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460 Quarterly 2nd Recipient Committee Campaign Statement Cover Page (GcMlmment Code _no 84200-84216.5) typo or print In Ink. S18I11....nl a_,. period from April 1. 2004 6£E INSTRUCTIONS ON REVERSE June 30, 2004 through 1. Type of Recipient CommittH: AlComm_-Com__'.2,3,1...4. 0 OIIIcehold8\', Candidate Con1JQIIed Committee III !!ellot-re Committee a Slate Cendldate Eloction Committee 4Þ P~merIIy Fanned a R_I 0 ControRed (---0/ 0 Sponsored (--_o¡ 0 Primerlly Formed Candidate! OfIIcehoidor Committee (---~ 0 Ganem Purpcse Committee a Sponsored a Smell Contrtbutor Committee a Pcllttcel Plr1y/Cen1re1 Committee 3 Committee Informadon ~ . 1264630 COMMlneE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Primarily Formed Commktee for the Amendments to the General Plan stREET ADDRESI (NO ~O. SOX) 20622 Cheryl Drive CITY STATE ZIP CODE Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. SOX AREA CODE/PHONE 4081255-8527 CITY šf.iJË ZIP COOE AREA COOE/PHONE OPTIONAl: FAX I E.MAIL ADDRESS ~lE~lE~\Y1lE oø 81- UL 28 2004 For 0IIIc!01 U.. Only NA 2. Type of Statement: 0 Preeloctlon Statement 0 Seml-ennull State,""", 0 TermlnattonStatamlnt 0 Amend,""", (E""laln bekM) III Quart8l1y Statomlnt 0 Spocial Qdd-Yeor Report 0 Supplementat PnIoIlCtIon Statement. Attach Form 495 TreIIsurer{s) NAME OF TREASURER Elizabeth L. Whittaker MAIUNO ADDRESS 20822 Cheryl Drive CITY Cupertino NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 95014 AREA CCOEIPHONE 408/255-8527 Kathey Holland MAIUNO ADDRESS 10318 Cold Harbor Ave. ~ Cupertino OPTIONAL: FAX I E-MAIL ADDRESS šf.iJË CA ZIP CODE 95014 AREA CODE/PHONE 4O8I99fM)842 ,4. Varlflcatlon I h..... used oil """"""'bIo dIlIgence In prepo~ng and nIVIawIng thta _man! and to 1I1a bast of my knowtadgo 1110 information ""nwlned _n and In 1110 attached "_du'" Is trua and complete. I .~ - -. - - ~ -. ~ -. ~ ~: ~1fL~- Ex""""cn ~ '7. .P.OO'j Ex"""" on ' 7; 1...0&,+ . Ex........ .. Sy _oICOOd<IO"""""""'.___"""'- ExøcuI8d on Sy _01""-""""",,,",._.", ...........- FPPC Fann'" (Jun~1) FPPC Toll..... Helpline: _ASK..ppe - of C.11fomta - " 1YP8 or print In Ink. COVER F\\Œ-PART 2 _Camm- ~ Campaign Statement ~ . . Cover Page - Part 2 p.~ oI~ 5. OtfIcahoider or Candldata Controlled Committee 6. Ballot M_ure Committee NAME OF OFFICEHOLDER OR CANOIDÁTE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBeR IF AI'PlICAllLE) RESIOENTIAlA!U8INESS ADDRESS (NO. AND STREET) CITY STATE ZIP Relatad Committees Not Included In thl8 Statement: Uotonyc- not ¡"':/oded In - 010_' "", ore conllDllod by you or ... ptfmI/IIIy fonnod fa ...oIIio -- '" nHI,," oxpond/lutw on "."." 01_' condIrIoay. COMMITTEENAME 1.0. NUMBER NAME OF TREASURER CONTROlLED COMMITTEE? DYES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY S11'.TE ZIP CODE AREA CODEn'HONE COMMITTEENAME I.D. NUMBER tAME OF TREASURER CONTROLlED COMMoTIeE? DYES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS ,CItY - ZIP CODE AREA cooElPHOliE NAME OF IW.I.OT MEASURE Genaral Plan Amendment Rastricting Building Heights ~LOTNO.ORLETTER I JURISDICTION I ~ = Idonttfy tho controlling oIItcoholdor, co_ol1l, or 010111 monuro proponsnt, N any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT NA OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY NA NA 7. Primarily Formed Committee 1.101 nomoo of offlcoholdor(o) '" condldm(o¡ for which fhIo ccmmltteo /0 ptImortIy formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEI.D 0 SlJPFORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEI.D 0 SUPPORT 0 OPPOEE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD DsUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPFORT 0 OPPOEE " A-h contln..- ohoe.. " n.....ory FPPC FoIm... (J_1) FPPC TOIl"... Ho.......: 88IIASK-FPPC .... of CoI-." -_. -'------_..__.._--_._---~-------------,..._-_._-----, --------- --.. ,---_.~ -- - ---- . 1YP8 or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. OffIceholder or Candldata Controlled CommittH NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOUGHT OR HELO (INCLUO£ LocATION AND DISTRICT NUMBER IF APPLICA8lE) RESIDENTIALn3USINESS ADDRESS (NO. AND STREET) CITY SIJO.1E ZIP Relatad Committees Not Included In this Statement: LIotonycomm-' not I-dod In tItJo .........., IhoI .... COIIIID/Iod by 1'0" or ... prlmatIIy fotmod 10 ...oIvo _lIone 01"" OII)OIII//Iura 011 - of 1'0'" comIIcfocy. COMMlnEE NAME !.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DyES DNO STREET ADDRESS (NOP.O.80X) COMMITTEEADDRESS CITY SI'A1E ZIP CODE AREA CODEIPHONE COMMITTEENAME !.D, NUMBER "'-'ME OF TReASURER CONTROLLED COMMITTEE? DyES DNO STREETADORESS (NOPO.80X) COMMITTEE ADDRESS ',CITY SOOE ZIP CODE AREA COOEiP><ONE 6. Ballot Measura Commlttes NAME OF BALLOT MEASURE General Plan Amendment Rastricllng Housing Density :LOTNO. OR LETTER I JURISDICTION I ~ =T Idontlfy thl contraAlng oIIIaohald..., condldolo. or lta18 -UFO proponsn!, II any. NAME OF OFFICEHOlDER, CANDIDATE. OR PROPONENT NA OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY NA NA 7. PrImarIly Formed Commlttae 1.101 nomoI of o_1dor(o or -10/0} for which 11110 _too /I prfmorl/y foI'mod. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLOER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE " A- contlnHllan 0_" If n_ury FPpC Fo...4S0 (JIII1IID1) FPPC Toll..... HoIpIInI: _ASKofPI'C .....orCoUfaml. typo or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. OffIceholder or Candidate Controlled Commlttaa NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOUGHT OR HelD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPlICASlE) RESIDENTIAlAlUSINESS ADORESS (NO. AND STREET) CITY SD\1E ZIP Related Commltt- Not Included In this Statament: LI.tonyccmm- not ¡m:turlod In - - - ON confnlltod by '/Ou or - prtmot/ty _011 10 - -- or mo/Io oxpondItureo on _If of your condIdocy. COUM/TTEE NAME I,D. NUMBER NAME OF TREASURER CONTROLLED COIoOdITTEE? DyES DNO STREET ADDRESS (NO P,O. SOX) coMMITtEE ADDRESS CITY SD\1E ZIP COOE AREA CODEJPHONE COMMITTEE NAME 1.0, NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNO STREET ADDRESS (NO P.O. SOX) COMMI1i'EEi\DD1ÖS ,CITY SD\1E ZIP CODE AAEA COoE1PHONE COVERPAGE-PART2 6. Ballot Musure Commlttaa NAME OF BALLOT MEASURE General Plan Amendment Restricting Building Set Back Unas 1lALL0T NO. OR LEneR I JURISOICTION 1111 SUPPORT NA 0 OPPOSE Idonllly tho co_Ding __or, cond_, or .- _auro prop-"" " ony. NAME OF OFFICEHOlDER, CANDIDATE, OR PROPONENT NA OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY NA NA 7. Primarily Formed Committee Ll8t nom.. of otrlcolroldor(o) or _dlrllto(o) for wIrh:h """ comm/ffoo 18 """"'rl/y formod. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOEE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOEE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUOHT OR HELD 0 SUPPORT 0 OPPOSE " Attoch confln.oIIon 0_" " neceooary FPt'C Fonn 410 (J"""') FPPC Toll..... ..........: I8IIA8K..PPC - 01 CaI- Campaign Disclosure Statement Summary Page typa or print In Ink. Amounts may be rounded to whole dolla... SEE INSTRUCTIONS ON REVERSE NAME OF FILER Primarily Formed Committee for the Amendments to the General Plan SUMMARY PAGE from April 1,2004 through Slatemenl cova.. period CALIFORNIA 46 0 FORM June 30, 2004 5 01 9 Page Contributions Received 1.0, NUMBER 1264630 ColumnA Column B TOTN.THOS"""O CAmPA. YEA. IFROMATTACt£OSCHECULESI TOTN. TO""" 1877.00 $ 4646.00 0 0 1877.00 $ 4646.00 2405.92 4032.00 4282.92 $ 8678.00 2204.80 S 2204.80 0 0 2204.80 $ 2204.80 0 0 2405.92 4032.00 4610.72 . 6236.80 1. Monetary Contributions .........."",."""."""....""""" Sm""u'" A, Un<> 3 $ 2, Loans Received ........"".."" .......,....,.....", ..... SchBdu'" B, Uno 3 3. SUBTOTAL CASH CONTRIBUTIONS ...........""""...... Add Uno, 1 - 2 $ 4. Nonmonetary Contributions """.. ".................. """" Sehodu'" C, Un<> 3 5. TOTAL CONTRIBUTIONS RECEIVED ............"""."""..AddUn<>,3-4 Expenditures Made 6. Payments Made .............." "..".""".............. """."" , Sm""u'" E, Uno 4 7. Loans Mede """." """.."... "" ".""" " "" ""."""" ""'" Sm""u'" H, Un<> 3 8. SUBTOTAL CASH PAYMENTS ......................."".....",. Add Un<>, 6- 7 $ 9. Accrued Expenses (Unpaid Bills) """ "."..""." """ " ". Schedu'" F. Un<> 3 10. Nonmonetary Adjustment ",....,................. ........... Smodu'" C, Un<> 3 11. TOTAL EXPENDITURES MADE """."" """'" """ """Add Lm", 6 - 9- 10 Current Cash Statement 12. Be9inning Cash Balance """""""".."". P",ious Sum,"",>, Page, Line 16 $ 13. Cash Receipts """""",.................."."...".......... CoIumnA.Un<>3abo"" 14. Miscellanaous Incraases to Cash """"""""""....", SchBdule', Un<> 4 15. Cash Payments""..............."..."....."................. ColumnA, Un08abo"" 16. ENDING CASH BALANCE ""...." AddUno"'-'3-'4, 'hon$ObneiLino'S $ If Ihia is e lerminetion ,Ielement. Una 16 must be zero, 2769.00 1877.00 0 2204.80 2441.20 17. LOAN GUARANTEES RECEIVED Sehodu'" B, Pari 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents..".",....,..............""""".., Seein"ruc/ion,on,."""o 19. Outstanding Debts"."...""""."."". AddLin02-Un<>9inColunmBobo"" $ 0 To calculata Column B. add amount. in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may ba nagetlve figures that should be subtracted from previous period amounts, ~this ~ the first raport baing filed for this calendar year. only carry over the amounts from Lines 2. 7. and 9 (ff any), 0 0 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1lh",u9h 6130 7/1 to Date 20, Contributions Received 21, Expandi!ures Made Expenditure Limit Summary for State Candidates Z2. Cumulallve Exponditure. Mado' {""_"VO........,E,_"~LImI1} Date of Election Total to Oete (mmlddlyy) ----1----1- $ ----1----1- $ ----1----1- $ ----1----1- $ ----1----1- $ ----1----1- $ 'Since January 1, 2001. Amounts in this section may ba diffarent from amounts reported In Column B. FPPC Form 460 (JuneIO1) FPPC Toll-Free Helpline: S66lASK-FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Primarily Formed Committee for the Amendments to the General Plan typo or p~nt In Ink. Amounts may bo rounded to whole dolla"'. SCHEDULE A Stolomant covo.. period CALIFORNIA 460 FORM from April 1,2004 through June 30,2004 of 9 6 Pogo I.D, NUMBER 1264630 DATE RECEIVED CUMULATIVE TO DATE CAlENOAR YEAR (JAN, 1 . DEC, 311 FULL NAME, ST~~~:~~:,~~~~:';~OC':';E~ CONTRIBUTOR I CON~~T.?R IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER I" mF 'MPLOY'O, ENTER"OE """"'NESSI AMOUNT RECEIVED THIS PERIOD PER ELECTION TO DATE (IF REQUIRED) 4/7/04 $200.00 ~IND 0 COM OaTH OPTY OSCC IIlIIND 0 COM OaTH OPTY OSCC OIND 0 COM IIlIOTH OPTY oscc IIlIIND 0 COM OOTH OPTY oscc IIlIIND 0 COM OaTH OPTY OSCC SUBTOTAL' 1470.00 I I Schedule A Summary 'Contributor COOo, 1, Amount received this period -contributions of $1 00 or more. IND-Individual (Include all ScheduleAsubtotals.).... ...., ..... ..... ..... $ 1470.00 COM-RecipiantConwnittaa " (othar than PTY or SCC) 2, Amount received this period-unitemized contributions of less than $1 00.. $ 407.00 OTH-Other , PTY - PoIrtlcal Party 3, Total monetary contributions received this period, SCC - Small Contributor Committee (Add Lines 1 and 2, Enter here and on the Summary Page. Column A, Line 1.) ..,.., ........,.. TOTAL $ 1877.00 5/15//04 5/4/04 4/7/04 4/7/04 Norman Damico 22181 McClellan Road Cupertino, CA 95014 Catherine Johnson 841 Rose Blossom Drive Cupertino, CA 95014 Concerned Citizens of Cupertino 20622 Cheryi Drive Cupertino, CA 95014 David Riopel 10516 Whitney Way Cupertino, CA 95014 Sheila Dolezal 10550 Whitney Way Cupertino, CA 95014 None $200.00 $200.00 Toolz Ltd. Graphic Designer $100.00 $100.00 $100.00 Grassroots Organization $1000.00 $2600.00 $2600.00 None $100.00 $100.00 $100.00 Administrator Stanford University $70.00 $140.00 $140.00 FPPC Form 460 (JuneIO1) FPPC TolI.Free Holpllne: 8661ASK-FPPC Sçhedule C Nonmonetary Contributions Received SEE INSTRucnONS ON REVER!IE NAME OF FILER 1YP8 or print In Ink. Amounts moy be rounded "'_dolo... Primarily Formed Commktee for the Amendments to the General Plan SCHEDULE C -- - porIod from April 1,2004 through Juna 30, 2004 CALIFORNiA 460 FORr.l "- 7 9 01 I.D. NUMBER DATE RECEIVED 1264630 FUU NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 0' ....."........, IN,.. 1.0, NU"", IF AN INDIVIDUAL. ENTER CONTRIBUTOR I OCCUPATION AND EMPLOYER CODE' o,sn""""'DV1iO,ENT£ft ....."'-. DESCRIPTION OF OOODS OR SERVICES AMOUNTI FAIRMARKET IIN.UE CUMULATIVE TO DATE CAlENDAR YEAR (JANI.DEC31) PERELECTIOIO TODATE (IF REQUIRED) 8128104 $600.00 IIIIND OCOM OOTH OP'IY OSCC IXIIND OCOM OOTH OP'IY OSCC IXIIND OCOM OOTH OP'IY OSCC IXIIND OCOM OOTH OP'IY Oscc Attach addltlona/lnformatlon on appropriately labeled continuation sheets. SUBTOTAL S 1809.00- Schedule C Summary 1.' Amount received this period- nonmonetary contributions of$1oo or more. (Include aU Schedule C subtotals.) .....................,...............................,....,........................,........,..........,............. $ 2. Amount reoslved this period -unitemizad nonmonatarycontributions of less than $100 .................................... $ 3. Totaf nonmonetary oonb1butJons received this period. (Add LInes 1 and 2. Enter here and on the Summary Page. Column A, Lines 4 and 10.) 6/4104 5/4104 4/17/04 Susan Slever1 10301 Byrne Ave. Cupertino, CA 95014 Sheila Dolezal 10550 Whkney Way Cupertino. CA 95014 Rusty Britt 20850 Pepper Tree Lane Cupertino, CA 95014 Maika Nagel 10180 Camino Vista Cupertino, CA 95014 Web Designer Self Employed Administrator Stanford University Nona Reakor Coldwell, Banker Web Development & Hosting, Domain Registration $600.00 Bumper Stickers $70.00 Newspaper Legal Notios $880.00 Newspaper Ad $279.00 See next page TOTAL $ $600.00 $140.00 $140.00 $862.50 $862.50 $279.00 $279.00 'ContribulOr CodeI IND-1ndMduo1 COM - RecIpient Commlttae (othar1l1on PTYor SCC) OTH-Other PTY - Political Par1y see - Smen Contributor COmmitteo " FPPC Form 480 (JuneIO1) FPPC ToIl-Fneo HoIpIlno: 8B81ASK-FPPC Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1Jpo or print In Ink. -moybo- 10 whalo ciolino. Primarily Formed Committee for tha Amandments to the General Plan DATE RECEIVED FULL NAME. STREET ADOAESS AND ZIP CODE OF CONTRIBUTOR (" ex."""",,, AI.aO"- I.C, ......., IF AN INDIVIDUAL. ENTER CONTRIBUTOR I OCCUFII\TION AND EMPLOYER CODE * (IF IEU',EMPLOY£D. ENTER _EOF"""", 5129104 Norman Hackford 10346 Tonita Way Cupertino, CA 95014 617104 Gerald Cooley 10421 Castine Drive Cupertino, CA 95014 Nona None DESCRIPTION OF OOODS OR SERVICES SCMEDULE C _cavoraportod from April 1, 2004 CALlFOfmlA 460 HJRM through June 30, 2004 AMOUNTI FAIRMARl<ET VALUE p- 8 01 9 Schedule C Summary 1.' Amount racalved this period - nonmonetary contributions of$1oo or more. (Includaall ScheduleCBUbtotals.) ....................,0....,.......................,.......................................""""""""""""'" $ 2. Amount racaived this period-un itemized nonmonetary contributions of less then $100 ...............,.................... $ 3. Total nonmonetary contributions racaived thlB period. (Add Lines 1 and 2. Enter here and on the Summery Page, Column A, Lines 4 and 10,) IIiND DCOM DOTH 0 PlY Dscc IIIIND DCOM DOTH 0 PlY Dscc IIIIND DCOM OOTH 0 PlY DSCC IIIIND DCOM OOTH 0 PlY Oscc Attach additional Information on appropriately labeled continuation sheets. 1.0. NUMBER 1264630 CUMULATIVE TO DATE CAlENDAR YEAR (JAN'-DEC3') PER ELECTION TO DATE (IF REQUIRED) Prinllng of I $216.391 $216.39 I $216.39 pstklons & related papers Printing of I $380.53 I $404.11 I $404.11 pst~lons & related papers SUBTOTAL S TOTAL $ 596.92 2405.92 0 2405.92 .Contributor Codeo IND - IndMdusl COM - Ro<:tpient CommIttee (oIher1l1onPTYorSCC) OTH-Other PTY - P",11œt Por1y SCC - Smell ~bUIOr eommlttel ~ FPPC Form 480 (J....iÐ1) FPPC TalloF.... HoIpI"": 8IIIIASK-FPpC from April 1,2004 CAUFor,NIA 460 FORM SCHeCULS E Schedule E Payments Made 'Iype or prlnl In Ink. Amounto moy be rounded to who" don.... S18l11mont covo.. period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ihrough June 30, 2004 p- ~ of ~ 9 Primarily Fonned Committee for the Amendments to the General Plan 1264630 CODES: If one of the following codes accurately describes the payment, you mey enter the code. Otherwise, descrIbe the payment. eM' CIII1ÌpIIgn MIJ1Iphom.lloImisc. I.eR .....- comrnunlcatlon8 RAD redio IIrtlmo ond production costa aIlS œmpolgn con.ultants MTG -"91 ond -- RFD ..- ~butlon8 CTB - (8l!Plsln nonmonatery). OR;; ofIIco elC)811H8 SAL œmpelgn workore' solartoo CI/C civic donations ÆT petition cIroulottng 18. tv. or 011>10 airtime and production costs R. ..- tllngIbotlot - PHO phone benkl lRC Clndldate 1rIIVII, lodging, end .".10 IN) fund..lslng ovonts POl poling and SUIVI)' """'""'" 'IRS ltaff/spouu 1....1, lodging, and mools N> Inclopenclont _dllure lupportlng/oppcolng 011181'1 (eJCPlolnr POS pcotage, deflvory ond -gar ....1oe8 TSF InInsIer between committees 01 the ...... csndldatellponoor LEG IøgoI _.. FR:> proIealon.1 sa- (Iogal, eccountlng) VaT votar regIs1ratIon LIT œmpolgn Iltaretule ond rnsUlngs FRr ~nt ad. v.œ information _noIogy coota (Internet. I-moll) NAME AND ADORES6 OF PAYEE CODE OR OESCRIPTION OF PAVMENT ,OCOMMlTTEE,ALaOENTER',D,'""" AMOUNT MID Rusty Brftt Newspaper Legal Notices 20850 Peppar Tree Lane PRT $2170.00 Cupertiroo, CA 95014 . peymonto thll Ira contributIons or Indopondont a_ndlturae mull olio be lummerlzod on Schodula D. SUBTOTALS 2170.00 Schèdule E Summary 1.'Paymen18 made this period ofS100 or mora. (Indudeall Schedule Esubtotals.) """""""""""""""""""""""""""""""""""""""""""""'"..... $ 2. UnltemlzedpaymentsmedethlsperiodofunderŠ100 """"""""""""""""""""""""""""""""""""""""""""'"........................................"..... $ 3. Totel interest paid this period on loans. (Enteramountfrom Schedute B, Part 1, CoIumn(e).)............................................................................... $ 4. Total payments made this period. (Add LInes 1. 2, and 3. Enter here and on the Summary Page, ColumnA, LIne 6.) ............................. TOTAL $ 2170.00 34.80 0 2204.80 '" FPPC Form 480 (JunoIO1) FPPC Toll-Free HoIpItno: 8HlASK-FPPC