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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 01/01/15 through 06/30/15 1. Type of Recipient Committee: All committees - Complete Parrs 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored Q Small Contributor Committee Q Political Party /Central Committee ❑ Primarily Formed Ballot Measure Committee Q Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1364110 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Paul for Council 2014 STREET ADDRESS (NO P.O. BOX) 20345 Via Volante CITY STATE ZIP CODE AREA CODE /PHONE Cupertino CA 95014 408 - 517 -0977 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS COVER PAGE Date Stamp f'-A Nuv t Date of election if applic I . y of 5 (Month, Day, Year) JUL 3 1 2015 or Official Use Only 11/04/2014 CJJD�Q 2. Type of Stateme ❑ Preelection Statement ❑ Quarterly Statement V Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Sharon Lee MAILING ADDRESS 20345 Via Volante CITY STATE ZIP CODE AREA CODE /PHONE Cupertino CA 95014 NAME OF ASSISTANT TREASURER, IF ANY Darcy Paul MAILING ADDRESS 20345 Via Volante CITY STATE ZIP CODE AREA CODE /PHONE Cupertino CA 95014 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. Executed on�� G -�� Date By Officer of 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/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Statement CALIFORNIA � � � Cover Page — Part 2 FORM 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Darcy Paul OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cupertino City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 20345 Via Volante Cupertino CA 95014 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 C NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME 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 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names 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 (866/275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to Whole dollars. Statement covers period from 01/01/15 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 06/30/15 Page 3 of 5 NAME OF FILER 7. Loans Made .............................. ............................... schedule H, Line 3 I.D. NUMBER Paul for Council 2014 $ $ 30,960.60 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 1364110 Contributions Received 10. Nonmonetary Adjustment ........... ............................... Column A Column B Calendar Year Summary for Candidates 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ $ 27,368.00 13. Cash Receipts 2. Loans Received ....................... ............................... Schedule B, Line 3 (5,000.00) 5,000.00 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ (5,000.00) $ 32,368.00 20. Contributions Column A, Line a above report. Some amounts in Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1,814.40 figures that should be 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ (5,000.00) $ 32,368.00 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line 4 $ $ 30,960.60 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ $ 30,960.60 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 - - 10. Nonmonetary Adjustment ........... ............................... schedule C, Line - - 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ $ 30,960.60 Current Cash Statement 12. Beginning Cash Balance ....................... 9 9 Previous Summa Page, Line 16 Summary 9 $ 6,407.40 To calculate Column B, add 13. Cash Receipts Column A, Line 3 above (5,000.00) amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 407. 00 corresponding amounts from Column B of your last 15. Cash Payments ................... ............................... Column A, Line a above report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1,814.40 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... schedule e, Part 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 $ 5,000.00 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) 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) Tvn n ­in+ in inL SCHFrX JI F R- PART 1 •71.I IWUIi o — rdi L I Amounts may be rounded Statement covers period Loans Received to Whole dollars. 01/01/15 CALIFORNIA ' • t from FORM SEE INSTRUCTIONS ON REVERSE through 06/30/15 Page 4 of 5 NAME OF FILER I.D. NUMBER Paul for Council 2014 1364110 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) AMOUNT (C) (d) OUTSTANDING (e) INTEREST (f) (g) OF LENDER (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS AMOUNT PAID OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS ORIGINAL AMOUNTOF CUMULATIVE CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Darcy Paul and Sharon Lee Attorney ® PAID CALENDARYEAR 20345 Via Volante $ 5,000 $ 5,000 0 10,000 $ Cupertino, CA 95014 % $ E] FORGIVEN FORGIVEN PER ELECTION*" $ 10,000 $ $ $ 6/28/14 $ 5,000 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION ** RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR FORGIVEN E] FORGIVEN ELECTION — RATE tEl IND ❑ COM ❑ OTH PTY ❑ ❑ SCC $ $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ 5,000 $ $� "rra WHO � i ' IW' wj dp Schedule B Summary 1. Loans received this period ..................................................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .......................................... ............................... (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.) ................................ ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. * If required. 5,000 (5,000) (May be a negative number) kin te) un Schedule E, Line 3) 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule I Tvoe or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period to whole dollars. • 460 01/01/15 • from SEE INSTRUCTIONS ON REVERSE through 06/30/15 Page 5 of 5 NAME OF FILER I.D. NUMBER Paul for Council 2014 1364110 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF (IF COMMITTEE. ALSO ENTER I.D. NUMBER) INCREASE TO CASH City of Cupertino Refund of excess candidate statement fee 02/11 /15 407.00 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period ......................................................................................... ............................... $ 407.00 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.) ............................................................................................ ............................... TOTAL $ 407.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)