460 Recipient Committee Campaign Statement 1-1-15 to 6-30-15Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from January 1, 2015
through
June 30, 2015
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) Q Sponsored
JZ General Purpose Committee (Also Complete Part 6)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER
1287471
NAME (OR CANDIDATE'S NAME IF NO CO
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
JUL 012015
ERTINO CITY Ct
I
2. Type of Statement:
❑ Preelection Statement
® Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
L;ALIFORIIIA '
FORM 4 6
Page 1 of
For Official Use Only
RK
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
Marolyn O. Chow
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
4. verincaLlon
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kno dge 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.
Executed on July 10, 2015 By
Date
Executed on gy
Date Signature of controlling Officeholder, Candidate, Stale Measure Proponent or Responsible Officerof Sponsor
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers
Summa Page period I , '
Summary 9 to whole dollars. •
from January 1, 2015 • -
SEE INSTRUCTIONS ON REVERSE
6. Payments Made ........................ ...............................
through
June 30, 2015
Page 2 of
NAME OF FILER
%
8. SUBTOTALCASH PAYMENTS ..... ...............................
Add Lines 6 +7 $
$1,000 $
I.D. NUMBER
) C' " "� d �' 4"-?, l
i
!" %4 7
Schedule C, Line
1287471
Contributions Received
$1,000 $
Calendar Year Summary for Candidates
TOTALlumnROD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTO DATE
Running in Both the State Primary and
1. Monetary Contributions ............ ...............................
Schedule A, Linea
$ $
General Elections
2. Loans Received ....................... ...............................
Schedule B, Line 3
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add lines 1 + 2
$ $
20. Contributions
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
Received $ $
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ......• ....................AddLines3
+4
$ $
Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
Schedule E, Line 4 $
$1,000 $
7. Loans Made .............................. ...............................
Schedule H, Line 3
8. SUBTOTALCASH PAYMENTS ..... ...............................
Add Lines 6 +7 $
$1,000 $
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8 +9 +10 $
$1,000 $
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 8 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 e, 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 $
$4161.51
$1,000.00
$3,161.51
$3,161.51
$1,000
$1,000
$1,000
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
—� —_/ $
—JJ $
I *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 (866/275 -3772)
Schedule D
C 11fts f c.,........r:a....,...
cr.NFnl u F n
~• 1 v. —111- VV 'y Fv v. F—IL "' "'R'
Supporting /Opposing Other Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
Candidates, Measures and Committees
January 1, 2015
from
I t
• -
SEE INSTRUCTIONS ON REVERSE
through June 30, 2015
Page 3 of 3
NAME OF FILEr
r
I.D. NUMBER
�.�e
DATE
NAME OF CANDIDATE, OFFICE, AND D TRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
OR COMMITTEE
(IF REQUIRED)
PERIOD
(JAN. 1 - DEC. 31
(IF REQUIRED)
Cupertino Residents for Sensible Zoning
Monetary
4/29/2015
Action FPPC #1376003
Contribution
❑ Nonmonetary
$1,000
$1,000
Contribution
❑ Independent
0 Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ $1,000
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)
2. Unitemized contributions and independent expenditures made this period of under $100
...... $
.................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
1,000
1,000
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)