425 Semi-Annual Statement of No Activity 01-01-13 thru 06-30-13Semi - Annual Statement of No Activity
Type or print in ink
For use by recipient committees that have not received any contributions and have not made any expenditures
during the six -month period covered by a semi - annual statement. Candidate controlled committees formed for
an elective office may not use this form.
See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and
information required to be provided to you pursuant to the Information Practices Act of 1977.
I.D. NUMBER
1. Committee Information Treasurer(s)
COMMITTEE NAME NAME OF TREASURER
Cupertino Chamber PAC Matt Wheeler
�Dt
JUN 14 2013
UPERTINO CITY CLEF
STATEMENT OF NO ACTIVITY
For Official Use Only
MAILING ADDRESS 4
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET NAAn INr,AnnRF.q.q
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX/ E -MAIL ADDRESS OPTIONAL: FAX/ E -MAIL ADDRESS
info @cupertino- chamber.org
2. Period of No Activity
No contributions have been received and no expenditures have been made during the period covering the dates below:
Check one of the following boxes and complete the year. @January 1, through June 30, 20 13 0July 1, through December 31, 20
3. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein is
true and complete I certify under penalty of perjury under the laws of the State of California that the foregoin . true and correct.
Executed on By !� -
DATE SIGNATURE OF TREASURERIASSISTANTTREASURER.,
FPPC Form 425 (Jan /01)
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