Amendment to first pre-election
OPTIONAL: FAX I E.MAIL ADDRESS
c.:l.A."ert~l'\o~l<6)~CA.~ L \ Wtv\
~. Verification
I hive used aU reasonable diligence In preparl,., and reviewing this atatement and to the beet of my knowledge the Infomlatlon contained herein and In the attached schedules Is true and complete. I certify
under penalty of pe~ury under'the laws of the stlte of Callfomla that the foregoing Is true and correct. . ~
t:j/u/ol . . _~~c_ -
Executed on ( ... "" ' By SlgnllllnorT_orAlllllanlT~
Executecl on 1 (7...rc.4 ~ By SIgn8tunI&:m::::~SlIlItMIUlnPtoponenlorRtIPOflIIbIeOlllolrcfSponlor
Recipient
Campaign
Cover Page
:Govemment Code
d eJ Type or print In Ink.
10 ),(flfJ 7
St......t cover. period
from "t/, /07
I .
through 'l/22f 0 7
It D \VIle
· ~1~5) 2007
CUPERTINO CITY CLERK
SEE /NSlRUCTlONS
I. TYpe of Recipient Committee: All eomm..... - Complete pn 1, 2, a. llId 4-
rzf Oll'lceholder, Candidate Contronecl Commltee 0 Primarily Formed Ballot Meaeure
o State Candldete Election Committee Comm....
o Recan 0 Comolled
(AIeo~PM~ 0 SponIored
(AW~ArfO)
o Gen....' Purpoee Committee
o Sponsol'8d
OSman Contributor Committee
o PoIIt101l PartylCentral Committee
o PrlmlrIIy Fonned Candldatel
OfIIceholder Committee
(_~Arf7)
1.0. NUMBER"':) n.. ~
I ;;) OOd.e,s ~
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
3. Committee Infonnatlon
N\eur- \c:., cs. o.vrTO r 0 1:1> y LN-hA (' .~ (1."'- CA L
STREET ADORESS (NO P.O, BOX) .::rw"""
~~ \ q 5" " U r'\~ L~~ e.. ZIP CODE AREA COOEIPHONE
MA~~~:~ENT)NO' AND srf!?OR P.O. ~l4- It-o&-9g&33oo
ZIP CODE
AREA COOEIPHONE
CITY
STATE
Executed on
By
8Ipl&nolContra1i1g0lbh0lder, CMdlclIIIe, ~~PI'ClflCll**
CIIII
Executed on
By
IIPPC P'onn 410 (_..,101)
IIPPC To""",.. HeJplIne: 8RI~.~~
CIIII
11/6/07
, ,
Date of election If appUcab
(Month, Day, Year)
2. TYpe of Statement:
...-P....lectlon Statement 0 Quarterly Slltement
. 0 Sem~IStatement" 0 SpecIal Odd-Year Report
o Termination Sllitement 0 Supplemental Preelection
_ i (AIIo fie a Form 410 Termination) Statement.Attach Fonn 486
"'W Amendment (Ex~1n below) C-.s>'< ~ \
c::;~~ E. ) ,,~ \.V\tl),(maT\W\
Treasurer(s)
NAME OF TREASURER
.r;;;Vo.- Wt)V\~
MAILING ADDRESS .-J
2~ ~ ~C1 L-fnc.l"" L~€..
CIT}) _ i STATE ZIP CODE
L DE t no CA. ctSu l4-
NAME ~ ~~AN~ TREASURER. IF ANY
AREA COOEIPHONE
LfCR" -.2.f2-;?-
W\. o.Jr.k
MAILING ADDRESS
CITY'2.. t q '5 ~ Lr k.'\r~ ~o~ 4.-
~ t- t 1'- o,.~,;,\ I t.L
OPTIONAL: FX~~L ~ss ~.. ~ +-
e.v-O-w w @ 'fa-hoc), c..O\'Y)
~~-i--t)v- r)
If-o ~ ..gi6 -~
AREA COOEIPHONE
IIIgrWlncfOonlrollng OIlIcIholder, cntdIte. ~M__ prapanent
hedule E
yments Made
A MeV'vckd
lO r ~t( 07
'TyPe or prfnt In Ink.
Amounts may b. rounded
to whol. dolla....
Statement cover. period
from-lll /07
f' .
throuah 'I (z 2,(07
~. ~~"'-----
('I .. :t." , 460
t l) l'
Gv P-, vJ l) t18j
,.-2- of 7
1.0. NUMBeR
c6t- ( ~OO ~ g3
NSTRLJCnONS ON REVERSE
: OF FILER
)ES: If one of the following codes accurately describes the payment, you may enter the code. otherwise, describe the payment.
campaign paraphemaUl/mlle, M:JR member communication. RAe fadlo airtime and production costs
campaign consultants MTG m..ting. and appeal'lnce. RFD returned contribution.
contribution (explain nonmonetary). dFc offloe expen... SAL campllign workers' .larl..
civic donatio". PEr ptIltIon c1rcuiltlng TEL t.V. or QlbIe IlrtIme and production 00118
candlcllte mlnglballot feel PK> phone banka 1RC candlcllt8 tl'lVel, lodging, and I1ItIII8
fundralalng events POL polling and lUVey reeaarch lRS atalf/8poule trsv.I, lodging, and m..1a
Independent expenditure aupportlngloppo8lng others (explain). PelS postage, delvery and me..nger .rvlce8 TSF trlnafer between commit... of the ..me candidate/sponsor
legal deftn. PRO pror.aaIonal ..rvlces (legal, accounting) VOl voter reg/atratlon
campaign literature and maRIngs PRT print ad8 \I\EB Information technology colts Qntamet, e-mtIQ
NAME AND ADDReSS OF PAYEE AMOUNT PAID
(IF COMMI1'TEE,ALSOENTERI.D. NtMIER) CODE OR DESCRIPTION OF PAYMENT
Ffl- 't: ,ll ''':J ( 6a.\,Lo~,.-f~ s ~ t:l 0 ()
CIv- .~t\.O I
l.. ( -r frr-(\tr~ ~?^^tjn .-f.\J~S
Q. 1'<', ~ 4i 1. f 3
~ P'r\\-v'trh ~ ~W\.~o...~~1\ ~'1-u.--.s It"36,63
nent. that are contrlbutlona or Independent expendltu.... must also be summarized on Schedule D.
SUBTOTALS 3~a..( {,
Klule E Summary
nlzed payments made this period, (Include all Schedule E subtotals.) ........................ ...................................................................................... $
itemized payments made this period of under $1 00 .. ............. ..;...................... ........ ...................... .......................... ....... ................................... $
al Interest paid this period on loans. (Enter amount from Schedule a, Part 1, Column (e).) ............................................................................... $
al payments made this period. (AcId Unes 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
~-323.76
,7...LJ.-
o
334-3.76
FPPC Form 410 (JtnuarylOl)
aDD"........ ...__ U.'_H___ '''.A'..-.... ........_ -.---_ --.-