470 Annual
Officeholder and Candidate
Campaign Statement-
Short Form
(Government Code Section 84206)
Type or print in ink.
Date of election If applicable: 0 Amendment (Explain Below)
(Month, Day, Year)
11/8/2005
1. Statement Covers Calendar Year 20 ~ .
2. Officeholder or Candidate Information
NAME OF OFACEHOLOER OR CANDIDATE
Orrin Mahoney
STREET ADDRESS
3. Office Sought or Held
OFFICE SOUGHT OR HELD
10940 Miramonte Rd
CITY
Cupertino
AREA CODEJDAYTIME PHONE NUMBER
City Council
JURISDICTION (LOCATION)
Cupertino
DISTRICT NUMBER
(IF APPLICABLE)
STATE
ZIP CODE
CA 95014
OPTIONAL: FAX I E-MAIL ADDRESS
408-725-1767
orrinmahoney@comcast.net
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 1.0. NUMBER COMMITTEE ADDRESS 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 statement. I certify und~)lenalty' 01/71 under the laws of the State of California
that the foregoing is true and co7t. / /" / 0
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"7 -'"'), -; - / ) I. / c
Executed on :'> I t./ (- C / By j.~ Y
.. DATE SIGNATURE OF Of CEHOLDER OR CANDIDATE
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FPPC Fonn 470/470 Supplement (January/05)
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