465 Supp. Ind. Expend. Rept. supporting Mahoney upplementallndependent Type or print in ink. NT,AL1NDEPENDENTEXPENDITURE
Expenditure Report Amounts maybe rounded to Report coversperi ~ ~ t a ~. • ,
wholedollars. it ~• ~
(6overnmentCodeSedion84203.5~ r.,,m of/ol/zoo I 1 I I ~
SEE INSTRUCTIONS ONREVERSE
throw h 12/3
~ Amendment iE«plam Below) s
FEB - 21010
/! , , . Date of election it appli ble:
0 ~ ~ +r ~ ~~ ,fir ~ (Month, Day, Year)
v, 11/03/200 CU ER1
LD. NUMBER (It recipient wmmi8ee)
1. CommitteelFilerlnformation 820668 Treasurer ptreeipientcvmminee)
COMMITTEEIFILER'SNRME NAME OF TREASURER
San Jose Silicon Valley Chamber of Commerce Political Action Beth Reno
Committee (ChamberPAC)
CITY STATE ZIPCODE
OPTIONAL: FAXIE•MAILADDRESS
^JO CITY
1 of 3
For Official Use Only
CITY STATE ZIP CODE AREACODEIPHONE
Encinitas CA, 92024
(
OPTIONAL: FAXIE-MAILADDRESS
2. Name of Candidate or Measure Supported or Opposed CHECK ONE
NAME OFCANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE
Orin Mahoney City Council Member City of Cupertino X
NAMEOFBALLOTMEASURE BALLOTNO.ILETTER JURISDICTION SUPPORT OPPOSE
3. IndependentEXpendltureSMade Attach additional information onappropriafelylabeledcontinuationsheets.
CUMULATIVE TO DATE
DATE NAMEANDADDRESSOFPAYEE DESCRIPTIONOFEXPENDITURE AMOUNT CALENDAR YEAR
JAN.1-DEC. 31
Milagro Marketing LLC 1,589.33
Pacific Printing 776.80
Literature. See Sch. G.
10/23/2009
Milagro Marketi g LLC
United States Postal Service 396.11
Postage
10/23/2009
Milagro Marketi g LLC
FPPC Form 465
FPPC Toll•Free Helpline: S661ASK•FPPC (81161275.3772)
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 expenditures totaling $5170 or
mare in a calendar year to support or oppose a single candidate or a single measure. This torm must
be filed at the same times and places as the ampaign statements filed by the candidate supported or
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
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
SUPPLEMEMAI INDEPENDEM D~ENDQl1RE
Stamp
from- 01/01/2009
through 12/31/2009
Page 2 of 3
Date of election if applicable:
(Month, Day, Year)
11/03/2009
IV Independent EXpendltureS Made Attach additional information on appropriatelylabeledcontinuation sheets
For Official Use Only
CUMULATIVE TO DATE
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN.1 -DEC. 31)
10/23/2009 Saggau & DeRollo, LLC
Consulting 125.00
MEMO
Subpayment made
Milagro Marketi
through:
g LLC
ype orprintin ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE
Supplemental Independent
Ex enditure Re ort Amounts maybe rounded ~ Report covers period ~ . I ,
p p to whole dollars.
~.,,„, ol/0l/2009 ~ .
12/31/2009
SEE INSTRUCTIONS ON REVERSE through Page 3 Of 3
NAMEOFFILER
San Jose Silicon Valley Chamber of Commerce Political Action Committee (ChamberPAC) LD. NUMBER (It recipient wm.)
820668
4. Summary
1. Total independent expenditures of $100 or more made this period. (Part 3.) ..
...................................................... 1,589.33
................................... $
2. Total independent expenditures under $100 made this period. (Not itemized.) .....................................................
D.oo
................................... $
3. Total independent expenditures made this period (Add Lines 1 + 2.) ............. ..................................................... ........................TOTAL $ 1, 589.33
5. Flling Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed.
1) NAMEOFFILINGOFFICER 3) NAMEOFFILINGOFFICER
Santa Clara County Registrar of Voters California Secretary of S tate
ADDRESS (N0. AND STREET) ADDRESS (N0. AND STREET)
STATE ZIP CODE CITY STATE ZIP CODE
Santa Clara, CA 95112 Sacramento, CA 95814
2) NAME OF FILING OFFICER
City of San Jose City Clerk
ADDRESS
(N0. AND STREET)
STATE ZIPCODE
San Jose, CA 95113
By
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
TREASURER
By
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 TolbFree Helpline: 8661ASK-FPPC (8661275.3772)