465 Supp. Ind. Expend. Rept. supporting Nihalani 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
whole dollars.
Q Atlll'ndnl@nt (Explain Below)
SUPPLEMENTALINDEPENDENTEXPENDITURE
Reporl covers period
from 10/16/2009
thfoUgh 12/31/2009
Date of election if applica
(Month, Day, Year)
FE8 -12010
1 of 3
For Official Use Only
11/03/2009
I.D. NUMBER (If recipient committee)
1. CommitteelFilerlnformation 1299673
COMMITTEEIFILER'SNRME
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce)
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL: FAXIE•MAILADDRESS
PERTINO CITY
TreaSUrer (ffrecipientcommittee)
NAMEOFTREASURER
Bob Adams
CITY STATE ZIPCODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL: FAXIE-MAILADDRESS
r w____e _~_a_ __~~___...~Q....-~i...l wr Awwnr.nrl CNFCKflNF
[. IVBme Oi Vanalaate VI IYlraawC ~uNNvncu vi vNNvacu -••-- -
NAME OF CANDIDATE
Mahesh Nihalani
NAME OF
SOUGHT OR HELD AND DISTRICT, IF
City Council Member City of Cupertino
3. IndependentEXpendltUreSMade Attach additionalin/ormationonappropriatelylabeledcontinuationsheets.
SUPPORT OPPOSE
X
SUPPORT OPPOSE
CUMULATIVE TO DATE
rni ~unno v[no
DATE NAMEANDADDRESSOFPAYEE DESCRIPTIONOFEXPENDITURE AMOUNT JAN.1-DEC 31
Robinson Communications Inc.
Mailer
Pacific Printing
Postage for mailer to support Nihalani,
Mahoney and Paul (See Sch D) MEMO 339.96
10/29/2009
inc.
Pacific Printing
Mailing services for mailer to support
inc.
FPPC Form 465
FPPC Toll•Free Helpline; 6661ASK-FPPC (6661275.3712)
upplemental Independent
Expenditure Report
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
For use by an officeholder, candidate, or committee making independent expendttures 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 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
anv other required campaign statements.
Report covers period
from to/la/zoo9
througT 12/31/zoo9
Date of election if applicable:
(Month, Day, Year)
11/03/2009
IV Independent Expenditures Made Attach additionalinformation on appropriatelylabeledcontinuation sheets.
SUPPLEtuEMAI.IMEPETDENf E%PF1~Afil1RE
Page? of 3
For Official Use Only
CUMULATIVE TO DATE
CALENDAR YEAR
DATE NAME AND ADDRESS OF PAYEE UtSI:KIY I IVn Uh tAYGNUI I UKt nmuun i (~AN.1 -DEC. 31)
10/29/2009 Pacific Printing
Printing for mailer to support
Nihalani, Mahoney and Paul (See Sch D) 550.73
MEMO
Subpayment made
Robinson Commun
Inc.
through:
'cations
e or not in ink,
Supplemental Independent SUPPLEMENTAL I NDEPENDENT EXPENDITURE
Amounts may be rounded
Expenditure Report t
h
l
d
ll Report covers period ~ . ,
~
~
o w
o
e
o
ars.
from to/1e/2oo9 ~ ,
~
12/31/2009
SEEINSTRUCTIONSONREVERSE through Page 3 of 3
NAMEOFFILER
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) I.D. NUMBER (If recipient com.)
1299673
4. Summary
1. Total independent expenditures of $100 or more made this period. (Part 3.) ....................................... 1,7oe.o7
.................................................... $
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, 7oe.o7
5. FI ling OffICerS Enter the name and address of each filing o~cer with whom the filer's most recent campaign statements (Form 450, 460 or 461J have been filed.
1) NAMEOFFILINGOFFICER 3) NAMEOFFILINGOFFICER
City of Cupertino -City Clerk
ADDRESS (N0. AND STREET) ADDRESS (N0. AND STREET)
10300 Torre Avenue
CITY STATE ZIP CODE CITY STATE ZIP CODE
Cupertino, CA 95014
71 NA~,1F r1F FII INr: l1FF1(`Fp
~i
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
21. ~i~,
ASSISTANT TREASURER
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR
Executed on gy
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 465
FPPC Toll•Free Helpline: 8661ASK•FPPC (8661275.3772)