425 Semi-Annual Statement of No Activity 1-1-14 to 6-30-14Type or print in ink TA €EMENT OF NO ACTIVITY Semi - Annual Statement of Na Activity _ , �+ �,� „ , -
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
an elective office may not use this form.
See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information
information required to be provided to you pursuant to the Information Practices Act of 1977,
I.D. NUMBER
1. Committee Information 1 128747
COMMITTEE NAME
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET
CITY
OPTIONAL_ FAX I E -MAIL ADDRESS
2. Period of No Activity
STATE ZIP CODE AREACODEIPHONE
Treasurer(s)
NAME OF TREASURER
Marolyn . Chow
JUL 2 8 2014
IPERTINO CITY CLEI
use Ordy
MAILINGADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILINGADDRESS
CITY STATE ZIPCODE AREA CODEIPHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
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 14 ❑ July 1, through December 31, 20
3. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the
true and complete. I certify under penalty of perjury under the laws of the State of CE
Executed on July 28, 2014 By
DATE
to the best of my kpokyledge the information contained herein is
�or g g is n corre .
OF TREASLIPr WASSISTANT TREASURER
FPPC Form 425 (Jan/01)
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