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460 Recipient Committee Campaign Statement - Amendment 1-1-17 to 6-30-17Recipient Committee Campaign Statement Cover Page COVER PAGE d W .- s Statement covers period Date of election if appl!6 I e of from 01/01/2017 (Month, Day, Year l . JAN L � 2018 1 For OPflcial use only SEE INSTRUCTIONS ON REVERSE 6/3012017rr� t -r through 'Ir' U l=RTI llo, ,rI f I LER 1. Type of Recipient Committee: All committees—Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report O Recall O Controlled ❑ Termination Statement (Also compkie Pmt 5) ® Sponsored (Also file a Form 410 Termination) (Also Complete Part Fl ❑ General Purpose Committee (� Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ Accrued Expenses Typo 0 Small Contributor Committee Officeholder Committee Political Party/Central Committee (Alm0=,olere Part 7) 3. Committee Information I.D. NUMBER 1385313 Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX 1 E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Steven G. Churchwell MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIPCODE AREACODEIPHONE 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. certify under penalty of perjury under the laws of the State of California that the foregoing Executed on Date Executed on Date Executed on Date By Signature of Controlling Officeholder, Cantlitlate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) RESIDENTIALIBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement: Lrstanycommittees 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 NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMM ITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 5 6. Primarilv Formed Ballot Measure Committee NAME OF BALLOT MEASURE North DeAnza Gateway Initiative BALLOT NO. OR LETTER JURISDICTION ® SUPPORT City of Cupertino ❑ 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 ListnamesOf 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (Jan/2026) FPPC Advice: advice@fppc.ca.gov (866/275-3772) vrww.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 01/01/2017 SUMMARY PAGE Expenditures Made 6. Payments Made .................. ............... schedule E Line 4 $ 8/30/2017 3 5 SEE INSTRUCTIONS ON REVERSE 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ through 9. Accrued Expenses (Unpaid Bills) .......................................... page of 24,082.20 NAME OF FILE=R C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ...................... ............ Add Lines 8+s+10 $ I.D. NUMBER Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties 1385313 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDARYEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 0.00 0.00 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 0.00 0.00 111 through 8130 711 to bate 2. Loans Received................................................................ schedule B, Linea 0.00 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0.00 0.00 4. Nonmonetary Contributions ............................................ schedule C, Line 3 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 0.00 $ 0.00 Made $ $ Expenditures Made 6. Payments Made .................. ............... schedule E Line 4 $ 50.00 7_ Loans Made....................................................................... Schedule H, line 3 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 50.00 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line s 24,082.20 10. Nonmonetary Adjustment .........................................................schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ...................... ............ Add Lines 8+s+10 $ 24,132.20 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 59,742.38 13. Cash Receipts ........................................................... Column A, Line s above 0.00 14. Miscellaneous Increases to Cash .................................. schedule i, Line 4 0.00 15. Cash Payments.. ....................................................... Columna, Line s above 0.00 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 59,742.38 If this is a termination statement, Line 16 must be zero. 17_ LOAN GUARANTEES RECEIVED ................................ Schedule B, Part $ Cash Equivalents and Outstanding Debts 18_ Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 +Line s in Column B above $ E;' 11 0.00 24,082.20 $ 50.00 0.00 $ 50.00 24,082.20 0.00 $ 24,132.20 To calculate Column B, add amounts in Column Ato 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* (N 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 (Jan/2016) FPPC Advice. advice@fppc.ca.gov 1866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 6/30/2017 Page 4 of 5 NAME OF FILER I.D. NUMBER Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties 1385313 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mise. IVIBR 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 stafflspouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads UVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER LD, NUMBER) CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 1. Itemized payments made this period. (Include all Schedule E subtotals) ...•......................................................................................................... $ 2. Unitemized payments made this period of under $100....................................................................................................................................... $ 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 $ AMOUNT PAID 50.00 50.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice&ppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties SCHEDULE F Statement covers period from 01/01/2017 through 6/30/2017 I 5 Page 5 of— I.D. NUMBER 1385313 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GMP 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)* QFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND 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 candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads UVEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF CREDITOR {]F COMMITTEE, ALSO ENTER LQ. NUMBER) CODE OR DESCRIPTION OF PAYMENT [ OUTSTAA NDING BALANCE BEGINNING { AMOUNTINGURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD {ALSO REPORT ON E) OF THIS PERIOD Churchwell White, LLP * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 24 226.61 $ 24,082.20 $ 0.00 $ 48,308.81 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................................ 24,082.20 0.00 NET $ 24,082.20 May be a negalive number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov