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460 - 2nd Pre-election ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from 07/20/2009 Date of election if appl (Month, Day, Year) T~~Q~~~ L ~J ~T ~ 2 COVER PAGE ~_ of ~- Official Use Only 10/17/2009 11 /03/2009 C RK SEE INSTRUCTIONS ON REVERSE through ~ERTINO CITY 1. Type of Recipient Committee: All committees -complete Parts ~, 2, 3, and 4. 2. Type of Statemen ® Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure ~ Preelection Statement ^ Quarterly Statement Q State Candidate Election Committee Committee ^ Semi-annual Statement ^ Special Odd-Year Report Q Recall Q Controlled ^ Termination Statement ^ Supplemental Preelection (Also CompletePaR5) Q Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 (Also Complete Part 6) ^ Amendment (Explain below) ^ General Purpose Committee Formed Candidate/ Primaril y Q Sponsored ^ ~ Small Contributor Committee Officeholder Committee /Central Committee (Also Complete Part 7) liti l P rt P a y ~ ca o 3. Committee Information I.D. NUMBER Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Betsy Shoup Darcy Paul for Cupertino City Council 2009 MAILING ADDRESS 440-12 Galleria Drive STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 20370 Town Center Lane #100 San Jose CA 95134 408 517 0977 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 408 517 0977 MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX MAILING ADDRESS 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 my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is tl Executed on 10/21 /2009 By Date 10/21 /2009 By Executed on Date Executed on Date Executed on By Date Signature ofConlrollingOfficeholder,Candidate,StateMeasureProponent FPPC Form 460 (Januaryl05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) State of California By Signature of Controlling Officeholder, Candidate, State Measure Proponent ype or print in ink. COVER PAGE-PART2 Recipient Committee ~ . , Campaign Statement ~ ~ . ~ ~ 1 Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Darcy Paul for Cupertino City Council 2009 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cupertino City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 20370 Town Center Lane #100 Cupertino CA 95014 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEEAODRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of ~ 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER I JURISDICTION I ^ SUPPORT ^ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Januaryl06) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts ma be rounded SUmmary Page y to whole dollars. Statement covers period ~ - ~ ' e - 7/20/2009 • from through 10/17/09 page 3 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 2009 1319625 Contributions Received Column A TOTALTHIS PERIOD Column B Calendar Year Summary for Candidates (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................ ... schedule A, Lines $ 1,200.00 $ 21,922.98 O 0 1!1 through 6/30 7l1 to Date 2. Loans Received .................................................... .. schedule e, une s ------ ------- - --------------- 3. SUBTOTALCASH CONTRIBUTIONS ................... ...... AddLines l +z $ 1,200.00 $ 21,922.98 20. Contributions 21 997 98 Received $ $ 4. Nonmonetary Contributions .................................. .. schedule c, Lines 0 75.00 21. Expenditures 5. TOTALCONTRIBUTIONS RECEIVED .................. ......... Add Lines s +4 $ 1,200.00 $ 21.997.98 15,145.38 Made $ $ Expenditures Made 6. Payments Made ............................... ........................ schedule e, Line 4 $ 8,931.05 $ 15,145.38 7. Loans Made ..................................... ........................ Schedule H, Line 3 0 0 O CI IOT(lThl ('ACLI fIAVA~CAITC` Pi `-I.11 Il.~l 1F 1dF 4R V. •.lUU1V IllL V/"'1~.1111/"111VILIVIJ ........ ............................ MUU LIIIC.~UT/ µl -~-- -'- .p "+""""" 9. Accrued Ex enses Un aid Bills p ( p ~ ... ............................ Schedule F Line 3 _ 0 0 10. Nonmonetary Adjustment ............... ........................... schedule c, Lines 0 0 11. TOTAL EXPENDITURES MADE ....... ......................... Add Lines s + g + to $ 8,931.05 $ 15,145.38 Current Cash Statement 12. Beginning Cash Balance ................ ....... Previous summary Page, une ~s $ 14,508.65 To calculate Column B, add 13. Cash Receipts ................................ ................... Column A, Line 3 above 1,200.00 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash .. ......................... Schedule 1, Line 4 from Column B of your last 15. Cash Payments ............................... ................... column A, Line s above 8,931.05 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 6,777.60 figures that should be subtracted from previous If this is a termination statement, Line 1 6 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ... ........................ Schedule B. Part 2 $ 0 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 $ 0 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ ~ xpenditure Limit Summary for State :andidates 22. Cumulative Expenditures Made' iii 5uoject[o voluntary txpenarture umlq Date of Election Total to Date (mm/dd/yy) ~~ $ ~/ $ Amounts in this section may be different from amounts 'ported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) .~hn.d~ Jo A Type or print in ink. SCHEDULE A ---'--"-' - - Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period a ' ' 07/20/2009 from • • through 10/17/2009 page 4 of ~ SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 2009 1319625 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TOOATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 9/22/2009 Stanley T. Lee ^coM Stanley T. Lee, D.D.S. 100.00 100.00 100.00 P. O. Box 2449 ^ OTH Cupertino, CA 95014 ^ PTY ^scc m IND 9/25/2009 Joan Wu ^coM Requested 100.00 100.00 100.00 12903 Flint Street ^OTH Overland Park, KS 66219 ^ PTY ^scc ^IND Thomas Tai Chen ^coM Requested , nn nn ~ nn nn ~ nn nn iuiu8/20u9 15553 Summer LakeDrive ^OTH 'vv'V" 'v`~'Vy "-~-- Chesterfield, MO ^ PTY ^scc ®IND 10/2/2009 Subho Mullick ^COM Subho Mullick, M.D. 100.00 100.00 100.00 8122 Bell Road ^OTH Lenexa, KS 95014 ^ PTY ^scc ®IND Edmund Y. and Rebecca B. Chen ^COM Retired 500 00 500 00 1 000.00 10/4/2009 6225 Crooked Stick Circle ^ OTH . . , Stockton, CA 95219 ^ PTY ^scc SUBTOTALS 900.00 Schedule A Summary 1. Amount received this period -itemized monetary contributions. 1,100.00 (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 $ 100.00 1,200.00 *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 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) chedule A (Continuation Sheet) Type or print in ink. SCHEDULER (CONT.) Monetary contributions Keceweq Amounts may be rounded Statement covers period to whole dollars. a ~ ' from 07/20/2009 • ~ - through 10/17/2009 page S of ~ NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 2009 1319625 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Grace C. and Bin Fend ^ coM Retired 10/09/2009 35490 Mission Boulevard #311 ^OTH 200.00 200.00 200.00 Fremont, CA 94536 ^ PTY ^ scc ^IND ^COM ^ OTH ^ PTY ^SCC ^IND nrnnn OTH ^ PTY ^SCC ^IND ^COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTAL$ 200.00 "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 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) chedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/20/2009 SEE INSTRUCTIONS ON REVERSE through 10/17/2009 page 6 of 7 NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 1319625 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 PFiO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ItJD 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 Lfr campaign literature and mailings PRT print ads WEB information technology costs (internet, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing 2260 Monterey Road CMP 2.150.00 San Jose CA 95112 Steven Hoffman 20370 Town Center Lane #100 OFC 750.00 Cupertino, CA 95014 The C -Cupertino-News 20660 Stevens Creek Boulevard #251 PRT 600.00 Cupertino, CA 95014 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,500.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 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 $ 8,743.70 187.35 8,931.05 FPPC Form 460 (January/OS) FPPC Toll-Free Helpiine: 866/ASK-FPPC (866/275-3772) chedule E Type or print in ink. SCHEDULE E (CONY) (Continuation Sheet) Amounts may be rounded Statement covers period ~ ~ • to whole dollars. 07/20/2009 • Payments Made from throw h 10/17/2009 ~ ~ SEE INSTRUCTIONS ON REVERSE g Page of NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 1319625 CODES: If one of the following codes accurately describes the payment, you may enter the code. - - -- Otherwise, describe the payment. CNP 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 WD 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 Lff campaign literature and mailings PRT print ads WEB information technology costs (internet, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Staples 20830 Stevens Creek Boulevard OFC 120.70 Cupertino, CA 95014 Sing Tao Chinese Radio 750 Barber Lane RAD 1,500.00 Milpitas, CA 95035 Silicon Valley Community Newspapers 1095 The Alameda PRT 3,623.00 San Jose, CA 95126 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5,243.70 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)