM SEE INSTRUCTIONS ON REVERSE through Sept 22, 2007 Page 3 of 8 NAME OF FILER I.D. NUMBER Raj Abhyanker 1280503 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running In Both the State(FROM ATTACHED SCHEDULES) TOTALTODATE g Primary and 00 1. Monetary Contributions ........................................... schedule A,Line 3 $ 299. $ 299.00 General Elections 2. Loans Received ...................................................... schedule B,Line 3 22,071.67 22,071.67 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 22,370.67 $ 22,370.67 20. Contributions 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0 0 Received $ $21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 22,370.67 $ 22,370.67 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 18,653.53 $ 18,653.53 Candidates 7. Loans Made............................................................. Schedule H,Line 3 O nI IrlTl\TI1 I ..w nl,-,,.,....IT,. 1 Q 65,32 53 _ �Q �� ., 22. Cumulative Expenditures Made* .v,vv....vv IV VVV.VV V. JVU 1 V I/"1Ll.il1JI I rr-ml Ivlcly I J .................................... Npd Lines b+/ � � r (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 18,653.53 $ 18,653.53 J� $ Current Cash Statement $ 12.Beginning Cash Balance....................... Previous summary Page,Line 16 $ 0 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 22,370.67 amounts in Column A to the 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. 53 report. Some amounts in 653. 15. Cash Payments.................................................. column A,Line 8 above 18 Column A may be negative 16. ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ 3,717.14 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part 2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7,and 9(if any). 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CALIFORNIA from January 1, 2007 - • SEE INSTRUCTIONS ON REVERSE through Sept 22, 2007 page 4 of 8 NAME OF FILER I.D. NUMBER Raj Abhyanker 1280503 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , DATE CONTRIBUTOR RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) IND Dennis Whittaker B 8/4/2007 ❑ ❑o°H Insurance Agent, State $100.00 $100.00 $100.00 Farm Cupertino, CA 95014 ❑PTY ❑SCC ®IND 9/15/2007 James A Moore ❑COM Executive $100.00 $100.00 $100.00 ❑OTH Cupertino, CA 95014-4832 ❑PTY ❑SCC ®IND Virginia Tamblyn ❑COM Retired 9/20/2007 nnTH $99.00 $99.00 $99.00 Cupertino CA 95014 PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY [:]SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 299.00 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) ........................................................................................................$ 200 COM—Recipient Committee (other than PTY or SCC) 99.00 OTH—Other(e.g., business entity) 2. Amount received this period-unitemized monetary contributions of less than$100 .............................$ PTY—Political Party 3. Total monetary contributions received this period. SCC-Small Contributor committee Add Lines 1 and 2. Enter here and on the Summary Page,Column A Line 1.) TOTAL $ $299.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period ' Loans Received to whole dollars. from January 1,2007 ' • SEE INSTRUCTIONS ON REVERSE through Sept 22, 2007 Page 5 of 8 NAME OF FILER I.D. NUMBER Raj Abhyanker 1280503 IF AN INDIVIDUAL ENTER a (b) W (d) (e) (f) (g) , FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE Raj Abhyanker LLP Patent Attorney, ❑PAID CALENDARYEAR 1580 W. El Camino Real Suite 8 Raj Abhyanker LLP $ $ 22,071.6 0 % $ 22,071. $ 22,071.6 Mountain View CA 94040 ❑FORGIVEN RATE PERELECTION** $ 22,071.6 $ 22,071.6 $ 12/2009 $. $ 22,071.6 t❑ IND ❑ COM W OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION*' tl ] IND n COM n OTH n PTY rl SCC DATE DUE DATF wr.i IPPFn ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PERELECTION" tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 22,071.67$ $ 22,071.67 $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 22,071.67 .................................................................................................................... (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period .........................................................................................................$ COM—RecipientCommittee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) PTY—Political Party 3. Net change this period. Subtract Line 2 from Line 1. 22,071.67 SCC—Small Contributor Committee 9 p ( )............................................................... NET $ Enter the net here and on the Summary Page,Column A, Line 2. (May be a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULEE Amounts may be rounded Statement covers period I from Payments Made to whole dollars. January 1, 2007 r-!SEE INSTRUCTIONS ON REVERSE through Sept 22, 2007 of 8 NAME OF FILER I.D. NUMBER Raj Abhyanker 1280503 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 IND 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 I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Cupertino Statement printed in voter guide 10300 Torre Avenue FIL $1700.00 P,..-...-1:... -A nCn4 A Vupel lII o L/r"1.7.Ju 14 Community Newspapers, c/o the Cupertino Courier Online advertisement Direct Mail Center Print Advertisement * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 16,490.35 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 16,490.35 2. Unitemized payments made this period of under$100 .................................................................................................................... $ 91.51 3. Total interest paid this period on loans. Enter amount from Schedule B,Part 1,Column(e).) ......................................................... $ 0 4. Total payments made this period. Add Lines 1,2,and 3.Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 16,581.86 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period - to whole dollars. Payments Made from January 1, 2007 • - through Sept 22, 2007 Pa e 7 of 8 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Raj Abhyanker 1280503 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 IND 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Registrar of Voters Voter list Cross &Oberlie lawn signs Larry Sacks Photography professional photos Chamber of Commerce fall festival sponsorship Fedex Kinkos printed handouts Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1710.77 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded • ' to whole dollars. January 1,2007 • Payments Made from I 'A through Sept 22, 2007 g 8 SEE INSTRUCTIONS ON REVERSE g Page of NAME OF FILER I.D.NUMBER Raj Abhyanker 1280503 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MITG 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 IND 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Direct Mail Center Door hangers 1099 Mariposa Street LIT 360.90 San Francisco CA 94107 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 360.90 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)