425 Semi-Annual Statement of No Activity 07-01-2016 to 12-31-2016 Semi-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.
1. Committee Information
CONCERNED CITIZENS OF CUPERTINO
STREET ADDRESS(NO P.O.BOX)
Nkm
I.D.NUMBER
1287471
STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS(IF DIFFERENT)NO,AND STREET
CITY
OPTIONAL: FAX/E-MAIL ADDRESS
2. Period of No Activity
STATE ZIP CODE AREA CODE/PHONE
Treasurer(s)
NAME OF TREASURER
Marolyn 0. Chow
MAILING ADDRESS
Date
FEB - 6 2011 L
IPERTINO CITY CLER
LKIIIIN
CITY STATE ZIP CODE AREA CODE/PHONE
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. ā¯‘January 1, through June 30, 20 [$]July 1,through December 31, 20 16
3. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statement
true and complete. I certify under penalty of perjury underthe laws of the State of California
FPPC Form 426 (Jan/01)
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