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460 Recipient Committee Campaign Statement - Semi Annual 07-31-2016 to 12-31-2016 Recipient Committee Campaign Statement Cover Page from Statement covers period 7/1/2016 SEE INSTRUCTIONS ON REVERSE 1/ By Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder,Candidate,State Measure Proponent By Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:,advice @fppc.ca.gov)866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAMt OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESSADDRESS (NO,ANDSTREET) CITY STATE ZIP 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 contributions or make expenditures on behalf of your candidacy. � Ivllvl!"cc NmlvIt I I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES [I NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D.NUMBER NAME OFTREASURER CONTROLLED COMMITTEE? ❑YES [:1 NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE-PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure D (Vallco)& Measure E (Toll Brothers) BALLOT NO.OR LETTER JURISDICTION D& E (2006) City of Cupertino El t9 SUPPORT OPPOSE Identify the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s)or candidate(s)for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑OPPOSE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cupertino Against Re-zoning (CARe), NO on Measures D&E Contributions Received 1. Monetary Contributions................................................... schedule A,Line 3 $ 2. Loans Received................................................................ Schedule B,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ 4. Nonmonetary Contributions............................................ schedule C,Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .......................schedule F Line 3 .................................... Add Lines 3+4 $ Expenditures Made 6. Payments Made................................................................ schedule E,Line 4 $ 7. Loans Made....................................................................... Schedule H,Line 3 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6+7 $ 9. Accrued Expenses(Unpaid Bills)................... .......................schedule F Line 3 10. Nonmonetary Adjustment......................................................... schedule C,Line 3 11. TOTAL EXPENDITURES MADE........................................ Add Lines 8+9+io $ Current Cash Statement 12.Beginning Cash Balance............................ Previous summary Page,Line 16 $ 13.Cash Receipts........................................................... Column A,Line 3 above 14.Miscellaneous Increases to Cash.................................. schedule 1,Line 4 15.Cash Payments......................................................... Column A,Line 8 above 16.ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ if this is a termination statement, Line 16 must be zero. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 3000.00 0 3000.00 0 0 $ 3000.00 $ 5592.93 0 3000.00 2592.93 17.LOAN GUARANTEES RECEIVED................................ Schedule B,Part $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instructions on reverse $ 0 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column B above $ 0 Statement covers period 7/1/2016 from through. Column B CALENDAR YEAR TOTAL TO DATE 0 4050.00 0 4050.00 0 0 4050.00 To calculate Column B, add amounts in Column Ato the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2,7,and 9(if any). 12/31/2016 SUMMARY PAGE 3 5 Page of I.D.NUMBER 1287457 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) -J_J $ -J_J $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE .�- yr 1.1- Cupertino Against Re-zoning (CARe), NO on Measures D &E DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Committee Supporting Cupertino Citizens' 10/2/2016 Sensible Growth Initiative(FPPC#1381645) Measure C (2016) 0 Support ❑ Oppose Support ❑ ❑ Support ❑ Oppose Amounts may be rounded to whole dollars. TYPE OF PAYMENT l� Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure DESCRIPTION (IF REQUIRED) This committee also opposed Measure D. Statement covers period SCHEDULE D CALIFORNIA from 7/1/2016 FOR 460 through 12/31/2016 Page 4 of 5 9 I.D.NUMBER 1287457 CUMULATIVE TO DATE PER ELECTION AMOUNTTHIS CALENDAR YEAR TO DATE PERIOD (JAN.1-DEC.31) (IF REQU I RED) 3000.00 1 3000.00 SUBTOTAL $ 3000.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)..................................................... 3000.00 2. Unitemized contributions and independent expenditures made this period of under$100....................................................................................$ 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)e. 3000.00 ).•••.•••.. TOTAL..$ FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Cupertino Against Re-zoning (CARe), NO on Measures D&E Amounts may be rounded to whole dollars. SCHEDULE E btatement covers period CALIFORNIA from ' 7/1/2016 O • 12/31/2016 5 5 through Page of 1287457 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution(explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL campaign workers'salaries FIL candidate filing/ballot fees PHO phone banks TEL t.v.or cable airtime and production costs FND fundraising events POL polling and survey research TRC candidate travel,lodging,and meals IND independent expenditure supporting/opposing P p pporting/opposing others(explain)* POS postage,delivery and messenger services TRS staff/spouse travel,lodging,and meals LEG legal defense PRO professional services(legal,accounting) TSF VOT transfer between committees of the same candidate/sponsor LIT campaign literature and mailings PRT print ads voter registration 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 ommlttee supporting Cupertino Citizens' ensl a urowth Initiative FPPC#1381645 CTB 3000.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)....................................... 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 3000.00 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov