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460 Recipient Committee Campaign Statement 10-19-14 to 12-31-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers }period from 10/19/2014 through 12/31/2014 Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee C) Recall Q Controlled (Also OnmpletsPaR5) Q Sponsored ❑ Genera] Purpose Committee (Also (Also Compete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political PartylCentral Committee (Also Complete Part 7) 3. Committee Information COMMITTEE NAME (OR Paul for Council 2014 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.D. BOX ITY OPTIONAL: FAX 1 E -MAIL ADDRESS STATE ZIP CODE AREA CODEIPHONE Date of election if applicable: (Month, Day, Year) 11/04/2014 COVER PAGE Date Stamp Date Iieived Page 1 of 6 F 3 205 For Official Use Only Processed by 2. Type of Statement: ❑ Preelection Statement V Semi - annual Statement ❑ Termination Statement (Also file a Form 430 Termination) ❑ Amendment (Explain below) Treasurer(s) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Sharon Lee MAILING ADDRESS CA 95014 NAME OF ASSISTANT TREASURER, IF ANY Darcy Paul MAILING ADDRESS CA 95014 OPTIONAL: FAX I E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the By Signature of Controlling Officeholder, Candidate. State Measure Proponent By Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPG Form 460 {January105) FPPC Tall -Free Hefpline: 8661ASK -FPPC (6661275 -3772) State of California Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Statement `' 460 Cover Page — Part 2 � Page 2 of 6 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Darcy Paul OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT Cupertino City Council ❑ OPPOSE RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP HELD Cupertino CA 95014 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees ❑ SUPPORT not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER C OFFICE SOUGHT OR NAME OF TREASURER CONTROLLED COMMITTEE? 7, Primarily Formed Candidate /Officeholder Committee Listnamesof officeholder(s) or candidate(s) for which this committee is primarily formed ❑ YES F] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK -FPPC (6661275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Paul for Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 10/19/2014 through 12/31/2014 Page 3 of 6 Column A Column B Contributions Received TOYALTHIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTODATE 1. Monetary Contributions ................... .............. Schedule A, Line 3 $ 1,700.00 $ 27,368.00 2. Loans Received ....................... Schedule 6, Line a - 10,000.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 1,700.00 $ 37,368.00 4. Nonmonetary Contributions_ ............................... .. Schedule C, Line - 5. TOTAL CONTRIBUTIONS RECEIVED.. ......................... Add Lines 3 + 4 $ 1,700.00 $ 37,368.00 Expenditures Made 6. Payments Made ....................... ... schedule E, Line 4 $ 4,544.92 $ 30,960.60 7. Loans Made. ........................................ ................... Schedule H, Line 3 - - 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 4,544.92 $ 30,960.60 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 - - 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 - - 11. TOTAL EXPEN DITU RES MADE ................ ................ Add Lines 8 +9 +10 $ 4,544.92 $ 30,960.60 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 9,252.32 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 1,700.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule !, Line 4 corresponding amounts from Column B of your last 15. Cash Payments .................................................. . Column A, Line 8above 4,544.92 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... add Lines 12 + 13 + 14, then subtract Line 15 $ 6,407.40 figures that should be If this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Parr 2 $ - for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 10, 000.00 LD_NUMBER 1364110 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 Date (mmlddlyy) $ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Januaryi05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule A Type or print in ink. SCHFDIJI F A Monetary Contributions id . 11VUIILA nay UV 'VU"UCU ry ns eceve Statement covers period to whole dollars. • from 1 011 912 0 1 4 . SEE INSTRUCTIONS ON REVERSE 12/31/2014 h through Page 4 of 6 NAME OF FILER I.D. NUMBER Paul for Council 2014 1364110 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPUOYED, ENTER NAME PERIOD (JAN_ 1 -DEC. 31) (IF REQUIRED) OF RUSINESS) ❑IND 10/30/14 y Inc ❑COM 50 California 50 Cali St 24th floor BOTH 500.00 500.00 500.00 San Francisco, CA 94111 ❑ PTY ❑ SCC ❑ IND AT &T California ❑COM Market St #1908, San Francisco, CA 94105 ❑ PTY NISCC FIND Sheet Metal Workers' ❑COM 11/03/14 International Association Local No.104 MOTH 500.00 500.00 500.00 Crow Canyon Rd. #300, San Ramon, CA E] PTY ❑ SCC Simitian For County Central ❑IND COM 11/05/14 726 Green Road MOTH 200.00 200.00 200.00 Palo Alto, CA 94303 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,700.00 an A F Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................ ....................... .. .. . . .. $ 2. Amount received this period -- unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 1,700.00 1,700.00 'Contributor Codes IND — Individual COM — Recipient Committee (ether than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC-- Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772) Schedule B — Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/19/2014 SCHEDULEB -PART1 12/31/2014 5 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER ID. NUMBER Paul for Council 2014 1364110 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING tcl tel OCCUPATION AND EMPLOYER BALANCE AMOUNT AMOUNTPAID OUTSTANDING INTEREST Ill tgi ORIGINAL CUMULATIVE OF LENDER (IF SELF - EMPLOYED, ENTER RECEIVED THIS BALANCEAT (IFCOMMITTEE. ALSO ENTER I.O.NUMBER} BEGINNING THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSYNESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Darcy Paul and Sharon Lee Attorney it PAID CALENDARYEAR 20345 Via Volante Paul Law Group $ $ 10,000 0 10,000 $ 10,000 Cupertino, CA 95014 % RATE $ ❑ FORGIVEN PER ELECTION ** 10.000 $ 0 5 $ $ 6128114 $ 10,000 tZ IND ❑ COM ❑ OTH El PTY r7 SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR 0 FORGIVEN PER ELECTION RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID GALENDARYEAR $ $ % $ $ [7 FORGIVEN PER ELEGTION ** RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period .............. $ 0.00 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ............... 0.00 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. Subtract Line 2 from Line 1. 0.00 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A '* If required- (Enter (e) on Schedule E, Linea) tContributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASiC-FPPC (8661275 -37721 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Paul for Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/1912014 through 12/31/2014 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULES Page 6 of 6 I.D. NUMBER 1364110 CNP campaign paraphernaliatmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting /opposing 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 LIT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEF (IF COMMITTEE, ALSO ENTER IIJ_ NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Costco Wholesale Pacific Printing Cupertino Inn Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4,264.80 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 4,264.80 2. Unitemized payments made this period of under $100 ............................... $ 280.12 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. ) .................... TOTAL $ 4,544.92 FPPC Form 460 (January/05} FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772}