460 Recipient Committee Campaign Statement - Preelection 7-1-18 to 10-20-18 . _. _ .._ __. _ ,..._,.�._ �. _._.�...r
Recipient Committee ovERPA�E
Campaign S�atement � �' C' i� i� V i� ` � � � • �
Cover Page ���} (5 � �� � �
_ •� �
(Govemment Code Sections 84200 84216.5)
Statemenf covers period Date of election if appfica�l�:l � g�„�- n ^ �;��� �� �1 � 1 20
(Month, Day,Year) � i i � �3�i � `� �'���' �e of
from 07/O1/2018 �, �
� [For Official Use Oniy
�
SEEINSTRUCTIONSONREVERSE through la/20/2018 11/06/2018 � �� ����3�$j�� ��-��} ��� �tl '
1 �
1. Type of Recipient Committee: au commrttees-com�iete Pa��,z,a,ar,d 4. 2. Type of Statement:
❑ Officeholder,Candidafe Confrolled Committee ❑ Primarily Formed Ballot Measure �x Preelection Statement � Quarterly Statement
Q Sfate Candidate Election Committee Committee ❑ Semi-annual Statement � Special Odd-Year Report
Q Recall 0 Controlled Termination Statement
❑ ❑ Supplemental Preelection
(AlsoComp/etePartS) Q Sponsored (Also file a Forrn 490 Term�inafion) Statement-Attach Form 495
(Afso CompletePart 6)
Q General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored � Primarily Formed Candidate/
Q Small Gontributor Committee officehoider Committee
�Polifical Party/Central Committee
� (AlsoCompletePad7)
3. Committee Information �-D. NUMBER Treasurer{s)
1299673 ,
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITfEE) NAME OF TREASURER
CIIPERTINO CHA1t�BER OF COMMERCE PAC ANDREW WAI,TERS
MAILING ADDRESS
SAMIIEL AARVEY
MAILING ADDRESS(IF DIFFEREN"T) NO_AND STREET OR P.O. BOX MAILING ADDRESS �
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAfL ADDRESS
4. Verification
1 have used all reasonable diligence in preparing and reviewing this sfatement and to the besY
Executed on BY
Date � SignatureofCorttrolfingOfficeholder,Candidate,StateMeasureProponentorResponsibleOfficerofSponsor
Executed on BY
Dafe . Signahtre of Controlling O(Sceholder,Candid2te,State Measure Proponent
EXOCUted on Date � � BY Sign2tureofControlfingOfficeholder,Candidate,StateMeasureProponert
FPPC Form 460(JaN2016)
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COVERPAGE-PART2
Recipient Committee , _ .
Campaign Statement .- � � 0
Cover Page— Part 2
Page 2 of 20
5. O�ceholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT
❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (N0.AND STREE� CITY STATE ZIP
Identifiy the contro(ling officehoider, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: ustanycomm�ttees -
not included in this stafement fhat are controlled by you or are primarily formed fo receive OFFICE SOUGHT OR HELD DISTRICT NO_IF AM'
contribufions or make expen�tures on behalf of your candrdacy.
COMMITTEENAME I.D. NUMBER
CONTROLLEDCOMMITTEE? 7- Primarily Formed Candidate/Officeholder Committee Listnames of
NAME OF TREASURER o�ceho/der(s)or candrdafe(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMfTTEEADDRESS STREETADDRESS (NO P.O.BO� NAME OF OFFfCEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑OPPOSE
COMMITTEENAME I_D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT
❑ OPPOSE
NAME OFTREASURER CONTROLLEDCOMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
� YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEEADDRESS STREFfADDRESS (NO P.O_BO�
CITY STATE ZIP CODE AREACODE/PHONE Attach continuation sheefs if necessary
FPPC Form 460(Jan/2016)
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Campaign Disclosure Statement SUMMARYPAGE
Amounts may be rounded Statement covers period o-
Summary Page to Wno�e aana�. . � ,
from 07/O1/2018 •
SEEINSTRUCTIONS ON REVERSE fh�OLgh 10/20/2018 Page 3 Of 20
NAME OF FILER I.D. NUMBER
CIIPERTINO CHAMBER OF COMNIERCE PAC 1299673
T�c_olumn A D C�olu�mn B Calendar Year Summary for Candidates
Contributions Received Runnin in Both the State Prima and
(FROMATTACHEDSCHEDULES) TOTALTODATE 9 rY
General Elections
1. Monetary Contributions........................................... scnedu�ea,Line3 $ io6,000_00 $ ios,9so_oo
1f1 through 6/30 7/1 to Date
2_ Loans Received ...................................................... scnedute e,Line 3 0_o0 0_o0
106,000_00 108,950_00 20. Contributions
3. SUBTOTALCASH CONTRIBUTIONS ......................... addcines�+2 $ $ Received $ $
4. Nonmonetary Contributions.................................... scneduiec,Line3 0.0o s,�6i.00 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED ----••--•-•••--------------/addtiness+t $ l05,000_0o g ii2,�li_oo Made $ $
Expendituees Made Expenditure Limit Summary for State
6. Payments Made....................................................... sct,edu�eE�r,e4 $ s2,s42_io � 61,s9o_ss Candidates
7. Loans Made..-•----------------•---------------------•--....-•---------- scned��e H,�ne s o_o0 0_o0
22. Cumulative Expenditures Made*
- 8. SUBTOTALCASHPAYMENTS .................................... AddLiness+7 $ 52,842_10 $ 61,590.55 (IfSubjecttoVoluMaryExpenditureLimR)
9. Accrued Expenses (Unpaid Biiis)...............................scneduie F cine s 44,043_74 61,34s.io Date of Election Totai to Date
10. NonmonetaryAdjustment....................... ..........scneduiec,�nes o.o0 3,761_00 (mm/dd/yy)
11.TOTALEXPENDITURESMADE................................Add�iness+s+to $ 96,885_84 $ 126,696.65 �� �
Current Cash Statement —�� �
12_Beginning Cash Balance....................... Pre�fous summa�yPa9e,�ne 1s $ 1,582_39 To calculate Column B,add
13_Cash Receipts ................................................... Co�umn,4,Une s a6ove 10 6,o0 0_o o amounts in Column A to the
corresponding amounts *p,mounts in this section may be different from amounts
14.Miscellaneous Increases to Cash........................... scneduie�,Line 4 20_oo from Column B of your Iast reported in Column B.
15.Cash Paymenfs.................................................. Co�umn a,tine s atove s2,s d2_lo report_ Some amounts in
Column A may be negative
16.ENDINGCASHBAiANCE..__._.... Addvnes�2+�s+�4,thensubtractLine�e $ 54,760_29 figuresthatshouldbe
subtracted from previous
If this is a termination statement, Line 96 must be zero. period amounts. If fhis is
the first reporf being filed
17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part 2 $ o_oo for this calendar year, only
carry over fhe amounts
Cash Equivalents and Outstanding Debts an�)unes 2,7,and 9(if
18_ Cash EquivalentS........................................ See instrucsons on reverse $ 0_00
19. OUtStBnding D2btS......................... Add Line 2+Line 9 in Column B above $ 61,345.10
FPPC Form 460(Jan/2076)
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Schedule A scH�u�E a
Amounts may be rounded Statement covers period
Monetary Contributions Received to whole dotlars. • " � �
•
#rom o7/o1/z018 •'
SEE WSTRUCTIONS ON REVERSE through 10/20/2018 page 4 of 2�
NAME OF FILER I.D. NUMBER
CIIPERTINO CHAMBER OF CO tMvEi RCE PAC 1299673
DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION
RECEIVED (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE* ��PATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE
(IFSELFEMPLOYED,ENTFRNAME PERlOD (JAN.1-DEC_31) (IF REQUIRED) ,
OFBUSINESS)
08/06/2018 xT IIRBAN �IND 25,000_00 50,000.00
�OTH
❑PTY
❑SCC
09/O5/2018 RT IIRBAN ❑IND 25,000_00 50,000.00
�OTH
❑PlY
❑SCC
09/20/2018 SAN JOSE WATER COMPANY Q�Np 1,000.00 2,000.00
QOTH
❑PlY
❑SCC
09/24/2018 VALLCO PROPERTY OWNER, I�LC DBA SAND HII,LS ��Np a5,000_00 48,761.00
PROPERTY COMPANY AND AFFILIATED ENTITIES �COM
QOTH .
❑PTY
❑scc
10 16 2018 HARVEST PROPERTIES ��Np 10,000.00 10,000.00
�
x�OTH
❑PN
❑SCC
. T`�"`�«.i�'l"r I j��y:ti�ia,�,�n�i y�"�dGi�b'.��o F N,�`�'"�S;Yr,z�r,��d#y���silli�1 f�,7�ix � .4
SUBTOTAL� 1�6,000 OOw���i�����°i��lw�lil����,�l��d�ut�����k,�wl�r,�i��',��"����'����a��ro�i,u�'��i�������„�a�ks����w��"''�"',.�..��=,.��''�.
Schedule A Summary �ContributorCodes �
1. Amount received this period—itemized monetary contributions. �N�—�ndividual
�IncludeallScheduleAsubtotals. l06,000.0o COM—RecipientCommittee
).....•-••••-•••••-•••••--•--•••••••••••••.•-••••••••••-•••......•-••••••...•••--•-.........•••..........$ (otherthan P7YorSCC)
2. Amount received this eriod—unitemized moneta contributions of less than$100.............................$ o.o o OTH—Other(e.g.,business entity)
p rY PTY—Polifical Parly
3. Total.monetary contributions received this period. sCC—smau ContributorCommittee
Add Lines 1 and 2_ Enter here and on the Summa Pa e,Column A, Line 1_ ........TOTAL $ io6,000.o0
( rY 9 )�•------�----�-
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Schedule D
SCHEDULE D
Summary of Expenditures Statement covers period
SU Ol"t111 �0 OS111 Other Amounts may be rounded "�" � �
pp 9 pp g to wfiole dollars. 0�/01I2oi8 ` •" �
Candidates, Measures and Committees from
SEEINS7RUCTIONS ON REVERSE through 10/20/2018 page 5 O'f 2�
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COMMERCE PAC 1299673
CUMULATIVE TO DATE PER ELECIION
pA.� NAME OF CANDfDATE,OFFICE,AND DISTRICT,OR -rypE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE
MEASURE NUMBER OR LE7TER AND JURISDICTION, (IF REQUIRED) pER10D (JAN.'I-DEC.3�) (IF REQUIRED)
OR COMMITTEE
10/04/2018 AIING WEI � Monetary �D OF CNS 1,111.11 19,999.88
City Council Member
CITY OE CUPERTINO Contribution
❑ Nonmonetary
Contribution
� Independent
Q Support ❑ Oppose F�cpenditure
10/Oa/2018 HIING WEI � Monefary IND OF CANVASSING 7,222_22 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
0 Independent
� Support ❑ Oppose Expenditure
10/04/2018 AIING WEI IND OF LIT 666_66 19,999_88
City Council Member ❑ Monetary
CITY oF CIIPERTSNO Contribution
� Nonmonetary
Contribution
� independent
� Support ❑ Oppose Expenditure
SUBTOTAL 8i999_99��4�����li�ul��ili������r��klyi���k����������������^�rf ����µ��r�xw.
� �i����i �{8��^���,�yrA i1i1Fr����ir�.�fi�u,�1 2d x t 4wx�v��17R I���qp � {y�m�a r '
y sµ�nr.h .�f�Va r�'ri.,„.�„i....�.J:�..r�"r��r�r e�SI�S,i r 4, a��,d
Schedule D Summary
1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.)........................................... $ s9,999.64
2. Unitemized contributions and independent expenditures made this period of under$100................................................................................. $ o.o0
3. Total contributions and inde endent ex enditures made this eriod. Add Lines 1 and 2. Do not enter on the Summa Pa e. TOTAL $ s9,999_6a
p P p { rY 9 )........••••-
FPPC Form 460(Jan/2016)
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Schedule D
(Continuation Sheet) SCHEDULED(CANT.)
Summary of Expenditures Amountsmayberounded Sfatementcoversperiod
towholedollars. � � � � !
Supporting/Opposing Other from o�/ol/2ois � '
Candidates, Measures and Committees
through 10/20/2018 page 6 of 20
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COMMERCE PAC 1299673
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULA77VE TO DATE PER ELECTION
DATE TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
MEASURE NUMBER OR LEfTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.'I-DEC.31) (IFREQUIRED)
OR COMMITTEE
10/04/2018 ORRIN MAHONEY � Monetary IND OF LIT 666.66 19,999_88
City Council Member
CITY OF CUPERTINO Confribution
� Nonmonefary
Contribution
� Independent
� Support ❑ Oppose F�cpenditure
10/04/2018 ORRIN MAHONEY � Monetary iND OF CNS 1,111.11 19,999.88
City Council Member
CITY oF CIIPERTINO Contribution �
� Nonmonetary
Contribution
� Independent
� Supporf ❑ Oppose Expenditure
10/04/2018 ORRIN MAHONEY � Monetary IND OF CANVASSING 7,222.22 19,999.88
City Council Member
CITY OE CIIPERTINO ' COI1t�IbUtlOf1
� Nonmonetary
Contribution
� Independent
� Support ❑ Oppose F�cpenditure
10/04/2018 SAVITA VAIDHYANATHAN IND OF ZIT 666_66 19,999_88
city Council Member ❑ Monetary
CITY OF CUPERTINO COtltfllJlltlOfl
� Nonmonefary
Contribution
�x Independent
� Support ❑ Oppose Expenditure
� � i� �� �����,� , �r_�
SUBTOTAL $ 9,666.65 �'°+������"f�'����}��z�p�M r�ipi'"�`ril��iC�r�„���ll�'j���"r�IG44ti�u�,���7 µ�{'�la4l����,� �,�;
� � ii^11,�hiph6i �!'I'���s 16�i�i I�°+fi"aG� � '�+ <1 �9'i r� 4i I� � o,
F iqi4 dlli4i,llfl I.I 9lsld Viiul,yi,y��I��1J�i I���a.�rE.'�£.u.. , "r�,1,.�a�u. ��.a�_.
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Schedule D
(Continuation Sheet) SCHEDULED(CONT.)
SUI'T1t171P�/ Of EXpe11CI1tUt"@S Amountsmayberounded Statementcoversperiod
towholedollars. , ` / • ,
Supporting/Opposing Other from o�iovZo�s • '
Candidates, Measures and Committees
fihrough l0/2o/2ola page � of 20
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COML�RCE PAC � 1299673
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
QF REQUIRED) PERIOD (JAN.'I-DEC.31) (IF REQUIRED)
OR COMMITTEE
10/04/2018 SAVITA VAIDHYANATAAN IND OF CNS 1,111_11 19,999_88
City Council Member ❑ Monefary
CITY OE CIIPERTINO Confribution
� Nonmonetary
Contribution
� Independenf
� Support ❑ Oppose Expenditure
10/0a/2018 SAVITA VAIDAYANATAAN � Monetary SND OF CANVASSSNG 7,222_22 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
�x Independent
� Support ❑ Oppose Expendifure
10/OS/2018 HUNG WEI � Monetary �D OF WEB 1,111.11 19,999.88
City Council Member .
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independenf
Q Support ❑ Oppose Expenditure
10/OS/2018 ORRIN MAAONEY IND OF WEB 1,111_11 19,999.88
City Council Member � Monetary
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independent
� Support ❑ Oppose Expenditure
� I��h��GI��lr��i���I��IiY�i�p I����f�P�l�i��i ulRl iM�°F�"�or��l� � � � �I Iltli Ir�Ni����i
�li��l I�i� ��'Vh I i I'h� pd��IliU'N�f�i��{l,y'�.�aa.V.�,a,.r y "���i4l 6 6j �7.?,,
SUBTOTAL $ 10�555_55 li'il�llp� �I� � 9k& �f .�, � `S'I h�rq7� il � �>
�+�.7 t i `�,���,y aa..,q�,�-r?�,'�,�,��s 4 I I Wz�,��i�I1�G I 4i�Ni�h�im;�llu I� � c
FPPC Form.460(Jan/2016)
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Schedule D
(Continuation Sheet) SCF�DULED(CONT)
Summary ofi Expenditures Amountsmayberounded Statementcoversperiod
to whole dollars. e � ! 1
Supporting/Opposing Other from o�iov2o�s • '
Candidates, Measures and Committees
through l0/2o/2ois Page $ of 20
NAME OF FILER I.D_NUMBER
CIIPERTSNO CI3AMBER OF CONII�RCE PAC 1299673
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) pERIOD (JAN.�-DEC.3�) (IF RE4UIRED)
OR COMMIT"fEE
10/OS/2018 SAVITA VAIDHYANATAAN � Monetary IND OF WEB 1,111.11 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independent
� Support ❑ Oppose Expenditure
10/15/2018 HIING WES - SND OF L=T 444_34 19,999.88
City Council Member � Monetary
CITY OF CIIPERTINO Confribution
� Nonmonetary
Contnbution
� Independent
Q Support ❑ Oppose F�cpenditure
10/15/2018 HIING WEI � Monefary IND OF CNS, 1,111.11 19,999.88
City Council Member
CITY OE CIIPERTINO Contribution
� Nonmonetary
Cflntribution
�x Independent
x� Support ❑ Oppose Expendifure
10/15/2018 HIING WEI IND OE WEB 1,111.11 19,999.88
city council Member ❑ Monetary
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independent
� Support ❑ Oppose Expenditure
�' S 4l����'�����°�}�� ^� �W� 1 I i ti iili a9 I�V r
� �1M u i ��'•}t.� �v 7��u���� : '' �i�h�w g M� �i191��V I 4 4�� I
SUBTOTAL � 3�777_67�rv�e '� " `�� �73��a�r`�y��iJ$C����,C"�a}�i}�n a�"+�ti u+'�VI i�,lii�'y�d���G'��'',i
� �.r�v�l�dki_'�..,�..��."�Y'.�,,�.�'�����lu�o��� .."w .�,U�uu ul;ir�i y If o�Fr i I ��la r1,i�u
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Schedule D
(Continuation Sheet) SCHEDULED(CONT)
Summary of Expenditures Amountsmayberounded Statementcoversperiod
towholedollars. � � � �
Supporting/Opposing Other o�io�iZo�s • ' �
from
Candidates, Measures and Committees
through l0/2o/2o1s page 9 of 20
NAME OF FILER I.D.NUMBER
CIIPERT=NO CHAMBER OF CONINIERCE PAC 1299673
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIUE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYpE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
(IFREQUIRED) PERIOD (JAN.'I-DEC.3'I) {IFREQUIRED)
OR COMMITTEE
10/15/2018 HIING WEI � Monetary IND OF CANVASSING 7,222_22 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independent
Q Support [] Oppose Expenditure
10/15/2018 ORRIN MAHONEY � Monetary =ND OE I,IT 444_34 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
�x independent
� Support ❑ Oppose F�penditure
10/15/2018 ORRSN MAEiONEY � Monefary =ND OF CNS 1,111_11 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independent
x� Support ❑ Oppose Expenditure
10/15/2018 ORRIN MAHONEY IND OF WEB 1,111_11 19,999.88
City Conncil Member ❑ Monetary
CITY OF CIIPERTINO Contribution
� Nonmonefary
Contribution
Q Independent
x� Support ❑ Oppose Expenditure
iriilirfi���IlI�16�tl4�I�iIlyY�hllu�F �' ��^I" i i 1�111�Mf w���ilail�P�'�.
�}i� uk If��i� 9��� i�F� ���' Id� ` 7r u i�`i i I��i ii�ii ��,
SUBTOTAL $ 9,888_78� �, ���,����p^���i,�f�w��t ,��uC4�d, ,Y�� �s,���r, �� s°
�,� ��r,�. , �.,�� �,i+„���.� , ,��-;
FPPC Form 460(Jan/2016)
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_.__�;. ; FPPC.Advice:advice@fPPc.ca_gov(866/275-3772)
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Schedule D
(Continuation Sheet) SCHEDULED(CONT)
Summary ofi Expenditures Amountsmayberounded Statementcoversperiod
towholedollars. � � � '
Supporting/Opposing Other o�iov2o�8 • "
from
Candidates, Measures and Committees
through 10/20/2018 page 10 of 20
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF CONII�RCE PAC 1289673
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
(IFREQUIRED) PERIOD (JAN.1-DEC.31) (fFREQUIRED)
OR COMMITTEE
10/15/2018 ORRIN MAHONEY � Monetary �D OF CANVASSING 7,222_22 19,999_88
City Council Member
CITY OF CIIPERTINO Contribution .
� Nonmonetary
Contri6ution
0 Independent
Qx Support ❑ Oppose F�cpenditure
10/15/2018 SAVITA VAIDHYANATHAN IND OF I,IT 444_34 19,999_88
City Council Member ❑ Monetary
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribution
� Independent �
x❑ Support ❑ Oppose F�cpenditure
10/15/2018 SAVITA VAIDHYANATHAN IND OF CNS 1,111_11 19,999_88
City Council Member � Monetary
CITY OF CIIPERTINO Contribution
� Nonmonetary
Confribution
❑x Independent
x❑ Support ❑ Oppose Expenditure
10/15/2018 SAVITA VAIDHYANATHAN IND OE WEB l,lll_11 19,999_88
City Council Member ❑ Monetary
CITY OF CIIPERTINO Contribution
� Nonmonetary
Contribufion
� Independent
� Support ❑ Oppose Expendifure
r �^^ory�A�`�"r.q- u ti�`�7h��r�mr.-,s'� ^V�':L y, , ..� �' '�' .
�� s 4 c° �'GI�f� Iti�1Ciil��� ,✓;�y� ? ^�f-�-"� � �.�...,�����
SUBTOTAL $ 9i 888.78 rixY ��h�A����lir������7��Ni�Y��l�lti���6`������pn ���rqa�N4�E'� ¢���'��t
� '��i�^h..�l����"�p�id+�`.�.re,a:��l.i n�i x r V1, ��"`��r4�ul'd.�a.kll�I�r'p'�,i,M��r i J��^w��
FPPC Form 460(Jan/2016)
www.neifile.com '
._ ., •_ .. .� .,, . ,�_ FPPCAdvice:advice@fPPc.ca.gov(866/275-3772)
_. . , - � .: � vr�vw.fppc.ca.gov
Schedule D
(Continuation Sheet) sc�u�o�cor,r.�
Summary of Expenditures Amountsmayberounded Statementcoversperiod
towholedollars. � � � ,
Supporting/Opposing Other o�io�i2o�s ' ' �
from
Candidates, Measures and Committees
through l0/2o/2o1s page 11 of 2p
NAME OF FILER I.D_NUMBER
CIIPERTINO CI3AMBER OF COMI�RCE PAC 1299673
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
(IF REQUIRED) PERIOD {JAN.'I—DEC.31) (IF REQUIRED)
OR COMMITTEE
10/15/2018 SAVITA VAIDAYANATHAN � Monetary =ND OF CAN�7ASSING 7,222.22 19,999_88
City Council Member
czmY oF CIIPERTINO Contribution
❑ Nonmonetary ^
Contribution
� Independent
� Support ❑ Oppose Expenditure
� Monetary
. Contribution
❑ Nonmonetary
Contribution
� Independent
❑ Support ❑ Oppose Expenditure
❑ Monetary
Contribufion
� Nonmonetary
Contribution
� Independent
❑ Support ❑ Oppose Expendifure
� Monetary
Contribution
� Nonmonefary
Contribution
� Independenf
❑ Support ❑ Oppose Expenditure
�„TI��II��4�����30 �1� � _��i� ��Vf�����I u� ��
�h�y�,€�, �' } �ir yI 4I�'�fir�Gt"�rvdi � ��a�4� �'�i
SUBTOTAL $ 7,222_22�-�i u'"�i��f�i����r��'�4�I4����I��p��l����p��i��f�I��„IiII�4��Iq�1��I�I7i�'I�j�i��l�����I��,f��ii78�fl�l�i'+�.0��s��f��'����,
,.su,.�,�. �.N! �V� i C14'!,I a . P+I.I�ihi7,�,h ukr�,h�
FPPC Form 460{JaN2096)
www.ne�le.com
. �_._;. „ FPPC,Advice:advice@fpPc.ca.gov(866/275-3772)
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SCHmULE E
Schedule E Amounts may be rounded Statement covers period �_ , • �
Payments Made to whole dollars. from 0�/01/2018 �
SEEINSTRUCTIONS ON REVERSE through 10/20/2018 page 12 of 20
NAME OF FILER I.D. NUMBER
CIIPERTINO CfiAMBER OF COMI�RCE PAC 1299673
CODES: If one of the foliowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
(�VB' campaign paraphemalia/misc. MBR membercommunicafions RAD radio airtime and production costs
CNS campaign consuitants MTG meetings and appearances RFD returned contributions
CTB confibution{explain nonmonetary)� OFC office expenses SAL campaign workers'salaries
CVC civic donations PET petition circulating TEL f.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 travei, lodging, and meals
IND independent expenditure supporting/opposing others {explain)' POS postage, delivery and messenger services TSF trarisfer between committees ofi fhe same candidatelsponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign Iiterature and mailings PRT print ads 1NEB information technology costs(intemet, e-mail)
' NAMEANDADDRESS OF PAYEE
QFCOMMITTEE,ALSOENTERLD.NUMBER) CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID
BANP. OF THE WEST OFC 20.00
BANR OF THE WEST OFC 20_00
BANK OF THE WEST OFC 20-00
� Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 60_00
Schedule E Summary
1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ sz,s4Z_10
2. Unitemized payments made this period ofi under$100 ..--•---�.............................�---...----�-�-••---�-�-�---�-----•-�--�---....---.....-�---�----...........................-------- � o_o0
3. Total interest paid this period on loans_(Enteramountfrom Schedule B,Part 9,Column(e}.)............................................................................... $ o.o0
4. Total a ments made this eriod. Add Lines 1,2,and 3.Enter here and on the Summa Pa e,ColumnA, Line 6. TOTAL $ s2,saa_io
P Y p � rY 9 ) --...---�--�-�------•--------
FPPC Form 460(Jan/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772}
.. , . _ www.fppc_ca.gov
www.neffile.cor�t
SCI'ieCIUI@ E SCHEDULEE(CONT.)
(Continuation Sheet) Amountsmayberounded Statementcoversperiod � _
� • �
Payments Made t°"'"°'ea°°a�. f�am o7/01/2018 �
SEE INSTRUCTIONS ON REVERSE thi'oUgh 10/20/2018 Page 13 Of Zp
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COMN�RCE 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 membercommunicafions RAD radio airtime and production cosfs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
ClB confribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries
CVC civic donations PEf petition circulating 7EL t.v or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travef,lodging,and meals
FND fundraising events POL poliing 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 Iegal defense PRO professional services (legai, accounting) VOT voter registration
LIT campaign liferature and maiGngs PRT print ads VVEB information technology costs(intemet,e-mai�
NAMEANDADDRESS OF PAYEE CODE OR DESCRIPTIOfVOFPAYMENT AMOUNTPAID
(IF CAMMITTEE,ALSO ENTER I_D.NUMBER) -
SIITTON I,AW FIRM PRO 300_00
SIITTON LAW EIRM PRO 952.25
SIITTON I,AW FIRM PRO 194.00
-
SIITTON LAW FIRM PR0 765_50
SIITTON LAW FIRM PRO 1,614.67
*Payments thatare contributions or independent expenditures must also be summarrzed on Schedule D. SUBTOTAL$ 3,826_42
FPPC Form 460(JaN2016)
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Schedule E SCHEDULEE(CONT)
(Continuation Sheet) Amountsmayberounded Statementcoversperiod � _
� • 1
Payments Made towhoiedollars. from o�/ol/2ois �
SEEINSTRUCTIONS ON REVERSE th�OUgh 10/20/2018 Page 14 pf 20
NAME OF FILER
I.D.NUMBER
CIIPERTINO CHAMBER OF COMNIERCE PAC 1299673
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CN� campaign paraphernalia/misc_ MBR membercommunicafions RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD retumed contributions
C7B contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations PEf petition circulating TEL tv_or cable airtime and producfion costs
RL candidate filing/ballot fees PHO phone banks 7RC candidate travel,lodging,and meais
FND fundraising events POL polling and survey research TRS sfaff/spouse travel, lodging, and meals
WD independent expenditure supporting/opposing others (explain)* POS postage, defivery and messenger services TSF transfer befween committees of the same candidate/sponsor
LEG Iegal defense PRO professionaf services (legal, accounting) VOT voter regisfration
LJT campaign literafure and mailings PRT print ads WEB information technology costs(intemet,e-mail)
NAMEAND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF CAMMITTEE,ALSO ENTER I.D.NUMBER)
ADVANTAGE GRAFIX IND OE LIT 5,722_50
DDC PIIBLIC AFFAIRS IND OF CANVASSING, CNS, AND LIT; SEE SCHEDIILE G 42,500.00
SIITTON I,AW FSRM PRO 483.18
�
DUO DIGITAI„ INC. IND OF LIT 250.00
*Paymenfs thatare contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 48,955_68
FPPC Form 460(Jan/2016)
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SCHEDULEF
Schedule F Statementcoversperiod •-
Amounts may be rounded I � �
Accrued Expenses (Unpaid Bills) towholedollars. from o�/0ll2ols • -
through 10/20/2018 15 20
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COMMERCE PAC 1299673
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign paraphernalia/misc_ MBR membercommunicafions RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
C7B contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL f.v.or cable airtime and produc5on costs
F1L candidate filing/ballot fees PHO phone banks 7RC candidate travel,lodging,and meals
FND fundraising events POL poliing and survey research TRS stafflspouse travel, lodging, and meais
IND independent expenditure supporting/opposing others (exptain)" POS postage, delivery and messenger services TSF transfer befween committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LJT campaign literature and mailings PRT print ads WEB information technology costs(ntemet,e-mai�
(a} (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING
(IF CAMMITTEE,AL50 ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT gALANCE BEGINNING THIS PERIOD THIS PERIOD. BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON t7 OF THIS PERIOD
TERRIS BARNES WALTERS (TBW) IND 11,422.30 0_OQ 0.00 11,422_30
TERRIS BARNES WALTERS (TBW) =ND 3,667.31 0_00 0_00 3,667_31
SIITTON LAW FIRM PR� 300_00 0.00 300_00 0_00
*Payments that are contributions or independent expend"rtures must also be SUBTOTALS$ 15,389.61$ 0_00$ 300.00$ 15,089.61
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$100.)............................................ INCURRED TOTALS$ 46,255_49
2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on
accrued ex enses of$100 or more, lus total unitemized a ments on accrued ex enses under$100. PAID TOTALS$ 2,2?1_�s
P p P Y p )....-�...........................
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) NE�� M bean ative umber4
••••••-•••-...•••......--••••••••..............•••-•........._.................••••••••••••••••-••-••••-••••••••••-••••--..........•••••••••••-• �' e9
FPPC Form 460(Jan12016)
-_°- _-- .�,4 „ .-°- � . "`° '`" FFPGTa11-Free Helpline:866/ASK-FPPC(866%275-3772)
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SCIIeCIUI@ F SCHEDULE F(CONT)
(Continuation Sheet) Amountsmayberounded Statementcoversperiod •- ,
to whole dollars. � _ � !
Accrued Expenses (Unpaid Bills) from o��01�20�8
through l0/20/2018 Page 16 op 20
NAME OF FILER I_D.NUMBER
CIIPERTINO CHAMBER OF CONINIERCE PAC 1299673
CODES: If one of the fiollowing codes accurately describes the payment, you may enter the code_ Otherwise, describe the payment.
CIVP campaign paraphernalia/misc. MBR membercommunications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
C7B contribution (explain nonmonetary)' OFC o�ce expenses SAL campaign workers'salaries
CVC civic donations PET petition circulating 7EL t.v.or cable airtime and production costs
FIL candidate filing/baliot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research 7RS sfaff/spouse fravel, lodging, and meais
IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor
LEG legal defense PF20 professional services (legal, accounting) VOT voter registration
LIT campaign Iiterature and mailings PF2T print ads WEB information technology costs(ntemet, e-mai�
�Payments thatare contributions or independent expenditures must also be summarized on Schedule D.
CODE OR �a� (b) {c) (d)
NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT gALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEAT CLOSE
OF THIS PER10D (aLso REPoxr OH� OF THIS PERIOD
SIITTON LAW FIRM PRO 952.25 0.00 952.25 0.00
SIITTON LAW FIRt�t PRO 194_00 0_00 194_00 0_00
SIITTON LAW FIRM PRO 765_50 0.00 765.50 0.00
SIITTON LAW FIRM PRO 0.00 -817.17 0_00 -817.17
SUBTOTALS$ l,gll.�s$ -sl�.i�$ i,9ii_�s$ -al�_i�
FPPC Form 460(JaN2016)
. _ . _� ......_ . . ,_ ....__ _. .�,..._.<._r...._ . . . �.--_.FPP�Tnll-Free Helpline:866/ASK-FPPC(866/275-3772)
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SCHEDULE F(CONT.)
Schedule F
(Continuation Sheet) Amountsmayberounded Statemerrtcoversperiod • � �
to whate dollars. � _ � �
Accrued Expenses (Unpaid Biils} from o�io�i2o�s
through l0/20/2018 17 20
Page of
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COMMERCE PAC 1299673
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
C;NP campaign paraphemalia/misc. MBR membercommunications RAD radio airtime and production costs
CNS campaign consultants MTG meefings and appearances RFD retumed contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PEf petition circulating TEL t.v.or cable airfime and production costs
FlL canditlate filing/ballot fiees PHO phone banks TRG candidate travel,lodging,and meals
FND fundraising events POL polling and survey research "i'RS staff/spouse travel, lodging, and meals
QVD independent expenditure supporting/opposing others (explain)� P0.S postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professionaf services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs(ntemet, e-mail)
'�Payments that are contributions or independent expenditures must also be summarized on Schedule D.
CODE OR �a� (b) (c) �d)
NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNTPAID OUTSTANDING
(IF CAMMITTEE,ALSO ENTER I_D_NUMBER) DESCRIPTION OF PAYMENT gALANCE BEGINNING TH1S PERIOD THIS PERIOD BALANCEAT CLOSE
OF THIS PERIOD (ALSO REPORT ON t7 OF THIS PERIOD
SIITTON I.AW FIRM PRO 0_00 1,594_23 0_00 1,594.23
DDC PIIBLSC AFFASRS IND OE CANVASSSNG, 0_00 42,500.00 0_00 42,500.00
SCHEDIILE G
SIITTON LAW FIRM PRO 0.00 2,978.43 0.00 2,978.43
SUBTOTALS$ 0.00$ 47,072_66$ 0_00$ a7,072.66
FPPC Form 460(JaN2016)
. . _ . __. .. ., . _ ,. . ,......_._ �..,_,. .__.:�,,__ _ _. _;�__.F.PPC.ToII-FreeHelpline:866/ASK-FPPC(866/275-3772}
www.netfife,corr� . . ° _ . www.fppc.ca.gov :
SCIIeCIUI�G _. .. ._ .. __.._.._.... __ . __ .�_.:. _._ SCHEDULEG
Payments Made by an Agent or Independent Amounts may be rounded Statementcovers period � _ �
Contractor(on Behalf of This Committee) towholedollars. from o��0��2o�e . - � �
through 10/20/2018 pa e 1$ of 2�
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER I.D.NUMBER
CIIPERTSNO CFIAMBER OF COMNERCE PAC 1299673
NAME OFAGENT OR INDEPENDENT CONTRACTOR
DDC PIIBZIC AFEAIRS
CODES: Ifi one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CN� campaign paraphemalia/misc. MBR member communicafions RAD radio airtime and production costs
CNS campaign consuftants MTG meefings and appearances RFD retumed contributions
C7B contribufion (explain nonmonetary)" OFC office expenses SAL campaign workers'salaries
CVC civic donations PEf petifion circulating TEL t.v or cable airtime and production costs
FIL candidate filing/ballot fees PI-10 phone banks TRC candidate#ravel,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 Iegal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs(intemet,e-mail)
�`Payments thatare contributions or independentexpenditures mustalso be summarized on Schedule D.
NAMEANDADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
QP CAMMITTEE,AlSO ENTER I.D.NUMBER) �
JCI WORLD WIDE INC. IND OF CANVASSING 14,334.00
GOOGLE IND OF WEB 1,053_23
JCI WORLD WIDE INC_ IND OF CANVASSING 13,333.00
GOOGLE IND OF WEB 705_85
Attach additional information on appropriately labe%d continuation sheets. TOTAL� $ 29,426_os
"Do not transfer to any other schedule or to the Summary Page. This total may not egual the amount paid fo the agent or
independent confractor as reported on Schedule E.
FPPC Form 460(Jan/2016)
_ , FPPC Advice:advice@fppc.ca.gov{86,6/275-3772)
_ www•fpPc,cagov
www.neffile.ca►r� �- .
_ �==y�efiiecttrie"G(Continuation S�eet)..:- �. ,�,�; .� , ,: _ ..- _. r��,n..�.�:.z-,_,#.,�; scHEovLE����coNT�
Payments Made by an Agent or Independent Amounts may be rounded statementcovers period � _ ,
Contractor(on Behalf of This Committee) towf�oledollars. from o��ol�zo�8 . - • �
through 10/20/2018 pa e 7-9 of 20
SEE INS7RUCTIONS ON REVERSE g
NAME OF FILER I.D.NUMBER
CIIPERTINO CF3AMBER OF COMI�RCE PAC 1299673
NAME OF AGENT OR INDEPENDENT CONTRACTOR
DDC PIIBLIC AEFAIRS
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
GVIP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD retumed contributions
C7B contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PEf petition circuiating TEL tv.or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL poliing and survey research TRS staff/spouse fravel, lodging, and meals
IND independenf expenditure supporting/opposing otfiers (expiain)' POS postage, deiivery and messenger services TSF transfer between commitfees 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 (intemet, e-maii)
'�Payments that are contributions or independent ezpenditures must aiso be summarized on Schedule D.
NAMEANDADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF CAMMITTEE,ALSO ENTER I.D.NUMBER)
JCI WORI,D WIDE INC. ESTIMATE OF CANVASSING FROM 10/16 TO 10/20 9,222.33
Aitach additional information on appropriately labe%d continuation sheets_ TOTAL* $ 9,222_33
'Do not trarrsfer to any ofher schedule or fo the Summary Page. This total may not egua!the amount paid to the agenf or
independent contractor as reported on Schedule E
FPPC Form 460(Jan/2016)
_ FPPC Advice:advice@fppc.ca_gov(866/275-3772)
, � � <. Ys-.;; � www.fppc.ca.gov
www.ne�te.com � ' . . . .
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Schedule I SCHEDULEI
Miscel laneous Increases to Cash Amounfs may be rounded Statementcovers period � _
to whole dollars. � � '
from 07/O1/2o18 �
SEE INSTRUCTIONS ON REVERSE
through l0/20/2018 page 2o of 20
NAME OF FILER I.D.NUMBER
CIIPERTINO CHAMBER OF COMN�RCE PAC 1299673
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECEIVED (IF COMMfTTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASf TO CASH
Attach additional information on appropriately labe%d continuation sheets. SUBTOTAL$
Schedule I Summary
1. itemized increases to cash this period. ••••••••••••••••••..................••••••••••••••.••-...............-• ••-••••••••-...$ o_oo
2. Unitemized increases to cash of under$100 this period.............................................................................................$ zo_oo
3. Total of all interest received this eriod on loans made to others. Schedule H, Column e . o.00
P t � ) ) ..................�---....---•---
4. Total miscellaneous increases to cash this period_ (Add Lines 1, 2, and 3. Enter here and on the
Summa Pa e, Line 14. TOTAL $ Zo.00
rY 9 ) .....-�---.....--•-�----�-----�--�.......................................•�-�---.........---...............................
FPPC Form 460(Jan/2016)
, FPPC Advice:advice@fppc.ca.gov(866/275-3772)
_ ,. - , www.fppc.ca.gov
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