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465 Amend. Supp. Ind. Expend. Rept. supporting Paul 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 A1Ilettdllletit (Explain Below) SUPPLEMENTALINDEPENDENTEXPENDITURE Report covers period from 10/18/2009 through 12/31/2009 Date of election if applicable: (Month, Day, Year) [~_C~ !~ U fE8 - ~ ~ CITY 1 of 3 Use Only 11/03/2009 ~. CommitteelFilerlnformation II.D.NUMBER(Ifrecipienicommittee) 1299673 COMMITTEEIFILER'SNRME Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce) STREETADDRESS ( CITY STATE ZIPCODE AREACODE~PHONE Cupertino CA, 95019 OPTIONAL: FAXIE-MAILADDRESS Treasurer (Hrecipientcommittee) NAMEOFTREASURER Bob Adams CITY STATE ZIPCODE AREACODEIPHONE Cupertino CA, 95014 OPTIONAL: FAXIE-MAILADDRESS 2. Name of Candidate or Measure Supported or Onnos_e_d__ CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT oRPOSE Darcy Paul City Council Member City of Cupertino g NAME OF BALLOT MEASURE BALLOT NO.ILETTER JURISDICTION SUPPORT OPPOSE $. Independent EXpendltUreS Made Attach additionalin/ormation on appropriately labeled continuation sheets. CUMULATIVE TO HATE DATE NAMEANDADDRESSOFPAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDARYEAR JAN. 1- DEC. 31 Robinson Communications Inc. 10/29/2009 Pacific Printing Postage for mailer to support Nihalani, 10/29/2009 Subpayment made through: , Robinson Commun cations Inc, Pacific Printing 10/29/2009 Robinson Commun cations Inc. FPPC Form 465 FPPC ToII~Free Helpline: 8661ASK~FPPC (86612753772) 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 expendttures totaling $500 or more in a calendar year to support or oppose a single candidate or a single measure. This corm 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 must be fled for each candidate or measure being supported ar opposed. This form is filed in addttion to any other required campaign statements. Report covers period from 10/18/2009 through 12/31/2009 Date of election ff applicable: (Month, Day, Year) 11/03/2009 IVlndependentExpendituresMade Attach add~tionalinfonnationonanproariatelvlaheledcontinuat~on.~nPPr.~ SUPPLEMENTAL INDEPEhDEtJ(EXPEMrtI~tE Page? of 3 For Official Use Only CUMULATIVE TO DATE ND ADDRESS OF PAYEE _ __......__.._.. _..__.,,. DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR (JAN.1 - DEC. 3p 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. hrough: 'cations upplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Expenditure Report Amounts may be rounded Report covers period to whole dollars. ~ ~ ~ ~ ~ I ~ la/le/zoo9 ~' from throw h 12/31/2009 3 SEE INSTRUCTIONS ON REVERSE g Page of 3 NAME OF FILER 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, 708.06 2. Total independent expenditures under $100 made this period, (Not itemizetl,) ........................................................................................ $ o. 00 3. Total independent expenditures made this period (Add Lines 1 + 2.) .......................................................................................... TOTAL $ 1, Toe . 06 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) NAME OF FILING OFFICER 3) NAME OFFILINGOFFICER City of Cupertino -City Clerk ADDRESS (N0. AND STREET) ADDRESS 10300 Torre Avenue (N0. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE Cupertino, CA 95014 71 N4<tdF f1F FII INl: lIC[I!`[o _ " "-" """ """' 4) NAME OF FILING OFFICER ADDRESS (N0. AND STREET) ADDRESS (N0. AND STREET) CITY STATE ZIP CODE By CITY 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 '~` I i (i `' DATE Executed on ~, ;~ ~ ~~' DATE Executed on DarE Executed on DATE STATE ZIP CODE FPPC Form 465 FPPC Toll•free Helpline: 8661ASK•FPPC (8661275.3772)