470 Annual fficeholder and Candidate
Campaign Statement -
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election if applicable:
(Month, Day, Year)
Nova, 2005
^ Amendmerlt (Explain Below t ~ !I~'i ~ IJ ~ , ^n^<~
1. Statement Covers Calendar Year 20 O8
COUnCII
Use
2. Officeholder or Candidate Information 3. Office Sought or Held
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Orrin Mahoney
STREET ADDRESS
10940 Miramonte Road
CITY STATE ZIP CODE
Cupertino CA 95104
AREA CODElDAYTIME PHONE NUMBER OPTIONAL' FAX / E-MAIL ADDRESS
408-725-1767
JURISDICTION (LOCATION)
DISTRICT NUMBER
(IF APPLICABLE)
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 I.D. NUMBER
None
5. Verification
COMMITTEE ADDRESS
NAME OF TREASURER
I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $},
FPPC Form 4701470 Supplement (January/08)
FPPC Toll-Free Helpline: 866/ASK-FPPC (888/276-3772)