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460 Recipient Committee Campaign Statement - Preelection 1-1-22 to 9-24-22Recipient Committee COVER PAGE Date Stamp CALIFORNIA I 60 Campaign Statement Cover Page ' RM Statement covers period Date of election if applicable: Flied Date- Page 1 of 7 For Official Use Only 01/01/2022 (Month, Day, Year) 09/27/2022 07:34 from PM SEE INSTRUCTIONS ON REVERSE through 09/24/2022 11/08/2022 1. Type of Recipient Committee: All Committees— Complete Parts 1, 29 3, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ./❑ Preelection Statement ❑ Quarterly Statement 3 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report 3 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) ❑ General Purpose Committee (Also Complete Part 6) ❑Amendment (Explain below) 3 Sponsored Primarily Formed Candidate/ 3 Small Contributor Committee Officeholder Committee 3 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1450757 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Cupertino Residents for Government Accountabilty Richard Lowenthal MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Cupertino CA 95014 CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE Cupertino CA 95014 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 09/27/2022 By Date Signature of Treasurer or Assistant Treasurer Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officerof Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By 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 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 IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 O SUPPORT Sheila Mohan City , City Council ❑ OPPOSE Member NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD O SUPPORT JR Fruen City , City Council ❑ OPPOSE Member NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD O SUPPORT Claudio Bono City , City Council ❑ OPPOSE Member 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 Amounts may be rounded to whole dollars. Summary Page Statement covers period from 01 /01 /2022 SUMMARY PAGE through 09/24/2022 Page 3 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cupertino Residents for Government Accountabilty 1450757 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Prima and g Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions Schedule A, Line 3 $ 1,350.00 $ 1,350.00 1/1 through 6/30 7/1 to Date 2. Loans Received............................................................ Schedule a, Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 +2 350.00 , $ 1$ 1,350.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ......................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................ Add Lines 3+4 $ 1,350.00 $ 1,350.00 Made $ $ Expenditures Made 6. Payments Made ................................ 7. Loans Made ....................................... 8. SUBTOTAL CASH PAYMENTS ..... 9. Accrued Expenses (Unpaid Bills) .. 10. Nonmonetary Adjustment ............... 11. TOTAL EXPENDITURES MADE.. .......................... Schedule E, Line 4 $ 5,370.38 ........................... Schedule H, Line 3 0.00 ............................... Add Lines 6 + 7 $ 5,370.38 .......................... Schedule F, Line 3 0.00 .......................... Schedule C, Line 3 0.00 ........................ Add Lines 8 + 9 + 10 $ 5,370.38 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 13. Cash Receipts.......................................................... Column A, Line 3 above 1,350.00 14. Miscellaneous Increases to Cash ................................ Schedule 1, Line 4 0.00 15. Cash Payments........................................................ Column A, Line 8 above 5,370.38 16. ENDING CASH BALANCE ...... Add Lines 12 + 13 + 14, then subtract Line 15 $ (4,020.38) If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................. See instructions on reverse $ 19. Outstanding Debts ............................... Add Line 2 +Line 9 in Column B above $ E M In $ 5,370.38 0.00 $ 5,370.38 0.00 0.00 $ 5,370.38 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" (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 A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received Statement covers period . - from 01 /01 /2022 • - .1 through 09/24/2022 Page 4 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cupertino Residents for Government Accountabilty 4450757 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) ./❑ IND Retired Richard Lowenthal ❑ COM None 9/23/2022 ❑ OTH 250.00 350.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Trustee Gilbert Wong ❑ COM Foothill-DeAnza Community College District 9/24/2022 ❑ OTH 1,000.00 1,000.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Retired Richard Lowenthal ❑ COM None 9/24/2022 ❑ OTH 50.00 350.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Retired Richard Lowenthal ❑ COM None 9/24/2022 ❑ OTH 50.00 350.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,350.00 Schedule A Summary 1. Amount received this period — itemized monetary contribution (Include all Schedule A subtotals.)...................................................................................................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 .......................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................. TOTAL $ 1,350.00 • •• *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 1,350.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary Or Cxpenaiiures Amounts may be rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees Statement covers period from 01/01/2022 • • - ,M SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page 5 of 7 NAME OF FILER I.D. NUMBER Cupertino Residents for Government Accountabilty 1450757 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDARYEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Sheila Mohan City Council Member Cupertino City Council ❑ Monetary Contribution City City of Cupertino 09/15/2022 ❑ Nonmonetary Contribution 5,370.38 5,370.38 Independent Expenditure ./❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose SUBTOTAL $ 5,370.38 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) . 2. Unitemized contributions and independent expenditures made this period of under $100 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.). $ 5,370.38 $ 0.00 TOTAL $ 5,370.38 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 01 /01 /2022 SEE INSTRUCTIONS ON REVERSE I through 09/24/2022 I Page 6 of 7 NAME OF FILER Cupertino Residents for Government Accountabilty I.D. NUMBER 1450757 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 RAID 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 FIND 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Original Print Shoppe Lake Orion MI 48359 IND Printing and postage 5,370.38 Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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.). SUBTOTAL $ 5,370.38 5,370.38 M 0.00 5,370.38 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Notes NOTES CALIFORNIA ._ i • Page 7 of 7 NAME OF FILER I.D. NUMBER Cupertino Residents for Government Accountabilty �1450757 9/15/2022 - The Original Print Shoppe - 5370.38 - This has not been paid yet