465 Supp. Ind. Expend. Rept. supporting Mahoney 2/1/2010 upplemental Independent
Expenditure Report
(Government Code Section 84203.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded to Report covers period
whole dollars. ~ 10/18/2009
( ) throw h 12/31/2009
~ Amendment Explain Bebw 9
LD. NUMBER (If recipient committee)
1. CommitteelFiler Information 1299673
COMMITTEEIFILER'S NAME
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce)
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL: FAXIE-MAILADDRESS
Date of election ii applic
(Month, Day, Year)
11/03/2009
SUPPLEMENTALINDEPENDENTEXPENDITURE
Date Stamp ~ ,
C~~i~~ ,I
FEB -1 1010
1 of 3
Official Use Only
t/~ I I
TreaSUrer (Nreeipientcommittee)
NAMEOFTREASURER
Bob Adams
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL: FAXIE-MAILADDRESS
Z. Name of candidate or measure Supported or upposed CHECK ONE
NAME OF CANDIDATE
Orrin Mahoney
NAME OF BALLOT MEASURE
DISTRICT, IF APPLICABLE
City Council Member City of Cupertino
$. Independent EXpendltUreS Made Attach additionalin/ormation on appropdatelyla6eled continuation sheets.
SUPPORT OPPOSE
X
SUPPORT OPPOSE
CUMULATIVE TO DATE
r ni win no vino
DATE NAMEANDADDRESSOFPAYEE DESCRIPTION OF EXPENDITURE AMOUNT JAN.1-DEC~31
Robinson Communications Inc.
Mailer
10/29/2009
Pacific Printing
Postage for mailer to support Nihalani,
10/29/2009
Robinson Commun cations
Inc.
Pacific Printing
Mailing services for mailer to support
10/29/2009
Inc.
FPPC Form 465
FPPC Toll-Free Helpline: 8661ASK•FPPC (8661275.3772)
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
For use by an o~ceholder, candidate, or committee making independent expendRures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must
be filed at the same times and places as the campaign statements filed by the candidate supported or
opposed or by a committee primariy formed to support or oppose the measure. A separate form musl
be filed for each candidate or measure being supported or opposed. This form is filed in addition to
any other required campaign statements.
Report covers period
from 10/18/2009
through 12/31/2009
Date of election if applicable:
(Month, Day, Year)
11/03/2009
Date
SUPPLEIuFMAL IPDEPEhDEM DU~ETDIiURE
Page? of 3
For Official Use Only
Iv InaepenAe
DATE ni tXpendltureS Made Attach additional information on appropnatelylabeled continuation sheets. cuMULATIVE ro DATE
NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN.1 -DEC. 31)
10/29/2009 Pacific Printing
Printing for mailer to support
Nihalani, Mahoney and Paul ISee Sch D) 550.73
MEMO
Subpayment made
Robinson Commun
Inc.
through:
'cations
upplemental Independent
Expenditure Report
Type or print in ink.
Amounts maybe rounded
to whole dollars.
3) NAMEOFFILINGOFFICER
from 10/18/2009
SEEINSTRUCTIONSONREVERSE through 12/31/2009 Page 3 of 3
NAME OF FILER I.D. NUMBER (If recipient com.)
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) 1299673
4. Summary
1. Total independent expenditures of $100 or more made this period. (Part 3.) ........................................................................................... $ 1, Toe, 06
2. Total independent expenditures under $100 made this period. (Not itemized.) ........................................................................................ $ o. 00
3. Total independent expenditures made this period (Add Lines 1 + 2.) .......................................................................................... TOTAL $ 1, Toe. 06
5. Filing OffICerS Enter the name and address of each filing officer with whom the f'iler's most recent campaign statements (Form 450, 460 or 461) have been filed.
1) NAME OFFILINGOFFICER
City of Cupertino -City Clerk
ADDRESS (N0. AND STREET)
CITY STATE ZIP CODE
Cupertino, CA 95014
2) NAMEOFFILINGOFFICER
ADDRESS
(N0. AND STREET)
CITY STATE ZIP CODE
ADDRESS
SUPPLEMENTAL INDEPENDENT EXPENDITURE
Report covers period
(N0, AND STREET)
CITY STATE ZIP CODE
dl NAMFf1F GII INI:II[Fi~cc
ADDRESS (N0. AND STREET)
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 underthe laws of the State of California that the foregoing is true and correct.
Executed on ~ ~t ~~ `'
ATE
`, I D
Executed on
DATE
Executed on
DATE
Executed an
DATE
By
-~
/~ = ~~
y
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE 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 Toll•Free Helpline: B661ASK-FPPC (8661275.3772)