460 Recipient Committee Campaign Statement - Semi-Annual 10-21-18 to 12-31-18 COVER PAGE
R�cipient Commit�ee DateStamp
� Campaign Statement , • ' ' e • 1
Cover Page !j � � � � � � '
��� 1 3
5tatement covers period Date of election ifi applica 1�: P of
10/21/201$ (Nlonth,Day,Year) E. � ¢ n t� t I.� For Official Use Only
firom •L� � �t�i� � ��#�3
SEE INSTRUCTIONS ON REVERSE 12/3112018 11/06/2018 �
through i � i �
'1. Type of Recipient Commifitee: an com�,�tte�-compiete Parr��,z,3,a�d a. 2. Type of Statemen :
[t� Officeholder,Candidate Controlied Committee ❑ Primarily Farmed Baliot Measure ❑ Preelecfion Statement ❑ Quarterly Statement
� State Candidate Election Committee Committee � Semi-annual Statement
❑ Special Odd-Year Report
Q Recall � Controlfed ❑ Termination Statemen#
(AlsoCompletePartSJ � Sponsored (Also file a Forzn 410 Termination)
{Also Comptete Part 6)
❑ Generai Purpose Committee ❑ Amendment(Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
� Smatl Contributor Committee Officefioldsr Committee
� Political Party/Central Committee (�soCompletePart7)
3. Committee Information I.D_NUMBER Treasurer(s)
1369332
COMMITi"EE NAME(OR CANDIDATE`S NAME!F NO COMMITTEE} NAME OF TREASURER
MC COY FOR COUNCIL 2018, ROBERT BLOSSOM MCCOY
MAILING ADDRESS
MAILING ADDRESS
CITY STATE Z(P CODE ARER CQDE/PHONE CiTY STATE ZIP CODE AREA CODElPHONE
OPTIONAL: FAX/E-MAILAQDRESS OPTIONAL: FAX/E-MRILADDRESS
4. Verifiicafion
1 have used alI reasonable diligence in preparing and reviewing this statement and to tha best of my knowiedge the information contained herein and in the attached schedules is true and comptete. I
certify under penalty of perjury under the laws of the State of Califomia that the fioregoing
Officer of Sponsor
Executed on g
Date Y Sgnature ofi Controlling Q(ficehWder,Candidate,State Measure Proponent
Executed on B
Date Y Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 46�(Jan/2016)
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www.fppc.ca.gov
- COVER PAGE-PART 2
Recipient Cornma#�ee
Campaign Statement .a � � • �
Cover Page — Part 2
Page 2 of 3
5. Officeholder or Candidate Controlled Committee 6. Primarily�ormed Ballot Measure Committee
NAME OF OFFICEHOLQER OR CANDIDATE NRME OF BALLOT MEASURE
ROBERT MCCOY
OFFICE SOUGHT OR HELD(WCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) BALLOT NO.OR LETT�ER JURISDlCTION � SUPPORT
CUPERTWO CITY COUNCIL ❑OPPOSE
RESIDENTIAUBUSINESS ADQRESS (NO.AND 57REE� CITY STATE ZIP
Identify the controlling offiicehotder,candidate,or state measure proponent,if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Sta#ement: t;stany�o,r,m�t�e�
not inc(uded in this statement that are confrolfed by you or are primarily formed to recenre OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditerres on behalf of your candidacy
COMMITTEE NAME I_D.NUMBER
NAME OFTREASURER CQNTROLLED COMMITfEE? �- Primarily Formed Candidate/Officehoider Committee Listnames of
o�ceholder(sj or candidafe(s)for which this commitEee is primarily formed.
❑YES Q NO
COMMITTEEADDRESS STREETAQDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE �JqME OF OFFICEHOLDER OR CANDIDATE OFRCE SOUC�HT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CAND[DATE OFFICE SQUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITfEEADDRESS STREETADDRESS (NO P.O.BOX)
CIN STATE ZIP CODE AREA CODEIPHONE Ai#ach continuafion sheets if necessary
EPPC Fnrm 460{Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866J2753772j
www.fppc.ca.gov
- Carripaign Disclosure Staterner�# Amounts may be rounded SUMMARY PAGE
Summa Pa e to whoie doliars. Statement covers period . � . �
� g trom ��121/2018 � - � e '
SEE INSIRUCTiONS ON REVERSE through 1?J31/2018 pa�e 3 of 3
NAME QF FiLER I.D.NUMBER
MC COY FOR COUNCIL 2018, ROBERT 1369332
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR
(FROMATfACHED SCHEDULES) TOTALTO DATE Runnmg in Both the State Primary and
1. Monetary Contributions................................................... scneduiea,Line 3 $ 0 $ 7200.00
General Elections
o O 1/1 through 6/30 7/1 to Date
2. Loans Received...............••----.----.....---------•.........--•-------•-. sct,edute a,Line 3
� 20. Coniributions
3. SUBTOTALCASHCONTRIBUTIONS.............................. Add�ines9+2 $ � � 72a0_00 Received $ $
4. Nonmonetary Contributions............................................ scnedu�Q c,Line 3 � � 21. Expenditures
5. TOTALCONTRIBUTIONS RECEIVED...................................AddLines3+4 $ Q � 7200.00 Made $ $
Expenditures Made Expenditure Limit Suanmary for State
6. Payments Made.......................•••....---------........._............_._ scnedule�,Line 4 $ 0 � 1228.00 Candidates
7. LOalls Made......................................•------..........-------......... Schedule H,Line 3 0 d
22. Cumulative Expenditures Made*
8. SUBTOTALCASHPAYMENTS.......................................... AddLines6+7 $ � $ 1228.00 (IfSabjecttoVoluafaryExpenditureLimit)
9. Accruad Expenses(Unpaid Bills)..........................................schedu�e F tine s � � Date of Election Total fo Date
10. Nonmonetary Adjustment.........................................................schedu�e c,Line 3 a 0 (mm/ddlyy)
11. TOTALEXPENDITURES MADE........................................Addtiness+9+10 $ � $ 1228_00 _�_� �
Current Cash Statement �_� �
12. Beginning Cash Balance............................ Pre�,ous sr,mmary paqe,Line 16 � 7130.45
To calculate Column B,
13.Cash Receipts........................................................... Column A,Line 3 above � add amounts in Column
� A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. sot,ed�fe�,Line 4 amounts from Column B reported in Column B.
15_Cash Payments......................................................... co�umn A,[_ine 8 above 0 of your last report_ Some
7130.45 amounts in Column A may
16.ENDING CASN BALANCE ..................Add C.ines 12+�3+14,tnen subtract�ine 15 $ be negative figures that
should be subfracted from
lf this is a termination statemenf,Line 16 must be zero. previous period amounts. If
this is the first report being
17.LOAN GUARANTEES RECEIVED................................ schedute B,Part 2 $ 0 fifed for this calendar year;
only carry over the amounts
Cash Equivalents and Outstandir�� Debts firom Lines 2,7:and 9(if
18. CaSh EqUlvalentS................................................ See instructions on reverse $ � any).
19. OUfsf211ding Debts.............................. Add Line 2+Lrne 9 in Column B above $ o FPPC Form 460(JanJ2016)
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