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470 Annual ~6t~ ~ lF~dlm orm I coJII~li02~ot0004 CUPERTINO CITY CLERK Type 0' p,int in ink. Date Stamp CALIFORNIA 470 FORM SHORT FORM 0 C2 S~ (Go Date of election ¡fapplicable: (Month. Day, Year) 0 Amendment (E,plain Below) For Offidal Uso Only 11/4/03 1. Statement Covers Calendar Year 20 ~ . 2. Officeholder or Candidate Information NAME OF OFFICEHOLDER OR CANDIDATE 3. Office Sought or Held OFFICE SOUGHT OR HELD Richard Lowenthal STREET ADDRESS City Council Member JURISDICTION (LOCATION) STATE ZIP CODE City of Cupertino DISTRICT NUMBER (IFAPPLICABLE) 21602 Villa Maria Ct CITY Cupertino AREA CODE/DAYTIME PHONE NUMBER CA 95014 OPTIONAL: FAX/E-MAILAoDRESS 408-973-8494 4. Committee Information List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME AND 10. NUMBER I COMMITTEE ADDRESS I NAME OF TREASURER None 5. Verification I declare under penalty of perjury that to the best of my knowledge i anticipate that I will receive less than $1,000 and that i will spend less than $1,000 during the calendar year and that i have used all reasonable diligence in preparing this stateme. nt. I certify under pezalty fwer"IJry de he iaws of the State of Caiifornia that the foregoing is true and correct. ~ 7/22/04 E,ecoled on DATE By, SIGNATUREOFOFFlCEHDLDERORCANDIDATE FPPC Form 470 (June/Ot) FPPC Toll-Free Helpline: 866/ASK-FPPC