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460 Recipient Committee Campaign Statement - Amendment 1-31-19 Recipient Committee covER Pa�E �� C� � � � �, ' � ' I . ' Campaign Statement � _ Cover Page � '�� 1 6 Statement covers period Date of election if appl �b�g: �� 4 e of from 01/01/2018 (Month,Day,Year �f� 3 f �� ForOfficial Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2018 � � p�� 1. Type of ReCipient Committee: e��committees-compoete Parts�,s,s,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 � Recali � Controlled ❑ Termination Statement (Also CompletePmt5) � Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee � Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ A clerical error was made in reporting adjustments to the accrued • � Smali Contributor Committee Officehoider Committee O Political Party/Central Committee (�oCompletePart� expenses on Schedule F. 3. Committee Information �•D.NUMBER Treasurer(s) 1385313 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Cupertino Residents for Economic Progress and Schools, Sponsored Steven G. Churchwell by Northwest Properties MAILINGADDRESS MAILING ADDRESS(IF DIFFERENn NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZJP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAXlE-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to Executed on gy Date Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor �ecuted on g Date y Signature of Controlling Officeholder,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) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee Campaign Statement .� ' • � Cover Page — Part 2 Page 2 of 6 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE North DeAnza Gateway Initiative OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT City of Cupertino ❑ �PPOSE RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREEI) CITY STATE ZIP Identify the controlling ofFceholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: usta.,y�omm�trees not included in this statement thaf are controlled by you or are primarily formed fo receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contribu6ons or make expenditures on behalf of you�candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officehalder Committee Listnames of o�ceholder(s)or candidate(s)for which this commiifee is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CIIY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODFJPHONE Attach continuaSon sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statemenfi covers period �. � Summary Page 01/01/2018 . - ' • ' from SEE INSTRUCTIONS ON REVERSE through 06/30/2018 page 3 of 6 NAME OF FILER I.D.NUMBER Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties 1385313 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... scnedu�ea,Line 3 g 0.00 � 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ scnedu�e e,Line 3 0.00 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. .addUnes a+2 $ 0.00 $ 0.00 Received $ $ 4. Nonmoneta COIItI'IbUt1011S.......................................... Schedule C,Line 3 54,698.04 54,968.04 rY �• 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED.....................................4dd�iness+4 $ �4,698.04 � 54,968.04 Made $ $ EXpendltur'eS Made Expenditure Limit Surnmary for State 6. Payments Made................................................................ scned❑�e E,line 4 � 50.00 $ 50.00 Candidates 7. Loans Made.......................................•............................... scneduie H,line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SU BTOTAL CASH PAYMENTS.......................................... Add lrnes s+7 $ 50.00 $ 50.00 (If Subject to Voluntary Expenditure Limit) 9. Accrued F�cpenses(Unpaid Bills)..........................................scned�ie F u�e s (53,110.04) (53,110.04) Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................s�nedu�e c,Line 3 54,968.04 54,968.04 (mm/dd�yy) 11. TOTAL EXPENDITURES MADE........................................Add�ines s+s+10 $ 1,908.00 � 1,908.00 _�_f � Current Cash Statement �_� � 12. B@9lflfllflg CaSf7 Ba1811C2............................ PreviousSummaryPage,Line 16 $ �9,742.38 To calculate Column B, 13. Cash Receipts........................................................... Co�umna,Une s above 0.00 add amounts in Column 0.00 Ato the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. schedu�e i,Une 4 amounts from Column B reported in Column B. 15. Cash Payments......................................................... co�umn a,Line 8 above 0.00 of your last report. Some 59,692.38 amounts in Column A may 16. ENDING CASH BALANCE ..................Add Cines 12+13+14,then subtract Line 15 $ be negative figures that should be subtracted from If this is a termination statement,Line 16 must 6e zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED................................ scnedu�ea,Pan2 $ 0.00 filed forthis calendaryear, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. C2Sh EqulValentS................................................ See instructions on reverse $ 0.00 any). 19. Outstanding Debts.............................. Add Line 2+�ine 9 in Column e above $ 1,858.00 FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. P � _ Statement covers eriod � � s f from 01/01/2018 � - 06/30/2018 SEE INSTRUCTIONS ON REVERSE thfOUgh Page 4 Of 6 NAME OF FILER I.D.NUMBER Cupertino Residents for Economic Progress and Schools, Sponsored by Northwest Properties 1385313 IFAN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO pER ELECTION DATE FULL NAME,STREETADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR * OCCUPATION AND EMPLOYER FAIR MARKET TO DATE � CODE (�F SELFEMPLOYED,ENTER GOODS OR SERVICES CALENDAR YEAR �F REQUIRED (IF COMMITTEE,ALSO ENTER I.D.NUMBER NAME OF BUSINESS VALUE � � ) (JAN 1-DEC 31) Churchwell White, LLP ��N� Professional 2/15/2018 l,�OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labe%d continuation sheets. SUBTOTAL$ 54,968.04 � ~ �� '��'�u,�,'��'��. � '' Schedule C Summary �Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. itv�-Individua� (Include all Schedule C subtotals.)......................................................................................................................$ 54,968.04 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100..................................$ 0.00 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. scc-sman contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 54,968.04 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. � S � Payments Made 01/01/2018 • - from 06/30/2018 5 6 SEE INSTRUCTIONS ON REVERSE through Page of 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/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(intemet,e-mai� NAMEANDADDRESS OF PAYEE (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................$ 0.00 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 50.00 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 $ 50.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded to whole dollars. Statement covers period • • - � • ' Accrued Expenses (Unpaid Bills) 01/01/2018 •- from through 06/30/2018 6 6 SEE INSTRUCTIONS ON REVERSE Page of 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/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD retumed 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(intemet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR �a) (b) (c) (d) (IFCOMMITTEE,ALSOENTERI.D.NUMBER) DESCRIPTIONOFPAYMENT �UTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Churchwell White, LLP PRO "Payments that are contributions or independent expenditures must also be SUBTOTALS $ summarized on scnedu�e�. 64,823.04 � 1,858.00 $ 54,968.04 $ 11,713.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b)subtotals for accrued ex enses of$100 or more, lus total unitemized accrued ex enses under$100. 1,858.00 P p p )..............................................INCIJRRED TOTALS$ 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$100.)...................................PAID TOTALS$ �4,968.04 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)...................................................................................................................................................................................NET$ �53,110.04) May be a negative number FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov