460 Recipient Committee Campaign Statement termination 12-31-2010 i "1 ( ,) 7 d m , COVER PAGE
i ��
Recipient Committee Type or print in ink.
Campaign Statement �,4,LJFORNIA =oRM 460
Cover Page JAN 1 ;
I
(Government Code Sections 84200- 84216.5) 1 of 4
Statement covers period Date of election if appli: able:
( Month, Day, Year) For Official Use Only
from 07/01/2010 CUPERTINO CITY CLE'
SEE INSTRUCTIONS ON REVERSE through 12/31/2010 11/03/2009
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
O Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee ❑ Semi- annual Statement ❑ Special Odd -Year Report
O Recall 0 Controlled ® Termination Statement
❑ Supplemental Statement - Attach tach Form (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment (Explain below)
O Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party /Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER Treasurer(s)
1319625
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Darcy Paul for Cupertino City Council 2009 Betsy Shoup
MAILING ADDRESS
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
Same
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL 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 complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true
State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
State of California
• Type or print in ink. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
Cover Page — Part 2
Page 2 of 4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Darcy Paul
• OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
City Council ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy. -
COMMITTEE NAME I.D. NUMBER •
•
/Offi andidate C- -- th e Liz: names of
NAME OF TREASURER CONTROLLED COMMITTEE? Primarily FormedC Candidate/Officeholder
officeholder(s) or candidate(s) for which this committee is primarily formed.
• ❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY - STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA
Summary Page to whole dollars. 460
from 07/01/2010 FORM
SEE INSTRUCTIONS ON REVERSE
through 12/31/2010 Page 3 of 4
NAME OF FILER I.D. NUMBER
Darcy Paul for Cupertino City Council 2009 1319625
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and
(FROM ATTACHED SCHEDULES) TOTAL TO DATE g ry
General Elections
1. Monetary Contributions Schedule A, Line 3 $ $
1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B, Line 3
Contri
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ $ 20 Receivedons $ 370.00 $
4. Nonmonetary Contributions Schedule C, Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED AddLines3 +4 $ $
Made $ $ 1,547.14
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E, Line 4 $ 1,547.14 $ 1,547.14 Candidates
7. Loans Made Schedule H, Line 3
1 ,547.14 1,547.14 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ $ (If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) . Schedule F, Linea Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C, Line 3 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 1,547.14 $ 1,547.14 / $
Current Cash Statement / —__i $
Beginning C ash Balance Pre vious Summary Page, Line 16 $ 1
12. Be
9 9 To calculate Column B, add
13. Cash Receipts Column A, Line 3 above amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash Schedule 1, Line 4 from Column B of your last reported in Column B.
• 15. Cash Payments Column A, Line 8 above 1,547 report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts any) Lines 2, 7, and 9 (if
18. Cash Equivalents See instructions on reverse $ .
19. Outstanding Debts Add Line 2 +Line 9 in Column B above $ FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
•
•
Schedule E SCHEDULEE
Type or print in ink. Statement covers p
Payments Made Amounts may be rounded CALIFORNIA 460
y to whole dollars. 07/01/2010 FORM
- from
SEE INSTRUCTIONS ON REVERSE
through 12/31/2010 Page 4 of _ 4
NAME OF FILER I.D. NUMBER
Darcy Paul for Cupertino City Council 2009 1319625
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
UV campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals
IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Jean Paul Partially returned contribution
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,547.14
Schedule E Summary -
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 1,547.14
2. Unitemized payments made this period of under $100 $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 1,547.14
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
•