460 Termination Amended
from
---period
10/21/2003
co
oa [E ~stpW [E
Recipient Committee
Campaign Statement
(Govemment Code Sections 84200 - 84216.5)
APR 1 4 2004
DaID of EJoctIon If
through 12/31/2003
1. Type of Recipient Committee:
00 Officeholder, Candidate Conlrolled Committee 0 Ballot Measure Commlttaa
0 State Candidate Election Commlttaa 0 Primarily Formed
0 Recall 0 Controlled
0 Sponsored
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committaa
0 Political Party/Central Committee
0 Primarily Formed Candidate
Officeholder Committaa
2. Type of Statement:
0 Pre-election Statement 0 Quarterty Statement
@ Semi-annual Statement 0 Special Odd-Year Report
~ Tennlnatlon Statement 0 Supplemental Pre-election
~ Amendment (Explain below) Statement - Attach Fonn 495
é/7C':!.f...J ../c../e. ",....-7/" -- rh",r... ..-"'<-5
/
/1/,., .;r'n-£.ø..."" ,,0-- ß")""r;-",. c.h"'::ye-
3. Committee Information
1.0. NUMBEA
1256061
Treasurer(s)
caMMITTEE NAME
RE-ELECT RICHARD LOWENTHAL
NAME aFTAEASUAEA
TOM HALL
STAEET AOOAESS
STATE
ZIP COOE
AREACOOE/PHaNE
(408) 973 -8494
CITY
CUPERTINO
21040 HOMESTEAD RD
STAEET .oDRESS (NO P.o.. BOX)
21602 VILLA MARIA COURT
CITY
STATE
ZIP COOE
AREA COOE/PHONE
(408)773-1400
CUPERTINO
CA 95014
NAME Of ASSISTANTTAEASUAEA, IF ANY
CA 95014
STAEET .oORESS (IF "'FFEAENT] No. ANO STAEET OR P.o. eo.x
STAEET .oDRESS
CITY
STATE
ZIP COOE
AREA COOEJPHONE
CITY
STATE
ZIP CODE
AREA COOEJPHONE
(
aFTlON^" FAX¡E-MAL.oDRESS
(408) 255-8033/
aFTlaNAL FAXiE-MAJLAOOAESS
4. Verification
I have used all reasonable diligence In preparing and reviewing this statement and to the best of my knowledge the information co.ntalned herein and In the attached schedules
Is true and complete. I certify under penal. ty of perjury under the laws of th~State of .a Ii.fomla)hat the foregoing Is true and correct.
,,-
~ - / ^ ~ 0 ÅL. ........-----.- :6 "
Executed on 'F
DATE
Executed on '" / rz. / (JL'f
DATE
Executed on
'AASSISTANTTREASUAEA
By
,TE MEASUAE PROPONENT OR AESPONSIBLE aFACEA OF SPONSOA
DATE
By
SIGNATUAE aFCONTROLLING aFFICEHOI.OEA, CANDIDATE,STATE MEASUAE PROPONENT
Executed on
DATE
By
SIGNATUAE Of CONTROLLING OFFICEHOI.OEA, CAN"'DATE, STATE MEASURE PROPONENT
S- of California Fair PoJlUcaI Practices Commission.
S/CCW - PCAPOB 01504 (Rev. 9/99)
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee 6. Banet Measure Committee
NAME aF BALLOT MEASUAE
NAME OF QFFICEMOLDEA OF CANDiDATE
RICHARD LOWENTHAL
OFFICE SOUGIfT OR HELC ØNCLUDE LOCATION AND DISTRICT NUMBER IP APf'UCASLE)
City Council Member,
RESlDENl1A1JBUSlNESS ADORESS (NO. AND STREET] CrTY
STATE ZIP COOE
21602 VILLA MARIA CT
CUPERTINO
CA 95014
Related Committees Not Included In this Statement: List snycammlttees
not Úlc/uded Úllhis ccnsoUdsled statement that BI8 conI1D/Jed by you or which BI8 primarily
farmed to receive ccntribut/ons or to maIaJ explDinu",s on behalf of your csndidacy.
COMMITTEE NAME
1.0. NUMBER
NAME OP TREASURER
CONTROLLEO COMMITTEE?
COMMlTTEEAODAESS
STREET AODAESS (NO P.o. BO>Q
CrTY
STATE
AREA COOE¡PHONE
ZIP COOE
~,- I~-
NAME OP TREASURER CONTROLLEO COMMITTEE?
COMMITTEE AODAESS STREET AODRESS (NO P.o. BO>Q
CrTY
STATE
AREA COOEJPHONE
ZIP CODE
BALLOT NO. OR LETTER I JUA~N I ~ = ---
Identify the controlling officeholder, candidate, or 51818 measure proponent, If any.
NAME OF OFFICEHOlDER. CANDIDATE Œ!. PROPONENT
aFFICE SOUGHT aR HEW
"'STRICT No. IF ANY
7. Primarily Formed Committee
NAME Of OFFICEHOLCER OR CANOIDATE OFFICE SOUGHT OR HEW 0 SUPPORT
0 aPPOSE
NAME OF OFFICEHOlDEA Œ! CAN"'DATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER Œ! CAN"'DATE OFFICI! SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME ap OFFICEHOlDER Œ! CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 aPPOSE
Campaign Disclosure Statement
Summary Page
NAMEOFALER RICHARD LOWENTHAL,
RE-ELECT RICHARD LOWENTHAL
Contributions Received
1. Monetary Conb1but1ons ..................................... SchedulB A, Une 3 $
2. Loans ReceiVed ....................."......................... Schedule B, Une 7
3. SUBTOTALCASHCONTRIBlJTlONS .................. AddUnes 1 +2 $
4. Nan-monetary Cantrtbutlans """""""""""""'" Schedule C, Une 3
6. TOTALCONTRIBUTlONSRECEIVED.................AddUnes3+4 $
Expenditures Made
6. Cash Payments ..............................................., Schedule E, Une 4 $
7. Loans Made ..........."......................................... Schedu/øH, Une 7
8. SUBTOTAL CASH PAYMENTS ........".................. Add Lines 6 + 7 ,
9. AccruecI Expenses (Unpaid BIlls) """"""""""" Schedule F, Unø3
10. Nonmonetary Adjustment ............".................. SchedulB C, Une 3
11. TOTAL EXPENDITURES MADE ..................AddUnes8+9+ 10 $
Current Cash Statement
12. Beginning Cash Balance .......... Prev/ausSummaryPaga, Une 18 $
13. Cash Receipts ......................,.................. ColumnA, Una 3 abovø
14. MIscellaneous Increases to Cash ................"... Schedule I, Une 4
16. Cash Payments """""",,"""""""""""'" Column A, Une 8 above
16. ENJING CASH BAlßllfGfbes 12 + 13 + 14, then subtract Une 15 ,
If this Is a TemJlnatJon Stalsment Una 18 must be zero.
17. LOAN GUARANTEES RECEIVEDSchedulB B, Part 1, Column (b) ,
Cash Equivalentsalld Outstanding Debts
18. Cash Equivalents ......:...............................;.........................................$.
19. Outstanding Debts .......... Add Une 2 + Une 91n Column C above $
S/CCW - PCAPOB 01504 (Rev. 9/99)
Column A
TOTAL TH1S PERIOD
(FAaM ATTACHED SCHEDULES)
12,975,64
(12.000.00)
~
0.00
.!US.. 64
2 100.00
0.00
2.100.00
JL.JU!
_0.00
2.100.00 ,
I
1.124.36
975.64
0.00
2.100.00
0.00
-
0.00
-
0.00
0.00
_covenoperiod SUMM"'{~P;G,E
from 10/21 /2003 ' .t,! .."
- "/H/',"' - ' ".
LD. NUMBER
1256061
CaIendIr V".. SUmnI8y for Candi~
Running In Botih the Slate Pri"""1f .,mJ
GeœraI EIediœs
,
Column B
CALENDAR YEAR
TOTAL TO DATE
15 929 L6.4
0.00
1.5...9.2.9...64
398.00
16 . 3 2.2..Ji4.
15.929.64
0.00
15,929,64
0.00
398.00
1.6.. 32.L 64
111 throu9h 6/30
7/1 to Data
20.=~, 0
21. Expondllu... 0
Made .......... , .
.Q
.Q
ExpenIiIure Unlit SI8nIIwy for -
CandIdates
22. Cumulative Expenditure Made"
(I Su~ to VoIurUry Expendiure Urnft)
Dol. 01 -
(mm/ddlyy)
Total to Date
Schedule A
Monetary Contributions Received
SIa- covers period
from
10/21/2003 '
through 12/31/2003
"-~ of
I.D. NUMBER
NAMEOFALER RICHARD LOWENTHAL,
RE-ELECT RICHARD LOWENTHAL
1256061
IF AN INOMOUAL. ENTER
OCCUPATION AND EMPl.OYER
~F seLJ'-EMPLOYED ENTER NAME
OFSUSNESS)
AMOUNT RECEIVED
THIS PERIOO
CUMULATIVE TO DA1E
CAl.ENDAR YEAR
(,IAH1-DEC31)
PER ElECTlO"
TO OATE
OF REQUIRED)
975.64«~(jJ)
12,OOO.00(l°(jj)
OA1E
RECENED
FULL NAME. SlREET ADDRESS AND ZIP COOE OF CONTRIBUTOA I CONTRIBUTOR
~F COMMITTEE, ALSO EN"" 1.0. "-'MaER) CODE'
iii IND
0 COM
0 OTH
Om
0 see
0 INO
0 COM
0 OTH
Om
0 see
0 IND
0 COM
0 OTH
Om
Osee
0 IND
0 COM
0 OTH
OPTY
Osee
0 IND
0 COM
0 OTH
Om
0 see
, ' . SUBTOTAL $ 12,975.64-
12/16/20031 RICHARD LOWENTHAL
21602 VILLA MARIA CT
12/16/2003 CUPERTINO, CA .95014
12/16/2003
RICHARD LOWENTHAL (c,pntinued)
12/16/2003
Candidate
12,975.64
nc1udes
DanIs)
2,000,00
'*FORGlVEN LOP
7,000.00
*FORGlVEN LOP
3,000.00
"
975.64
*FORGlVEN La.
Monetary Conbibutions Summary
1. Amount received this period - contributions of$100 armors.
(Include all Schedule A subtotals.) .."""""""""""""""""""""""""""""""""""""""""""""""" $
2. Amount received this ¡ieriod - contributions ofless than $100.
(Do not itemize.) .............................................................................................................................. $
3. Total monetary contributions received this period.
(Add Unes 1 and 2. Enter here and on the Summary Page, C01wnn A, Une 1.) .............. TOTAL $
12.91.5....H
0.00
12. 91.5....6i
Schedule B - Part I
Loans Received
NAMEOFALER RICHARD LOWENTHAL,
RE-ELECT RICHARD LOWENTHAL
FULL NAME, STREETAODRESS AND ~p CODE
OF LENDER
QF COMMITTEE, ALSO EHTER 1.0. NU""')
IF AN INDMDUAI.., ENTER
OCCUPAT1Of4 AND EMPLOI'ER
(1F~"'e'i\s,"",\'¡,~TER
Candidate
~
. ~ 'OOING
BALANCE
BEGINNING THIS
(b)
AMOUNT
RECENEDTHIS
PE"OO
RICHARD LOWENTHAL
21602 VILLA MARIA CT
CUPERTINO, CA 95014
(0)
AMOUNTPAJD
OR FORGIVEN
THlSPE"OO
OpAJD
$ -----2..
iii FtRGlVEN
o~ 10-----2.. lo~
IiIIND 0 COM 0 OTH 0 PTY Osee
RICHARD LOWENTHAL
(Continued)
OpAJD
0 -----2..
iii FORGIVEN
$ ---L..Q.Q!!. 1 $ -----2.. 1 $---L..Q.Q!!.
0 IND 0 COM 0 OTH 0 PTY Osee
RICHARD LOWENTHAL
(Continued) (Continued)
- covers period
from 10/21 /2003 '
Ihrough 12/31/2003
-- ._.'ÁNDING
BALANCE AT
CLOSE OF THIS
(.¡
lN1ëAeST
PAJDTHIS
PE"OD
1256061
(I) (9)
tRIGlNAL CUMULATiVe
AMOUNT OF CONTAIBUTIC,'IS
LD.AN To. DATe
CALENDAA YE.'"
$ --9.. I ~ $ --k..!2Q.Q.. $ ~
RATE PEA ELECTION
07/01/2004 .-----2.. D7/D1/2C03 0 12.000 "OJ
GATE DUE DATE INCURRED
CALENDAR YEAA
. --9.. 1 ~ I' -2.....!2!!.!L I' 12 9 7 5
RATE PER ELECTION
~ 1'-----2.. 09/03/2003 $- .12,.QQQ. P03
DATE DUE GATE INCURRED
OpAJD
$ -----2.. I. --9..
CALENDAR YEAA
. --2....QQ.!L I $
12, \>,7 5
iii FORGIVEN
~
RATE
PER ELECTION
0 IND 0 COM OOTH 0 PTY 0 see
.~ 1.-----2.. I $~ 1 ~ 1.--9..
DATE DUE
12 000 P03
SUBTOTAL $
O.CO $ 12,000.00 $
Schedule B Summary
1. Loans received this period ..................................................,.........................................................$
(Total Column (b) plus ¡nitemized I.oans less than $100.)
2. Loans paid or forgiven this period ................".............................................................................. $
(Total Golumn (c) plus loans uncler$1oo paid or forgiven.)
(Include loans paid by a third party that 81'9 also itemized on Schedule A.)
3. Net change this perod. (Subtract Line 2 from Line 1.) """"""""""""""""""""""""'"
Enter the net here ~ on the SummBl)' Page, Column A, Line 2
NET $
C.OO $
975.64
12.975.64
(12,COO.CO¡
D. DO
.SCHEDULEB.¡:'","I(co~::J
Schedule B - Part I (Continuation Sheet)
Loans Received
- .,.",.,.. pM'iod
from
10/21.L2003
1hn>ugh.12/31/2003
"-~ 01
I.D. NUMBER
NAMEOFALER RICHARD LOWENTHAL,
RE-ELECT RICHARD LOWENTHAL
FULL NAME, STREET AOORESS AND ZIP COOE
OF LENDER
ØF COMMITTEE. ALSO ENTER LD. NU"'ER)
IF AN INOMDUAL, ENTER
accUPATIOII AND EMPl.CJYER
(IF S~E~~~TER
~INQ
BAlANCE
BEGINNING THIS
(b)
AMOUNT
RECEIVED THIS
PERIOD
(0)
AMOUNTPAJD
OR PQAGNEN
THIS PERIOD
- - IQ
BALANCE AT
ClOSE Of THIS
(.)
INTEREST
PAJDTHIS
PERICO
1256061
ro (g)
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBlJTlONS
LOAN ToOATE
CALENDAR yEAR
0 INO 0 COM 0 OTK 0 PTY 0 see
DpAJD
I ---'1..
iii FORaVEN
1---'1.. II~ II~
I ---'1.. I ~ I"~'~
RATE PER ELECTION
11/05/2004 I ---'1.. ~ 3 ,~PUJ
OATEDUE OATE INCURRED
OpAJO CALENDAR YEAR
1- 1- ~ 1_'-
0 FORGIVEN RATE FER ElECTION
"-1"-1"- -¡;¡:¡e¡;¡jE ,--
OATE INCURRED
0 PAlO CALENDAR YEAA
1- 1- ~ "_"-
0 FORGIVEN RATE PER ELECTION
'-1'-1"- -¡;¡:¡e¡;¡jE ,---
OATE INCURRED
0 PAID CALENDARYEAA
,- 1- ~ 1-'-
0 FORGIVEN RATE PER ELECTION
'-1"-1"- ,--
OATE DUE DATE INCURRED
OpAJO I CALENDAR YEAR
1_1- ~ "_"-
0 FORGIVEN RATE PER ELEcTION
RICHARD LOWENTHAL
(Continued) (Continued)
(Continued)
0 INO 0 COM DOTK OPTY Osee
0 IND Ocou OOTK 0 PTY Osee
0 INO Ocou 0 OTK 0 PTY 0 see
O'NO 0 COM 0 OTK 0 PTY Osee I 1'-1"-1"-1 -¡;¡:¡e¡;¡jE 1'- I ÕÃTËiÑëUAAEo ~
SUBTOTAL $ 975.64 $ 975.64 $ 0.00 $ O.CD-
from
10/11 12003 '
7 of
Schedule E
Payments Made
SIa- """"'" I8IIod
through 12/31/2003
NAME OF FILER RICHARD LOWENTHAL,
RE-ELECT RICHARD LOWENTHAL
1256061
CODES: If one of the following codes accurately descrIbes the payment, you may enter the code. Otherwise, descrtbe the payment.
C MP campaign paraphernaIa/mI M BR member communlœtlons RAD radio airtime and produotion coots
CNS campaign - MTG moetlogo and appearances RFD reIumod comI>ution8
CTB -- (explain non.....-ry)" OFC oftice 0- SAL campaign workora-
cvc oMc donaliona PET "011100 cln:uJotIng TEL l Y. or cable airtlrn..nd production cosIo
FlL candldatefllnglbololf... PHO phonobanka TAC candldatetrall8l,iodgingandmoola(oxpiain)
FND fundrafsingOVtnlS. POL poIlingandlUNOY- TRS atan¡.pou.etravel, lodging ondm..ls(oxplain)
INO independente>q>ondlturuupportlng/oppoaing - (explain)" ?OS paoIago, doiveryand messengoroorvlces lSF _...bot-. commliteeaal thesom. candidals/spence,
LEG legal del..... PRO prdeoalonal services (legal, accounting) VOT - regiatratlon
LIT campaign Iit- and maiDnge PRT print ods WEB . information technology costa On_et, .-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
ØFCCUUITTE!!,~ ENTERO.D. NU...." CODE OR DESCAIPt1ON OF PAYMENT AMOUNT PAJD
TINA FERGUSON TRS ELECTION VICTORY PARTY 2,100.00
5278 RAFTON DRIVE
SAN JOSE, CA 95124
.
SUBTOTAL $
2,100.00
Schedule E Summary
1. Payments made this period of $100 or more, (Include all Schedule E subtotals.) .............................,...............,...,.........................
2. Unitemized payments made this period of under $100. ...............................................................................,...................................
3. Total interest paid. this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column(d).) ....................................
4. Total payments made this period. (Add Unes 1. 2, and 3. Enter here and on the Summary Page, Column A, Une 6.).... TOTAL
$
$
$
$
2.100.00
0.00
0.00
2,lQQ.QO