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460 Recipient Committee Campaign Statement 7-1-14 to 12-31-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period 711114 from SEE INSTRUCTIONS ON REVERSE (D / By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer ofSponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature orControlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) State of California Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Statement • ' , � � Cover Page — Part 2 O 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMM1 7EENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRFSS (NO PO. BOX) 2 6 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure D (Vallco) & Measure E (Toll Brothers) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT D & E (200( 1 City of Cupertino 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME Of OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period 7/1114 from 12/31/14 3 6 through Page of NAME OF FILER To calculate Column B, add amounts in Column A to the .71 corresponding amounts Cupertino Against Re- zoning (CARe), NO on Measures D & E from Column B of your last 4,050.00 report. Some amounts in 7,642.82 Contributions Received figures that should be ColumnA subtracted from previous Column period amounts. If this is the first report being fled 7OTALTHIS PERfOD for this calendar year, only CALFW AR YEAR carry over the amounts from Lines 2, 7, and 9 (if (FROM ATTACHED SCHEDULES) any)- TOTALTO DATE 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 0 $ 0 2, Loans Received .................... ... ............................... Schedule B, Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ..................... .... Add Lines 1 + 2 $ 0 $ 0 4. Nonmonetary Contributions ....................... ............. Schedule C, Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED . • ......................... Add Lines 3 + 4 $ 0 $ 0 Expenditures Made 6. Payments Made .................... ...................... Schedule >_, Line 4 $ 4050.00 $ 4100.00 7. Loans Made ............................ •• •.••• .... ...................... Schedule N,Line3 0 0 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 4050.00 $ 4100.00 9. Accrued Expenses (Unpaid Bills ..... Schedule F, Line 3 0 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 11. TOTAL_ EXPENDITURES MADE .... ............................Add Lines e + 9 + 10 $ 4050.00 $ 4100.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 6 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 11,692.11 0 To calculate Column B, add amounts in Column A to the .71 corresponding amounts from Column B of your last 4,050.00 report. Some amounts in 7,642.82 Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if n any)- I I.D. NUMBER 1287457 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20, Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to bate (mmlddlyy) $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule D Summary of Expenditures Supporting /Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Cupertino Against Re- zoning (CARe), NO on Measures D & E DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT OR COMMITTEE 12/3/14 1213114 Concerned Citizens of Cupertino (CCC) Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ oppose Expenditure DESCRIPTION (JF REQUIRED) Statement covers period 711114 from 12/31/14 4 6 through Page of I.D. NUMBER 1287457 CUMULATIVE TO DATE PER ELECTION AMOUNTTHIS CALENDAR YEAR TO DATE PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) 4,000.00 4,000.00 SUBTOTAL $ 4,000.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .......................... ............................... $ 4,000.00 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................... ............................... $ 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ 4,000.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAMt Uh HLtK Cupertino Against Re- zoning (CARe), NO on Measures D & E Statement covers period CALIFORNIA 1 from 711114 FORM 41�1_ 12/31/14 5 6 through Page of I.D. NUMBER 1287457 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC FIL civic donations candidate filing /ballot fees PET petition circulating TEL t.v. or cable airtime and production costs FIND fundraising events PHD POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals staff /spouse travel, lodging, and meals ND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1,0. NUM SERJ CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals) 2. Unitemized payments made this period of under $100 .................................................................. ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ....... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) . SUBTOTAL$ ...... $ .............................. $ .......................... $ 1­ ............. TOTAL $ AMOUNT PAID 0 50.00 0 50.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule I Miscellaneous increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cupertino Against Re- zoning (CARe), NO on Measures D & E DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 711114 from 12/31/14 through DESCRIPTION OF RECEIPT Schedule I Summary 1. Itemized increases to cash this period .................................................................... ............................... 2. Unitemized increases to cash of under $100 this period .......................................... ............................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ............. 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ............ ............................................................. ............................... SUBTOTAL $ $ 0 $ .71 $ 0 SCHEDULE 6 6 Page of I.D. NUMBER 1287457 AMOUNT OF INCREASE TO CASH TOTAL $ .71 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)