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460 Semi-Annual (Oct-Dec) OVERPAGE RecipientCommittee Campaign Statement Cover Page (Government Cade Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. FEB -1 X010 Statement covers period Date of election if appli ble: 10118109 (Month, Day. Year) from C PERTINO CITY C 12131109 11103109 through f , 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 (Alsocomp'ereParts) Q Sponsored (Also Complete Pad 6) ^ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political PartylCentral Committee 3. Committee Information I.D. NUMBER 1319625 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Daffy raw rut ~uNel unu any wun~u cwo STREET ADDRESS (NO P.O. BOX) 20370 Town Center Lane, Suite 100 CITY ^ Primarily Formed Candidatel Officeholder Committee AAsso CompletePad 7J STATE ZIP CODE AREA CODEIPHONE Cupertino CA 95014 408 517 0977 MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX Same CITY STATE ZIP CODE AREA CODEiPHONE OPTIONAL. FAX 1 E-MAIL ADDRESS of ~ Official Use Only 2. Type of Statement: ^ Preelection Statement ® Semi-annual Statement ^ Termination Statement ^ Amendment (Explain below) ^ Quarterly Statement ^ Special Odd-Year Report ^ Supplemental Preelection Statement -Attach Form 495 Treasureris) NAME OF TREASURER Betsy Shoup MAILING ADDRESS 440-12 Galleria Drive CITY STATE ZIP CODE AREA CODEIPHONE San Jose CA 95134 408 517 0977 NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I 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 true and correct. 01119110 By Executed on Date Executed on 01119110 By Dale Executed on Date Executed on ~ By SignatureofControllingOtficeholder,Candidate,StateMeasureProponent FPPC Form 460(Junelel) FPPC Toll•Free Helpline: 8661ASK-FPPC State of California By Signature of ControNingOf~ceholder, Candidate, State Measure ProgOnenl ecipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVERPAGE•PART2 Page ~_ of ~ 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 RESIDENTIALIBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP 10100 Torre Avenue #140 Cupertino, CA 95014 Related Committees Not Included in this Statement: t.istanycomminees not included in this statement that are controlled by you or are primarily formed to receive conVibuh'ons or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NIA NAME OF TREASURER CONTROLLEDCOMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREET ADDRESS (NOP.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NIA NAME OF TREASURER CONTROLLEDCOMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE 6. Ballot Measure Committee NAME OFBALLOTMEASURE NIA BALLOTNO.ORLETTER JURISDICTION ^ SUPPORT ^ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT NIA OFFICE SOUGHT OR HELD DISTRICT N0. IF ANV 7. Primarily Formed Committee l.istnamesofofficeholder(s)orcandidate(s)for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT NIA ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT NIA ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT NIA ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT NIA ^ oPPOSE Attach continuation sheets if necessary FPPC Forrn 460 (June101) FPPC Toll•Free Helpline: 8661ASK•FPPC State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10-19-2009 SUMMARY PAGE through 12-31-2009 page 3 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 2009 1319 6 2 5 Contributions Received ColumnA TDTALTH~sAEA~OD Column B Calendar Year Summary for Candidates (FADMATTACNED SCHEDULES) DALENDAAYFAA TOTALTODATE Runnin in Both the State Prima and g ry 4 618.00 26 540.98 General Elections 1. Monetary Contributions ........................................... schedutea,Line3 $ , , $ O O 111 through 6130 711 to Date 2. ~Dans ReceIVeL1 ...................................................... Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines ~ +z $ 4,618.00 $ 26,540.98 20. Contributions 26 615.98 , Received $ $ 4. NonmonetaryContributions .................................... scneduiec,Line9 0 0 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED....••.••..••••..•••.•••..•Addt.ines9+a $ 4,618.00 $ 26,615.98 25,780.04 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... scneduieE,Linea $ 10,634.66 $ 25,780.04 Candidates !. LOaf151Vlade ............................................................. Schedule H,llne3 n n 8. SUBTOTAL CASHPAYMENTS .................................... Add liners+7 $ 10,634.66 25,780.04 $ 22. Cumulative Expenditures Made' (MSubjecttovoluntaryExpenddurelimtt) 9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Lines 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... scnedmec, ones 0 0 (mmlddlyy) 11. TOTAL EXPENDITURES MADE ................................Adduness+s+lo $ 10,634.66 $ 25,780.04 ~~ $ Current Cash Statement -~-~ $ 12. Beginning Cash Balance ....................... Previous5ummaryPage,Line16 $ 6,771.60 To calculate Column B, add ~~ $ 13. Cash Receipts ................................................... coiumnA, Line 3 above 4,618.00 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... scnedule I. Linea from Column B of your last /~ $ 15. Cash Payments .................................................. Column a, Line a above 10,634.66 report. Some amounts in Column A may be negative 16.ENDINGCASHBALANCE..........AddLinesn+r3+la,then subtract Line t6 $ 760.94 f ores that should be 9 ~~ $ subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is -J-~ $ the frst report being Bled 17. LOAN GUARANTEES RECEIVED ........................... scnedule a, Part 2 $ 0 for this calendar year, only carry aver the amounts 'Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts arom Lines 2, 7, and 9 (if different from amounts reported in Column 6. 0 v)• 18. Cash Equivalents ........................................ Seeinstruc6onsonreverse $ 19. OUfstandmg DebtS ......................... Addline2+Line9inColumn8above $ ~ FPPC Form 460 (June101) FPPC Toll-Free Helpline: B6tUASK-FPPC chedule A Type or print in ink, SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars Statement covers period ~ ' . 10-19-2009 from ~ • ~ ~ through 12-31-2009 page 4 of 7 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 CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED prcoMMineEnLSOeeTeero.NUMeeal CODE * prseLr~MPLOVeoeNreRrur3e PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) oreusiNessl i 10120109 Darc Paul y ®IND ^coM Self-Em to ed p y 4200.00 4,300.00 4,300.00 ^OTH Attorney ^ PTY ^SCC 10122109 Albert Liu and Yvonne Wan ®IND ph sician 200.00 200.00 200.00 10215 Delmar Lane ^OTH Women's Clinic Assoc. Overland, KS 66207 ^PTY ^scc ^IND ^ COM I ^ OTH ^ PTY ^SCC ^IND ^COM ^ OTH ^ PTY ^SCC ^IND ^COM ^OTH ^ PTY ^SCC SUBTOTALS 4,400.00 Schedule A Summary Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized contributions of less than $1 DO ............................................. $ 4,400.00 218.00 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 4,618.00 FPPC Form 460 (June101) FPPC Toll•Free Helpline: 8661ASK•FPPC chedule E Payments Made SCHEDULEE Type or print in ink. Statement covers period Amounts may be rounded ~ ~' ' to whole dollars. 10-19-2009 ~' ~ ~' from 12-31-2009 5 7 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Darcy Paul for Cupertino City Council 2009 1319625 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MBR membercommunicaiions RAD radio airtime and production casts CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* ~C office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidale travel. lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals ~ independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services Qegal, accounting) VOT voter registration Lfr campaign literature and mailings PRT print ads WEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF PAYEE prcoMr~irree,a~soeereato.euueee) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Pacific Printing Printinq_ PRT I 1492.04 Steven Hoffman Rent 20370 Town Center Lane, Suite 100 OFC 150.00 Cupertino, CA 95014 World Journal Print Ads PRT 2743.20 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 438524 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 10,412.83 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 222.83 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 $ 10,634.66 FPPC Form 460 (June101) FPPC Toll•Free Helpline: fi661ASK•FPPC chedule E Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period tram 10-19-2009 SCHEDULEE(CONT.) through 12-31-2009 page 6 of ~ NAME OF FILER Darcy Paul for Cupertino City Council 2009 I.D.NUMBER 1319625 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIvP campaign paraphernalialmisc. MBR membercommunications RAD radio airtime and production vests CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate flinglballol fees PI-10 phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure supporlinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LfT campaign literature and mailings PRT print ads WEB information technology costs (internet, a-mail) NAMEANDADDRESSOFPAYEE (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Printing Postage and services 2260 Monterey Road POS 2502.91 San Jose, Ca 95112 i Kelsey Hudson Website uptlateslhosting 781 Maywood street PRO 200.00 Escondido, Ca 92017 Pacific Printing Printing 2260 Monterey Road PRT 1425.71 San Jose, CA 95112 LISPS, Encinal Station Postage Sunnyvale, CA 94087 POS 132.70 Pacific Printing I Postage 2260 Monterey Roatl PRO 1,71021 San Jose, CA 95112 *PaymentsthatarecontributionsorindependentexpendituresmustalsobesummarizedonScheduleD. SUBTOTAL$ 5,971.53 FPPC Form 460 (June101) FPPC Toll•Free Helpline: 8661ASK-FPPC chedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Darcy Paul for Cupertino City Council 2009 Statement covers period 10-19-2009 through 12-31-2009 SCHEDULE E (CONT.) Page of LD. NUMBER 1319625 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MBR membercommunications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses CVC civic donations PET petition circulating FIL candidate flinglballot fees PFIO phone banks FND fundraising events POL polling and survey research 6JQ independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LfT campaign literature and mailings PRT print ads RAD radio airtime and production casts RFD returned contributions SAL campaign workers' salaries TEI. t.u. or cable airtime and production costs 1RC candidate travel, lodging, and meals TRS stafflspouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration UvE6 information technology costs (internet, e-mail) NAMEANDADDRESSOFPAVEE jIF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Trader Joe's Election Night Meeting 7250 Bollinger MTG 100.82 San Jose, CA 95129 Trader Joe's Election Debriefing 7250 Bollinger MTG 45.75 San Jose, CA 95129 Trader Joe's Refund of Supplies Returned 7250 Bollinger MTG (91.51) San Jose, CA 95129 'Paymentsthatarecontributionsorindependentexpendituresmustalsobesummarizedon5cheduleD. SUBTOTAL$ 55.06 FPPC Form 460 (June101) FPPC Tall•Free Helpline: 8661ASK•FPPC