460 Recipient Committee Campaign Statement - Semi Annual 01-01-16 to 06-30-16 COVER PAGE
Recipient Committee Date Stamp
Campaign Statement t i: I�, � , J s, •! ' � � � �
Cover Page � �� i� ��� �� �J \� '�_,
i
Statement covers period Date of election if applicati 1 of 4
Jan 1, 2016 (Month, Day,Year) {� A 1�� � 1 �O'�C For O�cial Use Only
from �� f-�t� � u
SEE INSTRUCTIONS ON REVERSE
Jun 30, 2016
through - ( ( 8;������;� r��Y CL�RK
1. Type of ReCipierlt Committee: A��committees-comp�ete Parts�,2,s,a�d a. 2. Type of Statemen�: � �� ��
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
� State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report
� Recall � Controlled
(AlsoCompletePartS) � Sponsored � Termination Statement
(AlsoCompletePaR6) (Also file a Form 410 Termination)
� General Purpose Committee ❑ Amendment(Explain below)
� Sponsored ❑ Primarily Formed Candidate/
� Small Contributor Committee Officeholder Committee
� Political Party/Central Committee (AlsoCompletePart7)
3. Committee Information I �1299673 Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Cupertino Chamber PAC Andrew Walters
MAILING ADDRESS
STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
MAILING 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-MAILADDRESS
4. Verification '
I have used all reasonable dili ence m re arin and reviewin this statement and to
Executed on gy
Date Signature of Controlling Offceholder,Candidate,State Measure Proponent or Responsible Offcer of Sponsor �
Executed on gy
Date Signature of Controlling Offceholder,Candidate,State Measure Proponent �
Executed on gy
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent �
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period � - ,
Jan1, 2016 � _ � �
from
Jun 30, 2016 2 4
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D.NUMBER
Cupertino Chamber PAC 1299673
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR
(FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and
300 300 General Elections
1. Monetary Contributions................................................... scneduiea,�i�e s $ � $ � 1/1 through 6/30 7/1 to Date
2. Loans Received................................................................ scneduie a,Line 3
300 300 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ 0 $ 0 Received $ $
4. Nonmonetary Contributions............................................ scneduie c,une s 300 300 21. Expenditures
Made $ $
5. TOTALCONTRIBUTIONSRECEIVED....................................Add�ines3+4 $ $
Expenditures Made 250 250 Expenditure Limit Summary for State
6. Payments Made................................................................ scnedu�e E,�ine a $ $ Candidates
7. Loans Made....................................................................... Schedule H,Line 3
0 0
250 250 22• Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines s+� $ $ (If Subject to Voluntary Expenditure Limit)
9. Accrued Ex enses Un aid Bills Schedule F,Line 3 � 0
P � P ) �� � Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................scnedu�e c,�ine 3 � � (mm/dd/yy)
11. TOTAL EXPENDITURES MADE........................................Add�ines s+g+�o $ 250 $ 250 �� �
Current Cash Statement �� $
0
12. 609111C11f1g CaSh BalaflC@............................ Previous Summary Page,Line 16 $ To calculate Co�umn B,
. 300 add amounts in Column
13. Cash Receipts........................................................... coiumn a,Line 3 above
Q A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. Scnedu�e�,�ine a amounts from Column B reported in Column B.
250 of your last report. Some
15. CaSh PaymentS......................................................... Column A,Line 8 above amounts in Column A may
16. ENDING CASH BALANCE ..................Add�ines�2+13+14,then subtract Line 15 $ 50 be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero. previous period amounts. If
O this is the first report being
17. LOAN GUARANTEES RECEIVED................................ scnedu�e e,Part z $ filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if
0 a�y��
18. Cash EqulvalentS................................................ See instructions on reverse $
0
19. OUtStBfldlllg D@btS.............................. Add Line 2+Line 9 in Column 8 above $ FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/2753772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
to whole dollars. Statement covers eriod
Monetary Contributions Received P � _
Jan1, 2016 � _ � • �
from
Jun 30, 2016 3 4
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D.NUMBER
Cupertino Chamber PAC 1299673
DATE FULL NAME,STREETADDRESSAND 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-EMP�OYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Richard Abdalah �IND Attorney,Abdalah Law
❑OTH
❑PTY
4/28/16 ❑SCC
Andrew Walters �IND
5/17/16
❑OTH Officer, San Jose Water $100 $100
�P�, Company
❑scc
Kevin McClelland �IND President, Leeward
5/17/16
❑OTH Services
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ $300 i
1
Schedule A Summary � �ContributorCodes �
1. Amount received this period — itemized monetary contributions. 300 IND—Individual
(Include all Schedule A subtotals.).........................................................................................................$ COM—Recipient Committee
O (other than PTY or SCC)
2. Amount received this period— unitemized monetary contributions of less than $100 ...........................$ OTH—Other(e.g.,business entity)
PTY—Political Party
3. Total monetary contributions received this period. 300 SCC—Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ '
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E Amounts may be rounded Statement covers period
to whole dollars. • I � ,
Payments Made Jan 1, 2016 . -
from
Jun 30, 2016 4 4
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D.NUMBER
Cupertino Chamber PAC 1299673
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. 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
FND 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 WEB information technology costs(internet,e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Secretary of State Annual Fee to the state
Political Reform Division $250
1500 11 th Street, Room 495
Sacramento, CA 95814
'"Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 250
Schedule E Summary
250
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $
0
2. Unitemized payments made this period of under$100.......................................................................................................................................... $
0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $
250
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $
FPPC Form 460(1an/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov