460 Termination ecipient Committee
Campaign Statement
(Government Code Sections 84200 - 84216.5)
Date of EIo~lo~ If ~
(Month, Day, Ye~)~~E:L
~. 10/31/~003
COVER PAGE - LONG
JAN 2 ~ 2004 i 1°~
% For Official U~eOnly
~ERTINO CITY CLEI
mm~h 12/31/2003
1. Type of Fle¢ipient Committee:
[] Officeholder, Candidate Controlted Committee [] Ballot Measure Committee
0 State Candidate Election Committee
C) nsc~
D General Purpose Committee 0 Sponsored
0 Small Contributor Committee
0 Political Party/Cent]al Committee
3. Committee Information
O Primarily Formed
O Controlled
0 Sponsored
[] Primarily Formed Candidate
Officeholder Committee
RE ELECT RICHARD LOWENTHAL
21602 VILLJ% MARIA COURT
CUPERTINO CA 95014 (408)973-8494
(408) 255- 8033/
11/04/2003
2. Type of Statement:
[] Pm-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarlerty Statement
[] Special Odd-Year Report
[] Supplemental Pm-election
Statement - Attach Form 495
Treasurer(s)
NAME O~ TREASURER
TOM HALL
21040 HOMESTEAD RD
CUPERTINO CA 95014 (408)773 -1400
( )
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowlsclge the Information cantained herein and in the attached schedules
is true and complete. I certify under penalty of perjury under the laws DJ= the State of Califoj,131.~lnat the foregoing is true and correct
Execu~edon ~~I~p ~~T ~RORASSISTANTm URERRORASSISTANTmEASU.E.
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE F~OPCN ENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
S/CCW - PCAP08 01504 (Rev. 9/99) State of Caltiomla Fair Political Practices Commission.
ecipient Committee
Campaign Statement
Cover Page- Part 2
5. Officeholder or Candidate Controlled Committee
COVER PAGE - PART 2
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
RICHARD LOWENTHAL
city Council Membei,
21602 VILLA MARIA CT CUPERTINO CA 95014
Related Committees Nat Included in this Statement: List any ~'nmli~s
not included in this consolidated statement that are controlled by you or whio~ are pdmadly
formed to receive cont~butions or to make expenditures on behalf of your candidacy.
NAME OF TREASURER
Identify the controlling officeholder, candidate, or state measure proponent, ff any. -
NAME OF OFFICEHOLD;R, CANDIDATE ~1F%qOFONENT
,.O..UM'~. 7. Primarily Formed Committee
CONTROU. ED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OF~ CANDIDATE OFFICE SOUGHT O~ HELD
Campaign Disclosure Statement
Summary Page
NAMEOFFI~R RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL
Contributions Received
1. Monetary Contributions .....................................Schedule A, Line 3
2. Loans Received ................................................ Schedule B, One 7
3. SUBTOTAL CASH CONTRIBUTIONS .................. Add Ones I + 2
4. Non-monetary Contributions ............................. Schedule C, One 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. Add Dunes 3 + 4
Expenditures Made
6. Cash Payments ................................................ Schedule E, Une 4
7. Loans Made ...................................................... Schedule H, Dune 7
8. SUBTOTAL CASH PAYMENTS ............................ Add Dunes 6 + 7
9. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Line 3
10. Nonmonetary Adjustment ................................ Schedule C, One 3
11. TOTAL EXPENDITURES MADE .................. AddLines8+9+lO
Current Cash Statement
12. Beginning Cash Balance .......... Previous Summa~/Page, Dune 16
13. Cash Receipts ......................................... Column A, One 3 above
14. Miscellaneous Increases to Cash ..................... Schedule I, One 4
15. Cash Payments ....................................... Column A, Dune 8 above
16. ENDING CASH BAl~//~es 12 + 13 + 14, then subtract Dune 15
ff this is a Termination Statement Line 16 must be zero.
17. LOAN GUARANTEES RECEtVEDSchedule B, Part I, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................................................
19. Outstanding Debts .......... Add Dune 2 + Dune 9 in Column C above
Column A
TOTAL THIS PERI(DO
(FROM AT~ACHED ~CHEDULES)
$ 12,975.64
{12. 000.00)
$ 975.64
0.00
975.64
$ 2,100.00
0.00
$ 2,100.00
0.00
0.00
2,100.00
1,124.36
975.64
0.00
2,100.00
0.00
0.00
0,00
0,00
SUMMARY PAGE
C~umnB
15,929.64
0.00
15,929.64
398.00
16,327.64
15.929.64
0.00
15,929.64
0.00
398.00
16.327.64
Calendar Year Summa~ for Candidates
Running in Both the State P~iman] and
Gened Eleolic~s
1/1 through 6~30 7/1 to Date
20. Cont rib~ions
Received,... $ Q
21. Expenditures
Made .......... $ 0
E.xpenditure Umit Su.anmy for S;.~
Can~dates
22. Cumulative Expenditure Made*
(if Subje~ to Volur~ar/Expenditure Limit)
Date d E~ion Total to Date
(mm/dd/yy)
S/COW - PCAP08 01504 (Rev. 9/99)
CHEDULE A
Monetary Con~bufions Received
through 12/31/__2003 PO 4 o~ 7
NAMEOF FILER RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL LD. NUMBER
1256061
IF AN INDIVlDUAI~ ENTER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULAtiVE TO DA'~ PER ELECTION
OF BUSrNESS) (JAN 1 - DEC 31) (IF REQUIRED)
12/16/2003 RICHARD LOWENTHAL [] IND Candidate 2,000.00 12,975.64 975.64
21602 VILLA MARIA CT [] COM *FORGIVEN LOt ~ncludes 12,000.0(
12/16/2003 CUPERTINO, CA 95014 [] OTH 7,000.0Q Loan(s)
[] PTY *FORGIVEN LO)
12/16/2003 [] SCC 3,000,0~
*FORGIVEN LOt
RICHARD LOWENTHAL (c, ontinued) [] IND
12/16/2003 [] COM 975.64
[] OTH *FORGIVEN LOt
[] P~Y
[] SCC
[] IND
[] COM
[] OTH
[] PTY
[] SCC
[] IND
[] COM
[] OTN
[]
[] SCC
[] lED
[] COM
[] OTH
[] PTY
[] SCC
.64(GO3)
fPO3)
SUBTOTAL $ 12,975.64
Moneta~j Contributions Summary
l. Amount received this period - contributions of $ lO0 or more.
(Include all Schedule A subtotals.) .................................................................................................. $
2. Amount received this period - contributions of less than $100.
(Do not il~mize.) .............................................................................................................................. $
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Col. mn A, Line 1 .) .............. TOTAl $
12,975.64
0.00
12,975.64
chedule B - Part I
Loans Received
~ ~o/~i/2oo~
~12/31/2003
SCHEDULE B - Part I
Page 5 of 7
NAMEOFFI~R RICHARD LOWENTHAL, RE-ELECT RICHARD LOWENTHAL
RICHARD LOWENTHAL
21602 VILLA MARIA CT
CUPERTINO, CA 95014
ra,.o Doc~ I-Io~. O~rY Oscc
RICHARD LOWENTHAL
(Continued)
E],~~ rlco~Do~ O.w Dscc
RICHARD LOWENTHAL
(Continued) (Continued)
rl,.o Dco~ Oo~ D~r~ Osc~
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
Candidate
$ 71000
3,000
fo)
AMOUNT
RECEIVED THIS
PERIOD
$
$ 0
$ 0
fo}
[] PND
$ 0
[] FORGIVEN
$ 2tO00
[] PAID
$ 0
7r000
[] PAID
$ 0
$ 0
o~/ol/~OO4
DATE O43E
$ 0
o~/o3/~ooa
$ 0
10/21/2004
(e)
0.000
PATE
$ 0
$ 0
0.000
PATE
I.D. NUMBER
1256061
(1) (g)
ORIGINAL CUMULATIVE
07/01/2003 $ 12r000__ ~/O ~
09/03/2003 12. 000 PO9
10/21/2003 $ 12 000 POh
SUBTOTAL $ o.oo $ 1~,ooo.oo $ o.oo $ o.oo
Schedule B Suaaery
1. Loans received this period ............................................................................................................ $
(Total Column (b) plus initemized loans less than $100.)
2. Loans paid or forgiven this pedod ................................................................................................ $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1 .) ...................................................
Enter the net here and on the Summary Page, Column A, Line 2
NET $
975.64
12,975.64
(12,000.00)
SCHEDULE B - Part I (cont.)
Schedule B - Part I (Continuation Sheet) =---~...-.~,~,, ~a
Loans Received
~ 10/31/2003
th~l 12/31/2003 I~ 6 ~ 7
NAMEOFF. LER RICHARD LOWENTHAL. RE-ELECT RICHARD LOWENTHAL 1D. NU.BER
1256061
FULL NAME, I~FREET AD•RE ~,~ AND Z}P CODE IF AN INDIVIDUAL, ENTER C~JT,~[)N GIN G (b) (c) ~(JTS'~DING (e) ~ (g)
OF I~N~ER OCCUPATION AND EMPLOYER BALANCE AMOUNT AMOUNT PAID BALANCE AT INTE REI~T ORIGINAL CUMULATIVE
(IF SELF-EMPLOYEO ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLO~E OF ~IIS PND THIS AMOUNT Of= CONTRIBUTIONS
RICHARD LOWENTHAL [] PArD CAUSNDARYEAFI
(Continued) (Continued)
(Continued) $ 0 $ 0 % 0,000 $ 975 $ 12 975
[] FORGIVEN RATE PEn ELECTION
I--lIND DCOMJ-'IoTH ~--]PTY []SCC $ 0 $ 975 $ 975 3.1/05/2004 $ 0 11/05/2003 $ 12~000
$ % $
D'"o D~o- Do~ D~" D= ' $ $ ' '
$ $ % $
[] F(~GIVEN RATE PER ELECTION
DIND [~coMDoTH OPT~ Dscc s $ $ . $ __ S
$ $ ~ $
[] FORGIVEN RATE ER ELECTION
DIN• Elco- Do~, I-I~ E]scc $ $ $ $
$ $ % $ $
r-I,ND D~MOo~ Dm i-lscc ' s s '
PO3
SUBTOTAL $ 97~.e,~ $ 9~5.~ $ $ o.o,
chedule E
Payments Made
h'om 10/31/2003
mroM~ 12/31/2003
SCHEDULE E
Page 7 of 7
NAMEOFFI~R RICHARD LOWENTHAL, RE ELECT RICHARD LOWENTHAL
CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenvise, describe the payment.
CMP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
I.D. NUMBER
1256061
POL Ix~ling and suwey research
POS postege, de{ivery and messenger services
PRO prole~sional Se~k:es (legal, accounting)
NAMEANDADDRESSOFPA~EORCREDITOR
OF CO~MI~EE, AL~ E~ER I.D. NUM~fl CODE OR DESCRrPT~N OF PAYMENT AMOUNT MID
TINA FERGUSON TRS ELECTION VICTORY PARTY 2,100.00
5278 RAFTON DRIVE
SAN JOSE, CA 95124
SUBTOTAL $ 2,[00.00
Schedule E Summmy
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 Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .... TOTAL $
2,100.00
0.00
0.00
2,100.00