465 Supp. Ind. Expend. Rept. supporting Mahoney 2/1/2010 #2 upplemental Independent
Expenditure Report
(Government Code Section 84203.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded to
whole dollars.
® Afilet1d111f?flt (Explain Below)
Amendment to reflect
corrected amounts and
subvendors
Report covers period
from 01/01/2009
10/17/2009
SUPPLEMENTALINDEPENDENTEXPENDITURE
~~!~~~U
Date of election if applicable ~ I FL B _ ~ [UIO
(Month, Day, Year)
11/03/2009 UPERTINO CITY
1. CommitteelFilerlnformation
I.D. NUMBER (If recipient committee)
1299673
COMMITTEEIFILER'S NAME
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce)
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL:FAXIE-MAIIADDRESS
2. Name of Candidate or Measttra Strnnnrlorl ~. n.,..,,,.,,.,
--_.- --rr-..,.,.,,. vrrvaau
NAME OF CANDIDATE
Orrin Mahoney
NAME OF BALLOT MEASURE
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL: FAXIE-MAIL ADDRESS
CHECK ONE
ICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE
City Council Member City of Cupertino X
OPPOSE
3. IndependentEXpendltUreSMade Attach additionalinformationonappropriatelylabeledcontinuationsheets.
DATE I NAMEANDADDRESSOFPAYEE
DESCRIPTION OF EXPENDITURE
Robinson Communications Inc,
10/09/2009
Pacific Printing
10/12/2009
Printing
10/12/2009
Trea$Urer (If recipient committee)
NAMEOFTREASURER
Bob Adams
1 of 3
Official Use Only
Mailer
Printing for mailer to support
Nihalani, Mahoney and Paul (See Sch D)
Mailing services for mailer to support
Nihalani, Mahoney and Paul (See Sch D)
AMOUNT
2,199.55
MRMO 621.89
Subpayment made through:
Robinson Commun cations
MEMO 395.90
Subpayment n
Robinson Con
Inc.
CUMULATIVE TO DATE
CALENDAR YEAR
IJAN.1-DFr, aft
2,149.55
FPPC Form 465
FPPC Toll•Free Helpline: 8661ASK-FPPC (8661278.3772)
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
For use by an officeholder, candidate, or committee making independent expendRures totaling $51)0 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must
be fled at fhe same times and places as the campaign statements filed by the candidate supported or
opposed or by a comm~lee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supporled or opposed. This form is filed in addition to
any other required campaign statements.
Report covers period
from- ol/0l/2009
throug~ l0/1~/..._?009 _
Date of election ff applicable:
(Month, Day, Year)
11/03/2009
IV Independent Expenditures Made Attach additional information on appropriatelylabeled continuation sheets.
DATE I NAME AND ADDRESS OF PAYEE ~ DESCRIPTION OF EXPENDITURE
10/12/2009 (Pacific Printing
Postage for mailer to support Nihalani
Mahoney and Paul (See Sch DI
st~PPLF~rrrA1 y~Dt:ptaloErrr F~o~Dm~
Stamp
Page ? of 3
For OfCcial Use Ony
AMOUNT
SOB.OS
MEMO
Subpayment
Robinson C
Inc.
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1 - DEC. 31)
through:
upplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE
Expenditure Report Amounts may be rounded Report covers period
~ ~ ~ ~
to whole dollars. / ~
from
01/01/2009
~
SEE INSTRUCTIONS ON REVERSE through 10/17/2009
3 3
Page of
NAME OF FILER
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) LD.NUMBER(Ifrecipientcom,)
1299673
4. Summary
1. Total independent expenditures of $100 or more made this period
(Part 3
) 2,149. ss
.
.
................................................. ............................. $
2. Total independent expenditures under $100 made this period
(Not itemizetl
) o. 00
.
.
............................................... ..................................... $
3. Total independent expenditures made this period (Atltl Lines 1 + 2
) 2,149.55
.
............................................................ .............................. TOTAL $
5. Filing OffICerS Enter the name and address of each filing ofFcer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed.
1) NAME OFFILINGOFFICER 3) NAME OFFILINGOFFICER
City of Cupertino -City Clerk
ADDRESS (N0. AND STREET) ADDRESS
10300 Torre Avenue
(N0. AND STREET)
CITY STATE ZIP CODE CITY
Cupertino, CA 95014 STATE ZIP CODE
2) NAME OFFILINGOFFICER 4) NAMEOFFILINGOFFICER
ADDRESS (N0. AND STREET) ADDRESS
(N0. AND STREET)
CITY STATE ZIP CODE CITY STATE ZIP CODE
6. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein 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 _ /~ ~~>
TE
Executed on - ~ ~~ O
DATE
Executed on
DATE
Executed on
DATE
By
OFFICER OF SPONSOR
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 465
FPPC To14Free Helpline: B661ASK-FPPC (8661275.3772)