460 Recipient Committee Campaign Statement - Amendment 4-22-18 to 5-19-18Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Statement covers period
from 04/22/2018
Date of election if appli
(Month, Day, Year)
L�QNLs U W
AUG 1 2018
COVERPAGE
Of 6
Official Use Only
SEE INSTRUCTIONS ON REVERSE
through 05/19/2018
06/05/2018 i
PERTINQ C1tY CL RK
9! f\
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
❑x Preelection Statement
❑ Quarterly Statement
Q State Candidate Election Committee
Committee
❑ Semi-annual Statement
❑ Special Odd -Year Report
Q Recall
Q Controlled
❑ Termination Statement
❑ Supplemental Preelection
(Also Complete Part 5)
O Sponsored
(Also file a Form 410 Termination)
Statement - Attach Form 495
❑Q General Purpose Committee
(Aso Complete Part 6)
❑x Amendment (Explain below)
® Sponsored
❑ Primarily Formed Candidate/
Amend Schedule E
Q Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
1299673
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
cUPERTINO CHAMBER OF COMMERCE PAC
STREET ADDRESS (NO P.O. BOX)
CITY
8Ti`6 ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (FF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
ANDREW WAITERS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
SAMUEL HARVEY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX ! E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of
Executed On
Date
Executed on
PME
Executed on
Date
wwwr netfrle.com
By
Signahue of Gontrolfing Officeholder, Candidate, State Measure Proponent or Resporvsihle Ofrioerof Sponsor
By
Signage of Controlling Officeholder, Candidate, State Measure Proponent
By
5ignatureofContnAingOfficeholder. Candidate,State MeasureProponent FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppe.ca.gov (8661275-3772)
www.fppc.ca:gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
6. Primarily f=ormed Ballot Measure Committee
NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER
RESID ENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: 1lstanycommittees
not included in this statement that are controlled by you or are primarily formed to receive
contilbutions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMM ITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODElPHONE
COMMITTEE NAME
LD. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEtPHONE
COVERPAGE-PART2
Page 2 of 6
❑ SUPPORT
❑ 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 (Janl2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppe.r-a..gov
w vw.neifile.corn `
Campaign Disclosure Statement Amounts may be rounded
Summary Page to whole dollars.
statement covers period
from 04/22/2018
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line $ 20.00
7. Loans Made............................................................. Schedule H, Line a 0.00
8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 20.00
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F tine 3 1, 606.25
10. Nonmonetary Adjustment .......................................... schedule C, Line a O.Oo
11. TOTAL EXPENDITURES MADE................................AddLines8+g+10 $ 1,626.25
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2,082-39
13. Cash Receipts ................................................... Column A, Line 3 above 0.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00
15. Cash Payments .................... Column A, Line S above 20.00
16. ENING CASH BALANCE .......... Add Lines 12+ 13 + 14, then subtract Line 15 $ 2,062.39
!f this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................... .. See instructions on reverse $ 0.00
19. Outstanding Debts ......................... AddLine2+LineslnColumn Babove $ 16,995.86
www.netrile.com ,
$ 6,268.45
0.00
$ 8,268-45
16,995.66
0.00
$ 25,264.31
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*
(IrSuhjectto voluntary Expenditure Limit)
Date of Election Total to Date
(mmtdd/yy)
`Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 {Jan/2016)
FPPC Advice: advice@fppe.ca.gov (8661275-3772)
www.fppc.ca gov
through
05/19/2018
Page 3 of 6
SEE INSTRUCTIONS ON REVERSE
NAME Or FILER
I.D. NUMBER
CUPERTINO CHAMBER OF CODWERCE PAC
1299673
ColumnA
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHIS PERIOD
CAL£NDARYEAR
Runningin Both the State Prima and
Primary
(FROMATTACHEDSCHEDULES)
TOTALTO DATE
General Elections
1, Monetary Contributions ..................""""'...............
Schedule A, Line
$
0.00
$
2r950.00
1i9 through 6/30 711 to Date
2. Loans Received ......................................................
Schedule S, line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS ........................
Add Lines I+2
$
0.00
$
21950-00
20• Contributions
Received $ $
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3+4
$
0.00
$
2,950-00
Made $ $
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line $ 20.00
7. Loans Made............................................................. Schedule H, Line a 0.00
8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 20.00
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F tine 3 1, 606.25
10. Nonmonetary Adjustment .......................................... schedule C, Line a O.Oo
11. TOTAL EXPENDITURES MADE................................AddLines8+g+10 $ 1,626.25
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2,082-39
13. Cash Receipts ................................................... Column A, Line 3 above 0.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00
15. Cash Payments .................... Column A, Line S above 20.00
16. ENING CASH BALANCE .......... Add Lines 12+ 13 + 14, then subtract Line 15 $ 2,062.39
!f this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................... .. See instructions on reverse $ 0.00
19. Outstanding Debts ......................... AddLine2+LineslnColumn Babove $ 16,995.86
www.netrile.com ,
$ 6,268.45
0.00
$ 8,268-45
16,995.66
0.00
$ 25,264.31
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*
(IrSuhjectto voluntary Expenditure Limit)
Date of Election Total to Date
(mmtdd/yy)
`Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 {Jan/2016)
FPPC Advice: advice@fppe.ca.gov (8661275-3772)
www.fppc.ca gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CU2ERTINC CHAMBER OF COM4ERCE PAC
Amounts may be rounded
to whole dollars.
Statement covers period
from 04/22/2018
through 05/19/2018 I Page 4 of 6
I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
1299673
E
CMP
campaign paraphernalialmisc.
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 filinglballot 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 supportinglopposing 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
LET
campaign literature and mailings
PRT
print ads
VVEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMnTEE,AI-SO ENTER 1.0. NUMBER)
BANK OF THE WEST
CODE OR DESCRIPTION OF PAYMENT
.3x01
AMOUNTPAID
20.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 20.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................ 20.00
2. Unitemized payments made this period of under $100 .................. ...... $ 0.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................. $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 20.00
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
www.fppc-ca.gov
www.nefflle.com
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTI
NAMEOF FILER
COPERTINO CHAMBER OF COMMERCE PAC
Amounts may be rounded
towhoie dollars.
Statement covers period
from 04/22/2018
through 05/19/2018
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE F
Page 5 of 6
I.D. NUMBER
1299673
CNP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTI3
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 filinglballot 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
I IT
Camoaion literature and mailings
PRT
print ads
WEB
information technology costs (Internet, e-mail)
* Payments that are contributions or indepondent expenditures must also be SUBTOTALS $ I5, 389.61$ 0.00$ 0.00$ 15,389 .61
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.) ......................
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
on the Summary Page, Column A, Line 9.)...............................................................................................
www.netfile. eom
.................. INCURRED TOTALS $ 1,606.25
.................PAID TOTALS $ 0.00
NET
1,606.25
May M be a negative number
FPPC Form 460 (Jan/2096)
FP;PC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
www.fppccca.gov
tai
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCEAT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
TERRIS BARNES WALTERS (TBW)
IND
11,422-30
0.00
0.00
11,422.30
TERRIS BARNES WATERS (TBW)
IND
3,667.31
0.00
0.00
3,667.31
SUTTON LAW FIRM
PRO
300.00
0.00
0.00
300.00
* Payments that are contributions or indepondent expenditures must also be SUBTOTALS $ I5, 389.61$ 0.00$ 0.00$ 15,389 .61
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.) ......................
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
on the Summary Page, Column A, Line 9.)...............................................................................................
www.netfile. eom
.................. INCURRED TOTALS $ 1,606.25
.................PAID TOTALS $ 0.00
NET
1,606.25
May M be a negative number
FPPC Form 460 (Jan/2096)
FP;PC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
www.fppccca.gov
SCHEDULE F (CONT)
Schedule F
Amounts may be rounded Statement covers period ME
(Continuation Sheet) to whole dollars. I
Accrued Expenses (Unpaid Bills) from 04/22/2018
OF FILER
CUPERTINO CHAMBER OF COMMERCE PAC
through 05/19/2018 page 6 of 6
I.D. NUMBER
1299673
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CIDP
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
RL
candidate filing/ballot fees
PFO
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 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)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
OR (a) (b) (c) (d)
CODE
NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING
(IF COMMrrTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEAT CLOSE
OF THIS PERIOD (ALSO REPORf ON r) OF THIS PERIOD
SUTTON LAW FIRM PRO 0.00 952.25 0.00 952.25
SECRETARY OF STATE FIL 0.00 460.001 0.00 460.00
SUTTON LAW FIRM PRO 0.00 194.00 0.001 194.00
SUBTOTALS $ 0.00$ 1, 605.25 $ 0.00 $ 1,606.25
FPPC Form 460 (.fan/2016)
FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772)
wwflvfppc.ca_gov
wwiw.n6ifile.com