465 Ind. Expend. Report supporting Mahoney p~lemental Independent
~c~nditure Report
>vernment Code Section 84203.5)
INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded to Report covers period
whole dollars.
from O1/o1/zoo9
^ Amendment (ExplalnBelow) I through 10/17/2009
Committee/Filer Information I I.D. NUMBER (If recipient committee)
1299673
COMMITTEE/FILER'S NAME
Cupertino Chamber PAC (Bponeored by Cupertino Chamber of Commerce)
STREET ADDRESS (NO P.O. BOX)
20455 Silverado Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA, 95014 408-252-7054
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
11/03/2009
MAILINGADDRESS
20455 311verdo Avenue
CITY STATE ZIP CODE AREACODE/PHONE
Cupertino CA, 95014 405-252-7054
OPTIONAL: FAX / E-MAIL ADDRESS
Name of Candidate or Measure Supported or Opposed cHECKONe
Treasurer (It rocipient committee)
NAME OF TREASURER
Bob Adams
NAME OF CANDIDATE
Orrin Mahoney OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE
City Council Member City o! Cupertino SUPPORT
X OPPOSE
NAME OF BALLOT MEASURE BALLOT N0./LETTER JURISDICTION SUPPORT OPPOSE
Independent EXp@ndlture8 Made Attach additional Jnformatlon on appropNatelylabeled continuation sheets.
ENDENT EXPENDITURE
i of 2
Otflclal Uae Only
CUMULATIVE TO DATE
DATE NAMEANDADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT ~.r+~ervur~rc renrc
JAN. 1 -DEC. 31
Robinson Communications inc.
10/09/2009
10679 Farallone Drive Mailer
2,808.45
2,808.45
Cupertino, CA 95014
SUPPLEMENTAL
___ Date Stamp
,, ,
~ : ~ Lug +`~ U t1 ,:
L;: ~ 1, ~ ~ LU'"v't' S
un~~~-;}~~~o can c!l~r~~
FPPC Form 465 (January/05)
FPPC Toll-Free Helpline: 888/ASK-FPPC (8661275-3772)
upplemental Independent Type or print In Ink.
Amounts may be rounded
xpenditure Report to wrote doltanz.
.EE INSTRUCTIONS ON REVERSE
Chamber PAC (Sponsored by Cupertino Chamber of Commerce)
SUPPLEMENTAL INDEPENDENT EXPENDITURE
Report coven period
tram o1/0l/2009 • - • -
ttlrough to/17/aoo9 P 2 ~ 2
t. Summary
1. Total independent expenditures of $100 or more made this period. (Part 3.) ........................................................................................... $
2. Total independent expenditures under $100 made this period. (Not itemized.) ........................................................................................ $
1299673
2,808.45
o.oo
3. Totai independent expenditures made this period (Add Lines 1 + 2.) ..........TOTAL $ a, eoe . as
~. Fifing Officers Enter the name and address of each filing officer with whom the Bler's most recent campaign statements (Form 450, 460 or 481) have been filed.
1) NAM E OF FILING OFFICER
City of Cupertino -City Clerk
ADDRESS (NO. AND STREET)
10300 Torre Avenue
CITY STATE ZP CODE
Cupertino, G 95014
2) NAME OF FILING OFFICER
ADDRESS
(NO. AND STREET)
CRY STATE ZIP CODE
3) NAME OF FILING OFFICER
ADDRESS (NO. AND STREET)
CRY STATE ZIP CODE
4) NAME OF FILING OFFICER
ADDRESS (NO. AND STREET)
CRY STATE ZIP CODE
i. Verification
I have used all reasonable diligence in preparing and reviewing this statement and ~ the best of my knowledge the information contained herein Is true and complete. I certify under
penalty of perjury under the taws of the Sfate of CaNfomia that the foregoing is true and correct.
Executed on ~~'' ~°~ a~0
DAT y~
EXBCUted On ` C ~~-2 L'
DATE
EXeCUtBd On
DATE
Executed on
DATE
MEASURE PROPONENT. OR RESPONSIBLE OFFICER OF 8PONSOR
SIGNATURE OF CONTROLLMG OFFICEHOLDER, CAND~ATE, STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROP014=NT
FPPC Form 4i5 (JanuarylQ6)
FPPC Toll-Free Flelpline: 86Q/ASK-FPPC (8661275-5772)