460 Recipient Committee Campaign Statement - Amendment 7-1-15 to 12-31-15 COVER PAGE
Recipient Committee
Type or print in ink. • to a
Campaign Statement Lip w
4;QLIFORNIA;AGO .
Cover Page - ;, FORM 't V
(Government Code Sections 84200-84216.5) xx
Statement covers period Date of election If applicab el FEB 1 2 2016 of
from /'
Y2/��_o,j- (Month, Day,Year) LLL... For Official Use Only
•
� ' /'
SEE INSTRUCTIONS ON REVERSE through /z-/3//2-o iJL i (/S//n' (y- CUPERTINO CITY CLERK .
1. Type�,rof Recipient Committee: All Committees-complete Parts 1,2,3,and 4. 2. Type of Statement:
431 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee bZI Semi-annual Statement
Q Recall 0 Controlled ❑ Supplemental PPre Report
(Also Complete Pan SJ n Termination Statement
Q Sponsored ❑ Supplemental Attach Formorn
General Purpose Committee (Alm complete Pad 6)
(Also file a Form 410 Termination) Statement- 495
❑ rP CYjI Amendment(Explain below)
OSponsored ❑ Primarily Formed Candidate/ ReVynG- Sc/le-l' A o- cum ah-ay SHG�3'
Small Contributor Committee Officeholder Committee
o Political Party/Central Committee (A so Compieta 7)
3. Committee Information I.D. NUMBER /3 a Li-0 r Treasurer(s)
COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER
Sul- cpAArGI •
MAILING ADDRESS
I%A/2C/ ORA)16 Prrg CcitAfC L
STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
%-
MAILIN ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX 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
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules 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. /�/;
or Responsibleorfcer of Sponsor
Executed on By
it
Dale Signature of . , .fling Officeholder,Candidate,State Measure Proponent
•
Executed on - By
Dale Signature of Controlling Officeholder,Candidate,Slate Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:066/ASK-FPPC(8661276-3772)
State of California
Recipient Committee Type or print in ink. COVER PAGE-PART2
Campaign Statement CALIFORNIA,
Cover Page— Part 2 FORM' `,46.0
•
Page 2-- of ti
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE '
R4Rg ' GH4A i PPR ct TA.A1 C r L )—o fe/
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
• ❑ SUPPORT
Ca Pate cc7 cottdczL ❑ OPPOSE
t rz
RESIDENTIAL/BUSINESS
ADD ES (NO. D STREET)
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
- 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
•
7. Primarily Formed Candidate/Officeholder Committee List names or
NAME OF TREASURER CONTROLLED COMMITTEE?
officeholder(s) or candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
❑ SUPPORT
❑ OPPOSE
CITY STATE- ZIP CODE AREA CODE/PHONE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
COMMITTEE NAME I.D. NUMBER ❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE?
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT •
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) EI OPPOSE
•
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460(January/05)
• •
FPPC Toll-Free Helpline:666/ASK-FPPC(8661276-3772)
State of California
Campaign Disclosure Statement Type or print in ink.
SUMMARY PAGE
Summary Page Amounts may be rounded Statement covers period
• to whole dollars. CALIFORNIA 460,
from 7/I�7�SJ� FORM �L!/
•
SEE INSTRUCTIONS ON REVERSE through /Z/� //"t/(" Page 3 of `
NAME OF FILER
I.D. NUMBER
B8-Q it Craik-J67 c xxfc -L / c4 / 3 21± o f
Contributions Received ColumnA Column B Calendar Year Summary for Candidates
•
TOTALTHIS DERIDD CALENDAR YEAR
(FROMATTACHEDSCHEDLLES) .TOTALTODATE Running in Both the State Primary and
1. Monetary Contributions //'q y 7 , General Elections
Schedule A,Line 3 $ `t-/ I-. ' $ y
2. Loans Received Schedule B,Line 3 0 �8-to 1/I through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines l+2 $ 4? Y..C'r — $ 3 27'77-- 20. Contributions
4. NonmonetaryContributions0 0 Received $ $
Schedule C.Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Made
21. Expenditures
Add lines3+q $ �� $ 7�. / Ma $ $
Expenditures Made
6. Payments Made • Expenditure Limit Summary for State
$ 0
Schedule B,Linea $ 6Yl7, t, Candidates
•
7. Loans Made Schedule H,Line 3 0 d
8. SUBTOTALCASH PAYMENTS Add Lines 6+7 $ 6) $ 0 22. Cumulative Expenditures Made*
arSubject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0 b
Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 /9 0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines a+9+10 $ n $ y/7 F% _J-J
Current Cash Statement ____i____/ $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ / 6/. 9
To calculateColumn B,add
13. Cash Receipts Column A,Line 3 above �/p �. — amouuntsts Inin Column A to the '
14. Miscellaneous Increases to CashSchedule 1,Line 4 0corresponding amounts
from Column B of your last *Amounts in this section may be different from amounts .
reported in Column B.
15. Cash Payments Column A,Line a above 0 report. Some amounts in
/ qQ Column A may be negative
16. ENDING CASH BALANCE Add Lines6 •
nes 12+13+14,then subtract Line l5 $ )—te& ' r 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 e,Parte $ for this calendar.year, only
•
carry over the amounts '
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
18. Cash Equivalents any).
Q See instructions on reverse $ / '
19. Outstanding Debts AddLine 2+Line 9 in Column B above $ 6'-trtVxr • FPPC Form 460(January/05)
FPPC Toll-Free Helpline: 866IASK-FPPC(866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may rounded Statement covers period
to whole dollars. `CALIFORNIA yr
from 7/I [ 2-D ( S' - FORM' -, 46'
SEE INSTRUCTIONS ON REVERSE through raj I./D-19 i 1
Page `I of
NAME OF FILER
;1R 27 C,Y44 67 Po/ C� I.D. NUMBER
l u,ijrr L Zoe c,C i 32-1±-o.Y
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IFCOMMITTEE,AL50 ENTERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS) •
I� / {- GNkaLErs sHArO
MIND
��Te.��D
a/6�.1
❑❑sc
✓c c-TOg Hul.J4 OIND laAA1/a-th6TR
❑SCC.
❑IND
❑COM
00TH
• L PTY
❑SCC
El IND
❑COM
❑OTH
L PTY
❑SCC
❑IND
❑COM
LOTH
. ❑PTY
❑SCC
SUBTOTALS 3- 6'o'O, - ` _ �
Schedule A Summary
*Contributor Codes
1. Amount received this period—itemized monetary contributions. IND—Individual
(Include all Schedule A subtotals.) $ 22o--,5. r COM—RecipientCommittee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than$100 • $ 2 7 0 A — • OTH—Other(e.g., business entity)
' PTY—Political Party
3. Total monetary contributions received this period'. SCC—Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ cl 21ct
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772)