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460 Quarterly 3rd Amendment COVER PAGE of Official Use Only print In Ink. Date of el_on If (Month, Day, Type or Statement covers period 07/01/04 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Fo, from D Ouarterty Statement D Special Odd-Year Report D Supplemental Preelection Statement - Attach Form 495 November 8, Type of Statement: o Preelection Statement o $emi-annual Statement D Termination Statement (Also file a Form 410 TerminaUon) ~ Amendmant (Explain below) Committee name change, 2. 09/30/04 1,2,3, and 4. i2J Primarily FOlT11ed BaDat Measure Committee o Controlled o Sponsored (AJsoComp"leP8lt through Type of Recipient Committee: All Comm_ - Complete ..... o Officeholder. Candidate Controlled Committee o State Candidate Election Committee o Recall (IUsoCompki/øPtJlt5) SEE INSTRUCTIONS ON REVERSE 1. summary page corrections on Line 5B 'J D Primarily Formed Candidatel Officeholder Committee (Also CompIøf8 Psrl 7) o General Purpose Committee o Sponso,ed o Small Contributor Committee o Political Party/Central Committee Treasurer(s) NAME OF TREASURER Elizabeth L. Whittaker MAILING ADDRESS 20622 Cheryl Drive 3 C "tt I f ti I.D. NUMBER . omml ee n onna on 1264630 COMMIITEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEEj' Save Our City, a Primarily Formed Committee to Support the Amendments to the General Plan AREA CODE/PHONE 4081255-8527 ZIP CODE 95014 STATE CA CITY Cupertino NAME OF ASSISTAllft-TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) 20622 Cheryl Drive Kathey Holland MAILING ADDRESS 10318 Cold Harbor Ave. CiTY AREA CODEfPHDNE 4081255-8527 STATE ZIP CODE CA 95014 (IF DIFFERENT) NO. AND s"TR'EËT OR P.O. BOX CITY Cupertino MAILING ADDRESS AREA CODE/PHONE 4081996-0842 ZIP CODE 95014 STATE CA Cupertino OPTIONAL: FAX AREA CODEfPHONE ZIP CODE STATE CITY 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 under penalty of perjury under the laws of the State of California that the foregoing is true and correct. E-MAIL E-MAIL ADDRESS OPTIONAL: FAX osrtily romplete. By Exearted on By By Executed on Executed on lc:Iøte,-StatøMSIiIsmlPropor;an! ignBILndConlrolingOftic::ehOkI.:-CMdI SignIIUn dControllng OIfIce/1okler, Cand'date, SlateMeø8LD Proponønt """ FPPC Fonn 460 (.hInLlllryI05) FPPC ToIl-FrH HelpHne: 86IIASK-FPPC (88ØI21s.3772) state of California By """ Executed on SUMMARY PAGE Statement covers period f 07/01/04 rom Type or print In Ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page 2 of 2 Page 1.0. NUMBER 1264630 09/30104 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Save Our City, a Primarily Formed Committee to Support the Calendar Year Summary for Candidates Running in Both the State Primary and General Elections Column B CALENDAR YEAR TOTAL TO DATE the General Plan Column A TOTAL THIS PERIOD (fROMATTACI-EDSCHCDUL£S) to Amendments Contributions Reçeived 10 Date 71 $ $ 6130 through 1 $ $ 20. Contributions Received 21. Expenditures Mad. 4646.00 o 4646.00 4475.00 9321.00 $ $ 200.00 o 200.00 443.00 643.00 $ $ Sch6dulø A, Una 3 Schedule B. Une 3 Add ÜI18S 1 + 2 Schedule C, Una 3 AddUnes 3 +4 Monetary Contributions Loans Received .......... SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions .............. TOTAL CONTRIBUTIONS RECEIVED 1. 2. 3. 4. 5. Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made'" (If SubjKt to VoIun1lll'J Expencßtu.1'8 LImit) Total to Date Date of Election (mm/dd/yy) <2829.80> o <2829.80> o <4475.00> <7304.80> $ $ $ <625.00> o <625.00> o <443.00> <1068.00> $ $ $ Schedule E, U1I6 4 Schedule H, LJne 3 . AddUnes6+7 . Sch6dul6 F, Una 3 Schedule C, Line 3 ....Add lJnes B + 9 + 10 Expenditures Made 6. paymenlB Made 7. Loans Made SUBTOTAL CASH PAYMENTS Accrued Expenses (Unpaid Bills) Nonmonetary Adjustment ........ TOTAL EXPENDITURES MADE 8. 9. 10. 11 $ $ ____1-_---1_ "'Amounts in this section may be different from amounts reported in Column 8. To calculate Column e, add amounts in Column A to the corresponding amounts from CoJumn B of your last report. Some amounts in Column A may be negative figures that shoutd be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only eany over the amounts from Lines 2, 7, and 9 (if any). $ 2441.20 200.00 o <625.00> 2016.20 $ $ Prøvious Summary Page. Lin6 16 Column A, Line 3 abow Schedu18 f, Une 4 Current Cash Statement 12. Beginnin9 Cash Belance 13. Cash Receipts 14. Miscellaneous Increases to Cash $ 15. Cash Payments Column A, Line B abow 16. ENDING CASH BALANCE AddUnes 12 + 13 + 14. thensubtTactUnø 15 If this is a termination statement, Une 16 must be zero. o $ Schedule B, Part 2 17. LOAN GUARANTEES RECEIVED FPPC Fonn 480 (Janu8fYlO5) FPPC ToIl-Free Helpline: 868/ASK-FPPC (8861275-3772) o o $ $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents., See instructions on 1910'8138 19. OulBlanding DeblB Column B above 9in Add Line 2 + Unø