460 1st pre-election amendmentRecipientCommittee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 07/01 /09
through 09/19/09
1. Type Of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ^ Ballot Measure Committee
Q State Candidate Election Committee Q Primarily Formed
Q Recall Q Controlled
(AlsoCornpletePart5,1 Q Sponsored
(Also Complete Part 6)
^ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
^ Primarily Formed Candidatel
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1319625
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Darcy Paul for Cupertino City council 2009
STREET ADDRESS (NO P.O. BOX)
20370 Town Center Lane, Suite 100
CITY STATE ZIP CODE AREA CODElPHONE
Cupertino CA 95014 408 517 0977
MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX
Same
CITY STATE ZIP CODE AREA CODElPHONE
OPTIONAL: FAX ! E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviev~ing 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 true and correct.
Executed on 01/19/10
Date
01/19/10
Executed on
Date
Executed on
Date
Executed on
Date
By
By
Date of election if appli
(Month, Day, Year)
11 /03/09
2. Type of Statement:
^ Preelection Statement
^ Semi-annual Statement
^ Termination Statement
® Amendment (Explain below)
JAN 1 9 ~+~+ ~ ~ of _J
r Official Use Only
RTINO CITY CL RK
^ Quarterly Statement
^ Special Odd-Year Report
^ Supplemental Preelection
Statement -Attach Form 495
Occupation and emploker information update
Treasurers}
NAME OF TREASURER
Betsy Shoup
440-12 Galleria Drive
CITY STATE ZIP CODE AREA CODE/PHONE
San Jose CA 95134 408 517 0977
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
ey
Signature of Controlling Officeholder, Candidate, State Measure Proponent
BY FPPC Form 460 (June/01)
Signature of Controlling Officeholder, Candidate. State Measure Proponent
FPPC Toll-Free Helpline: 866lASK-FPPC
State of California
COVER PAGE
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
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
10100 Torre Avenue #140 Cupertino, CA 95014
Related Committees Not Included in this Statement: ~isranycommitrees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures ort behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
N/A
NAME OF TREASURER CONTROLLED COMMITTEE?
^ YES ^ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
N/A
NAME OP TREASURER CONTROLLED COMMITTEE?
^ YES ^ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
6. Ballot Measure Committee
COVER PAGE -PART 2
Page ~ of
NAME OF BALLOT MEASURE
N/A
BALLOT NO.OR LETTER JURISDICTION ^ SUPPORT
^ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
N/A
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed 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
N/A ^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
^ SUPPORT
N/A ^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
N/A
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
N/A
CITY STATE ZIP CODE AREA GODS/YHONt Attach continuation sheets if necessary
FPPC Form 460 (June/01}
FPPC Toll-Free Helpline: 866lASK-FPPC
State of California
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to whole dollars. Statement covers period
• ~
'
07/01/09
from .
•
09/19/09 3
~
through of
page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
CALENDAR YEAR PER ELECTION
TO DATE
RECEIVED (IFCOMMITTEE,ALSOENTERLD.NUMBER) CODE* jIF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED)
OF EUSINESS)
08/12/09 Tsung Hau Liu ~coM Retired 100.00 100.00 100.00
405 B Street ^ OTH
Cheney, WA 99004 ^ PTY
^scc
08/14/09 Hsi I. and Grace Wan ~COM Retired 100.00 100.00 100.00
9604 Kentsdale ^OTH
Potomac, MD 20854 ^ PTY
^scc
08/17/09 Kathy Chang and Kevin Chen ®^coM Researcher
' 110.00 110.00 110.00
1bU42 Valley Kldge ^OTH vJashinytuli iiiliVer3ity
St. Louis, MO 63146 ^ PTY Medical Center
^scc
08/15/09 Jean C. Hsung OCoM Retired 100.00 100.00 100.00
5730 Pond Drive ^oTH
Shoreview, MN 63146 ^ PTY
^scc
08/03/09 Angela Yang ~coM Retired 100.00 100.00 100.00
35494 Monterra ^OTH
Union City, CA 94587 ^ PTY
^scc
SUBTOTAL $
Schedule A Summary
1. Amount received this period -contributions of $100 or more.
(Include all Schedule A subtotals.) ..................................................................................................
2. Amount received this period - unitemized 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
PTY- Political Party
SCC-Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toit-Free Helpline: 866/ASK-FPPC