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425 Semi-Annual Statement of No Activity 07-01-13 thru 12-31-13Semi - Annual Statement of No Activity Type or print in ink STATEMENT OF NO ACTIVITY WITS — I M mHW For use by recipient committees that have not received any contributions and have not made any expenditures r Official use only during the six -month period covered by a semi - annual statement. Candidate controlled committees formed for JAN 3 1 2014 an elective office may not use this form. Seethe Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. CUPEfI 1 �N0 CITy C CLERK I.D. NUMBER flf� 1. Committee Information 128747 Treasurer(s) COMMITTEE NAME NAME OF TREASURER CONCERNED CITIZENS OF CUPERTINO Marolyn O. chow MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS OPTIONAL: FAX/ E -MAIL ADDRESS 2. Period of No Activity No contributions have been received and no expenditures have been made during the period covering the dates below: Check one of the following boxes and complete the year. ❑ January 1, through June 3Q, 20 © July 1, through December 31, 20 13 3. Verification I have used all reasonable diligence in preparing this statement. I have reviewed the FPPC Form 425 (Jan /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC 8661275 -3772