460 Recipient Committee Campaign Statement - Amendment 7-1-16 to 12-31-16Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from 7/01/2016
SEE INSTRUCTIONS ON REVERSE
through 12/31/2016
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
® Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(Also Complete Part 5)
(9) Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
1385313
;UMMI I I EE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Cupertino Residents for Economic Progress and Schools, Sponsored
by Northwest Properties
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/ E-MAILADDRESS
4. Verification
Date of election if appli
(Month, Day, Year)
2. Type of Statement:
Date
ID [Ar- C� W [l V
AUG 7 2017
TIN
COVER PAGE
1 of 6
Official Use Only
❑ Preelection Statement ❑ Quarterly Statement
Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
I� Amendment (Explain below)
New information regarding past invoices
Treasurer(s)
NAME OF TREASURER
Steven G. Churchwell
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the
Executed on,
r `�
G Date
Executed on
Date
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, 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)
RES] DENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
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.
UUMNII I I tt NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
AUUKESS STREETADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADD
I.D. NUMBER
STREETADDRESS (NO P.O. BOX)
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 6
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
North DeAnza Gateway Initiative
BALLOT NO. OR LETTERJURISDICTION
® 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 DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames 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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
NAME OF FILER
Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties
Contributions Received
1. Monetary Contributions...................................................
Schedule A, Line 3 $
2. Loans Received................................................................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2 $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add
Lines 3+4 $
Statement covers period
from 7/01/2016
through
Column A
Column B
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
0
225,000.00
$
Schedule H, Line 3
0
0
0
225,000.00
$
Schedule F Line 3
0
0
0 $
225,000.00
Expenditures Made
6. Payments Made................................................................
Schedule e, Line 4 $
81.008.41
7. Loans Made.......................................................................
Schedule H, Line 3
0
8. SUBTOTAL CASH PAYMENTS ..........................................
Add Lines 6+7 $
81,008.41
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
24,266.61
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
0
11. TOTAL EXPENDITURES MADE ........................................
Add Lines 8 + s + 10 $
105,275.02
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 140,800.79
13. Cash Receipts........................................................... Column A, Line 3 above 0
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0
15. Cash Payments......................................................... Column A, Line 8 above 81,008.41
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 59,792.38
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Parte $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ 0
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 24,266.61
$ 165,207.62
$ 165,207.62
24,266.61
0
$ 189,474.23
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).
SUMMARY PAGE
12/31/2016 page 3 of 6
I.D. NUMBER
1385313
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties
Statement covers period
from 7/01/2016
through
12/31/2016
SCHEDULE E
Page 4 of 6
I.D. NUMBER
1385313
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CTB
campaign consultants
contribution (explain nonmonetary)*
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
civic donations
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FIL
FND
candidate filing/ballot fees
fundraising events
PHO
phone banks
TRC
candidate travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
between committees of the same candidate/sponsor
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
Lincoln Strategy Group
16,488.00
Churchwell White LLP
Lincoln Strategy Group
x Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 38,933.41
Schedule E Summary
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 $
80,944.41
64.00
0
81,008.41
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Amounts may be rounded
AMOUNT PAID
SCHEDULE E (CONT.)
(Continuation Sheet)
to whole dollars.
Statement covers period CALIFORNIA
Payments Made
Tulchin Research
POL
26,000.00
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 42,011.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON
NAME OF FILER
Amounts may be rounded
to whole dollars.
Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties
SCHEDULEF
Statement covers period
from 710112016
through 12/31/2016 6 6
Page of
I.D. NUMBER
1385313
UUUts: It one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CTB
campaign consultants
contribution (explain nonmonetary)*
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
civic donations
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FIL
FND
candidate filing/ballot fees
fundraising events
PHO
phone banks
TRC
candidate travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
between committees of the same candidate/sponsor
voter registration
LIT
campaign literature and mailings
PRT
print ads
vvFR
Infnrmafinn
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNTINCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
Churchwell White LLP
PRO
0
24,266.61
0
24,266.61
* Pavmenfs fhnf — enntrih,,finnc..-.......
--------
summarized on Schedule D.
u. es mu also be SUBTOTALS $
0 $ 24,266.61 $ 0 $ 24,266.61
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.)...........
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.)..................................................................................................................................
............. PAID TOTALS $
24,266.61
0
................................................. NET $ 24,266.61
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov