465 Amend. Supp. Ind. Expend. Rept. 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.
® Amendment (Explain Bebw)
Amendment to reflect
corrected amounts and
subvendors
~. CommitteelFilerlnformation II.D.NUMBER(Ifrecipientcommittee)
1299673
Cupertino Chamber PAC (Sponsored by Cupertino Chamber of Commerce)
STATE ZIP CODE
OPTIONAL: FAXIE•MAILADDRESS
Mailer
2. Name of Candidate or Measure Supported or Opposed
NAME OF CANDIDATE CHECK ONE
OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE SUPPORT OPPOSE
Darcy Paul City Council Member City of Cupertino
X
OPPOSE
3. indepenaentEXpendltUreSMade Attach additionalinformationonappropriatelylabeledcontinuationsheets.
DATE I NAMEANDADDRESS OF PAYEE
Communications Inc.
10/09/2009
Pacific Printing
10/12/2009
Pacific Printing
10/12/2009
Report covers period
from o1/0l/2009
through 10/17/2009
Date of election if applical
(Month, Day, Year)
11/03/2009
~D~sSU~pPP~L~E/MENTALINDEPENDENT EXPENDITURE
~l~JL~~U U ~~ ~ e~ ~ / .
FEB - ~ 2v'10
ERTlNO CI i Y
1 of 3
For Official Use Only
Treasurer (N recipientcommittee)
NAMEOFTREASURER
Bob Adams
CITY STATE ZIP CODE AREACODEIPHONE
Cupertino CA, 95014
OPTIONAL: FAXIE-MAILADDRESS
DESCRIPTION OF EXPENDITURE
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)
CUMULATIVE TO DATE
AMOUNT I CALENDAR YEAR
2,149.56 ~ 2,149.56
MEMO 621.89
Subpayment made through:
Robinson Commun cations
MEMO 395.90
Subpayment made through
Robinson Commun cations
Inc.
FPPC Form 465
FPPC Toll•Free Helpline: 8661ASK-FPPC (66612753771)
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Date
st~MENrAI Ir~oEPEh~DENr F~riorn~RE
For use by an officeholder, candidate, or commtttee making independent ezpendrtures totaling $5D0 or
more in a calendar year to suppott 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 fhe candidate suppoded or
opposed or by a committee primariy 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 addttion to
any other required campaign statements.
Report covers period
from- of/ol/zoo9
through to/17/zoo9
Date of election if applicable:
(Month, Day, Year)
11/03/2009
IV Independent EXpendltureS Made Attach adddional information on appropriatelylabeled continuation sheets.
DATE I NAME AND ADDRESS OF PAYEE I DESCRIPTION OF EXPENDITURE
10/12/2009 (Pacific Printing
AMOUNT
Postage for mailer to support Nihalani, 508.08
Mahoney and Paul (See Sch D) MEMO
Subpayment
Robinson C
Inc.
Page? of 3
For Official Use Onty
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1 - DEC. 31)
through:
upplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE
Ex enditure Re ort Amounts maybe rounded Report covers period ~ . ,
p p to whole dollars. ~ ~
01/01/2009 ~'
from
SEEINSTRUCTIONSONREVERSE through 10/17/2009 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.) ........................................................................................... $ 2,149.56
2. Total independent expenditures under $100 made this period. (Not itemizetl,) ........................................................................................ $ o. o0
3. Total independent expenditures made this period (Add Lines 1 + 2.) ............................................................. ,,.,.,,TOTAL $ 2,199.56
5. Filing 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) NAME OFFILINGOFFICER 3) NAMEOFFILINGOFFICER
City of Cupertino -City Clerk
ADDRESS (N0. AND STREET) ADDRESS NO. AND STREET
10300 Torre Avenue ( )
CITY STATE ZIPCODE
Cupertino, CA 95014
ADDRESS (NO. AND STREET)
CITY
CRY
4) NAME OF FILING OFFICER
STATE ZIPCODE
ADDRESS (N0. AND STREET)
STATE ZIP CODE CRY
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 ~ / %~ ~
' DATE
1
Executed on _.!~ ' ' ~!'
DnrE
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ASSISTANT TREASURER