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460 Pre-election #2 ID05 OCT 27 Type or print In Ink. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) OffICial Use Only cab' CUAERTINO CITY ClEIRK Date of election If apl (Month, Day, Yea Statement covers period 09/25105 from D Quarter1y Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 1110812005 2. Type of Statement: hZI Preelection Statement o Semi-annual statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below' 10122/2005 2.3..nd .. Measure 1, D Primarily Formed Ballot Committee o eontrolled o Sponsored (NsoCompletePart6) through Type of Recipient Committee: All Committe.. - Compl'" Parts III Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part5} SEE INSTRUCTIONS ON REVERSE 1. Primarily Formed Candidate, Officeholder Committee (A/soCOmplefePart7) o D General Purpose Committee o Sponsored o Small Conbibutor Committee o PolUical Party/eentral Committee Treasurer(s) NAME OF TREASURER Claudette Miller MAILING ADDRESS 20348 Clay Street C ·tt I f t· .0. NUMBER omml ee norma Ion -,:1.., "$"'f~ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee To Elect Marty Miller 3. AREA CODE/PHONE 408/750-4714 ZIP CODE 95014 STATE CA CITY Cupertino NAME OF ASSISTANT TREASURER. IF ANY AREA CODE/PHONE 4081750-4714 STREET ADDRESS (NO P.O. 20348 Clay Street CITY ZIP CODe Cupertino 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE CA BOX) MAILING ADDRESS AREA CODE/PHONE ZIP CODE STATE CITY AREA CODE/PHONE ZIP CODE STATE CITY certify der,Cãniidãte, State Meastn Prcponent or Responsible ðiilë:efQ;SpOnsor afConlrollingQlliœholdef, Qrddate, StateMeasu"eProponert ~ofConlrolingQlliœholder, Ca'ddate, StateMeasu"eProponert FPPC Fonn "0 (Janu.ry/O&) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-3772) St8te of Callfoml. OPTIONAL: FAX J E-MAIL ADDRESS Claudette@MarlyMiller.net 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 complete. under penalty of pe~ury under the laws of the State of California that the foregoing is true and correct. Executed on By By By By "'" "'" OPTIONAL: FAX I E-MAil ADDRESS Marty@MartyMiller.net Executed on Executed on Executed on Type or print In Ink. eOVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 - - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Marty Miller NIA - BAllOT NO. OR LETTER I JURISOICTION OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) D SUPPORT City Council for Cupertino D OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 20348 Clay Street Cupertino CA 95014 Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY OFFICE SOUGHT OR HElD Related Committees Not Included in this Statement: Us, any committees not included In this statement that are controlled by you or are primarily formed to receive contributions or mike expenditures on behalf of your candidacy. 1.0. NUMBER COMMITTEE NAME NA 7. Primarily Formed CandidatelOfficeholder Committee Lis' names of offíceholder(s) or candldaters) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT NA D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE CONTROLLED COMMITTEE? DYES DNO AREA CODElPHONE I.D. NUMBER CONTROLLED COMMITTEE? DYES DNO ZIP CODE STREET ADDRESS (NO P.O. BOX) STATE NAME OF TREASURER CITY COMMITTEE NAME NA NAME OF TREASURER COMMITTEE ADDRESS Attach continuation sheets if necessary AREA CODElPHONE STREET ADDRESS (NO P.O. BOX) ZIP CODE STATE COMMITTEE ADDRESS CITY FPPC Form 460 (J.nu.ryI06) FPPC Toll-free Helpline: 866/ASK·FPPC (8661276-3772) State of c.lifornla SUMMARY PAGE Statement cove... period f 09125105 rom Type or print In Ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page 10 of 3 Page 10122/2005 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee To Elect I.D. NUMBER 1278545 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections to Date 7/ $ through 6130 1 $ 20. Contributions Received Expenditures Made 21 16,494 7,000 23,494 00 23,494 CoIumnB CALENDAR YEAR TOTAL TO DATE $ $ 3488 o 3488 00 3488 ColumnA TOTAl THIS PERIOD (FROM ATTACHEDSCHEDULES) Marty Miller Contributions Received $ Schedule A, Line 3 Schedule B, Line 3 $ +2 Schedule C, Line 3 Add Lines 2. 3. 4. 5. $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Mad.· (tf SUbject to VoIuntluy Expenditure Umlt) Total to Date Date of Election (mm/dd/yy) 13,077 00 13,077 00 00 13,077 $ $ AddLines3+4 7952 00 7952 $ $ Schedule E, Line 4 Schedule H. Line 3 $ o 00 7952 $ AddUnes 6+ 7 Schedule F, Line 3 Schedule C, Line 3 Loans Made SUBTOTALeASHPAYMENTS Accrued Expenses (Unpaid Bills) Nonmonetary Adjustment ........ TOTAL EXPENDITURES MADE Expenditures Made 6. Payments Made 7. B. 9. 10. 1 $ $ "Amounts in this section may be different from amounts reported in Column B. ----1----1_ ----1----1_ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). $ 14,881 3,488 o 7952 10,417 $ $ $ Monetary eontributions Loans Received .......... SUBTOTAL eASH eONTRIBUTIONS Nonmonetary eontributions .............. TOTAL eONTRIBUTIONS REeEIVEO AddUnes8+9+ 10 ,. Previous Summary Page, Une Column A, Line 3 above then subtrøct Line 15 Line 4 Column A, Une 8 above Add Unes 16 must be zero. I, Schedule 14. 13+ 12+ Current Cash Statement 12. 8eginning eash 8alance ........ 13. eash Receipts ........................ 14. Miscellaneous Increases to eash 15. eash Payments..................... 6. ENDING CASH BALANCE ....... is a termination statement, Line If this o $ Schedule B, Pari 2 7. LOAN GUARANTEES REeEIVED Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. See instructions on reverse Outstanding Debts FPPC Fonn 460 (January/OSI FPPC Tol~Free Helpline: 856/ASK·FPPC (8661275-37721 00 7,000 $ $ Add Line 2 + Line 9 in Column B above 9. SCHEDULE A Statement cover. period f 9/25/2005 rom Type or print In Ink. Amounts may be rounded to whole dollars. Schedule A Monetary Contributions Received If> of Pogo if - - 1.0. NUMBER 1278545 1 01~2005 through SEe INSTRUCTIONS ON REVERSE NAME OF FILER Committee To Elect PER ElECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Marty Miller FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSOENTERI.D.NUMBER) CODE * $250..00 $250.00 ID 745208 $250.00 $250.00 ID 890106 $750.00 $500.00 ID 890106 $500.00 $500,00 Cisco, Engineer $150.00 $150.00 F.P.P.C, ID 841499 olND oeOM Il)OTH oPTY osee olNO o COM ¡Z¡OTH oPTY osee olNO oeOM ¡Z¡OTH oPTY osee ¡Z¡IND o COM oOTH oPTY osee OIND ¡z¡eOM oOTH OPTY osee DATE RECEIVED CAAPAC Local Trust Account 980 Ninth Street. Suite 2150 Sacramento, CA 95814 9127105 CPREPACIBORPAC 525 S. Virgil Avenue Los ANgeles, CA 90020 9129105 CPREPACIBORPAC 525 S, Virgil Avenue Los ANgeles, CA 90020 1014105 Yung-Kang Chu 20435 Via Paviso, #F11 9125105 Bay Area Municipal Elections Committee P.O. Box 6296 San Jose, CA 95150 10106105 *Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or see¡ OTH - Other (e.g., business entity) PTY - POlitical Parly see - Small Contributor Committee 1,650.00 SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) . $ ~~õO $_~3~ TOTAL $ D~ß Amount received this period - unitemized monetary contributions of less than $1 00 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 2. 3. FPPC Font! 460 (JonuoryI05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) ) seHEOULEA (eONT.) Statement covel'l period ·R~NIA 460 from 912512005 through 1 012~2005 Pogo ¡¡- of It) 1.0. NUMBER 1278545 AMOUNT CUMULATIVE TO DATE PER ElECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) $100.00 $500.00 $100.00 $100.00 $100.00 900.00 I FPPC Fonn 480 (JonuoryI05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) 'Jypo or print In Ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (If SELF-EMPLOYED, ENTER NAME OF BUSINESS) rt~ "'I\- PhI<. TN Cÿ2.¿.) p ¡¿¡ ~ (..1 f>,A-L- None None FoothilllDe Anza Com. College Instructor - None SUBTOTAL $ NAME OF FILER Committee To Elect Marty Miller 0A1E FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR I CONTRIBUTOR RECEIVED (IFCOMMlTTEE,ALSOENTERLD.NUMBER) CODE * ¡z)IND oeOM OOTH OPTY osee ¡z)IND oeOM OOTH OPTY osee ¡z)IND oeOM OOTH OPTY osee ¡z)IND oeOM OOTH OPTY osee ¡z)IND oeOM OOTH OPTY osee Paul D. Brophy 10/10105 10703 Rae Lane Cupertino. CA 95014 Lee Ping Young 9125105 20435 Via Paviso, #F11 Cupertino, CA 95014 Mabel S. Takahashi 10/16105 20648 Celeste Cir. Cupertino, CA 95014 Janet Takahashi 10116105 20648 Celeste Cir. Cupertino, CA 95014 Christina J. Chao 9/28105 1113 Myrtle Dr Sunnyvale, CA 94086 *Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or see) OTH - Other (e.g., business entity) PTY - Political Party see - Small Contributor Committee SCHEDULE A (CO NT.) Statement covers period . R N I A 4 6 from 9/2512005 R M through ~0/2212005 Pege Þ of -.l!!.... - to. NUMBER 1278545 - - AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) TYpe or print In Ink. Amounts may be rounded to whole dollars. Schedule A (Continuation Sheet) Monetary Contributions Received IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELf-EMPLOYED, ENTER NAME Of BUSINESS) NAME OF FILER Committee To Elect Marty Miller DATE FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR I CONTRIBUTOR RECEIVED (IFCOMMmEE,AlSOENTERI.D.NUMBER) CODe * $100.00 $100.00 Victoga Incorp Jeweler /6>"'"'1-- IiZIIND oeOM OOTH OPTY osee OIND oeOM OOTH OPTY osee OIND oeOM OOTH OPTY osee Chick T Hung 10110 Mann Dr. Cupertino, CA 95014 9129/05 OIND oeoM OOTH OPTY osee OIND OCOM OOTH OPTY osee $100.00 FPPC Fonn 460 (JenuaryI05) FPPC TolI.frøe Helpline: 8661ASK-FPPC (8661275-37721 SUBTOTALS ·Contributor Codes IND -Individual COM - Recipient Committee (olher than PTY or See) OTH - Other (e.g., business entity) PTY - Political Party see - Small Contributor Committee SCHEDULE B - PART Statement coyers period IRNIA 461 from_ 09125105 "M through 10122/2005 Plge î Of~ - I.D. NUMBER 1278545 Type or print In Ink, Amount. mey be rounded to whole dollars. Schedule B - Part 1 Loans Received see INSTRUCTIONS ON REVERSE NAME OF FILER (,I CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR 2,000 PER ELECTION" ORIGINAL AMOUNT OF LOAN I') INTEREST PAID THIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS ('I AMOUNT PAID OR FORGIVEN THIS PERIOD .. o PAID _I Ib) OUTS'fANDING AMOUNT BALANCE I RECEIVED THIS BEGINNING THIS PERIOD IF AN INDMDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Committee To Elect Marty Miller FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (If COMMITTEE, ALSO ENTER 1.0. NUMBER) 2,000 --º--- % "''' 2.000 Real Estate Sales Intero Real Estate Services Claudette T. Miller 20348 Clay Street Cupertino, CA 95014 o FORGIVEN 0 7128105 - DATE DUE DATE INCURRED - - o PAID CALENDARYEAR 1- 2,000 --º--- % 1 2,000 1 D FORGIVEN "''' PER ELECTION ** 0 8110105 1 - 1 DATE DUE DATE INCURRED o PAID CALENDARYEAR 1 3,000 --º---% 1 3,000 D FORGIVEN ¿ "''' PERELECTlON** o 1 9123105 - DATE DUE - ~ DATE INCURRED 0; 0 $ ~ 7,000 $ ~ 2,000 2,000 3,000 Real Estate Sales Intero Real Estate Services Real Estate Sales Intero Real Estate Services scc scc D scc PTY D DPTY D D PTY D D orH D orH D orH Claudette T. Miller 20348 Clay Street Cupertino, CA 95014 Claudette T. Miller 20348 Clay Street Cupertino, CA 95014 D COM D COM D COM INO INO INO t¡;¡¡ t¡;¡¡ t¡;z¡ SUBTOTALS $ (Enter(e)on SctøüIE, Line 3) 00 $ Schedule B Summary Loans received this period .................................................., (Total Column (b) plus unitemized loans of less than $100,) 1 tContributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - POlitical Party SCC - Small Contributor Committee 00 $ Loans paid orforgiven this period ........................................ (Total Column (c) plus loans under $1 00 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 2. 00 (~y be. negativenurmer) $ NET 3. Net change this period, (Subtract Line 2 from Line 1.) ................ Enter the net here and on the Summary Page, Column A, Line 2. FPPC Fonn 460 (January/OS) FPPC Toll-F.... Helpline: 866/ASK-FPPC (866/275-3772) also must be reported on Schedule A. *Amounts forgiven or pakt by another party ** If required. SCI£DULE E Statement coyers period 09125105 Type or prlnlln Ink. Amounts may be rounded to whole dollars. Schedule E Payments Made 10 of t Page _ I.D. NUMBER 1278545 1012212005 from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee To Elect candidate/sponsor OthelWise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same VOT voter registration WEB information technology costs (internet, e-mail the payment, you may enter the code. WBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PH:) phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads Marty Miller one of the fOllowing codes accurately describes (explain)* CODES: If campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filinglballot fees fund raising events independent expenditure supporting/opposing others legal defense campaign literature and mailings eM' CNS C1B eve FIL Fi'lJ N) LEG ill AMOUNT PAID $124.00 DESCRIPTION OF PAYMENT OR CODE POL NAME AND ADDRESS OF PAYEE (lFCOMMITTEE, ALSO ENTER I.D. NUMBER) Registry of Voters 1555 Berger Dr, Bldg 2 San Jose, CA 95112 $2,510.00 LIT National Printing 510 N. Fifth Street San Jose, CA 95112 $1,317.51 POS US Postmaster 21701 Stevens Creek Blvd Cupertino, CA 95014 .51 3,951 SUBTOTALS Independent expenditures must also be summarized on Schedule D. are contributions or * Payments that Schedule E Summary 7,680.95 $ Itemized payments made this period. (Include all Schedule E subtotals.) 1 270.97 $ 2. Unitemized payments made this period of under $1 00 00 $ Column (e) interest paid this period on loans. (Enter amount from Schedule B, Part 1 3. Total 7951.92 FPPC Fonn 460 (January/051 FPPC Toll-Free Halpllno: 8661ASK-FPPC (8661275-3772) TOTAL $ 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) 4. Total payments made this period. (Add Lines 1 seHEDuLE E (CONT.) Statement cove.. porlod 09/25105 Typo or print In Ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made from of 10 pag.~ I.D. NUMBER 1278545 10122/2005 through SEE INSTRUCTIONS ON REVERSE NAME OF FilER Committee To Elect candidate/sponsor describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same voter registration ¡nfonnation technology Otherwise, RAD RFD SAL lEL 1RC TRS TSF VOT I'ÆB payment, you may enter member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads code. the Marty Miller CODES: If one of the following codes accurately describes the 0vP campaign paraphemalialmisc.MR CNS campaign consultants MTG C1B contribution (explain nonmonetary)* OFC CVC civic donations PET FIL candidate filinglballot fees PH:) FND fundraising events POL N) independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT e-mail (internet. costs AMOUNT PAID $1.300.00 DESCRIPTION OF PAYMENT OR CODE LIT NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER LD. NUMBER) Kwik Kopy Printing 10675 S. De Anza Blvd Cupertino, CA 95014 $567.91 POS Roberts Press 1231 Kentwood Ave. San Jose, CA 95129 $466.16 P~S US Postmaster 21701 Stevens Creek Blvd Cupertino, CA 95014 $262.57 POS Roberts Press 1231 Kentwood Ave. San Jose, CA 95129 $594.39 POS US Postmaster 21701 Stevens Creek Blvd. Cupertino, CA 95014 .03 FPPC Form 460 (January/05) FPPC TolI·Frae Halpllno: 866fASK·FPPC (8661275-3772) 3,191 SUBTOTAL $ * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. seHEDULE E (CONT.) Statement covers period 09125105 TYpe or prtnt In Ink. Amounts may be rounded to whole dolls,.. Schedule E (Continuation Sheet) Payments Made from of~ Page~ 1.0. NUMBER 1278545 10122/2005 through see INSTRUCTIONS ON REVERSE NAME OF FILER Committee To Elect candidate/sponsor describe the payment. radio airtime and production returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel. lodging, and meals transfer between committees of the same voter registration infonnalion technology costs costs the payment, you may enter the code. Otherwise, MBR member communications RAD MTG meetings and appearances RFD OFC office expenses SAl ÆT petition circulating TEL PH) phone banks lRC POL. polling and survey research TRS POS postage, delivery and messenger services TSF PRO professional services (legal, accounting) VOT PRT print ads VllEB Marty Miller the following codes accurately describes (explain)' CODES: If one of campaign paraphernalia/misc. campatgn consultants contribution (explain nonmonetary)* civic donations candidate filinglballot fees fundraising events independent expenditure supporting/opposing others legal defense campaign Ifterature and mailings CJ.P CNS CTB CVC FIL FND NJ lEG LIT e-mai (internel. AMOUNT PAID $438.41 DESCRIPTION OF PAYMENT OR CODE LIT NAME AND ADDRESS OF PAYEE (IF COMMmEE, ALSO ENTER 1.0. NUMBER) Kwik Kopy Printing 10675 S. De Anza Blvd Cupertino, CA 95014 $100.00 1241937 FPPC # LIT P.OW,E.R. P.O. Box 720884 San Jose, CA 95172 538.41 FPPC Fonn 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-37721 SUBTOTAL $ * Payments that are contributions or Independent expenditures must .tao be summarized on Schedule D.