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460 Recipient Committee Campaign Statement - Semi-Annual 07-01-2016 to 12-31-2016 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 07/01/2016 through 12/31/2016 1. Type of Recipient Committee: All Committees-complete Parts 1,2,3,and 4. ® Officeholder,Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1364110 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 4. Paul for Council 2014 STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS COVER PAGE Date of election if applicable: JAN 6 — 2017 Page 1 of 3 (Month, Day, Year) Vor Official Use Only WPER.Tsi` CITY C E G R 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Ae Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement-Attach Form 495 ❑ Amendment(Explain below) Treasurer(s) NAME OF TREASURER Sharon Lee MAILING ADDRESS 20345 Via Volante CITY STATE ZIP CODE AREA CODE/PHONE CA 95014 951-333-3810 NAME OF ASSISTANT TREASURER, IF ANY Darcy Paul MAILING ADDRESS 20345 Via Volante CITY STATE ZIP CODE AREA CODE/PHONE CA 95014 408-617-0802 OPTIONAL: FAX/E-MAIL ADDRESS 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 ofthe State of California that the foregoing is true and of cr,�„c�r Executed on Date By Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Recipient Committee Type or print in ink. COVERPAGE-PART2 Campaign Statement OFFICE SOUGHT OR CAUFORNIA 460 ' Cover Page—Part 2 FORM Page 2 of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Darcy Paul NAME OF OFFICEHOLDER OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Cupertino City Council ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Cupertino CA 95014 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 OR CANDIDATE 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT 7• Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? ❑ OPPOSE officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES F-1 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) 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 ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded to dollars. Statement covers period - Whole • ' 07/01/2016 - from • SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 3 of 3 NAME OF FILER I.D. NUMBER Paul for Council 2014 1364110 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Prima and 9 Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $ 2. Loans Received ...................................................... schedule a,Line 3 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines I+2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ $ Candidates 7. Loans Made............................................................. Schedule H,Line 3 8. SUBTOTALCASH PAYMENTS Add Lines 6+7 $ $ 22. Cumulative Expenditures Made* .................................... (lf Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)............................... Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment.......................................... Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................ Add Lines 8+s+10 $ $ —� J $ Current Cash Statements $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 1764.40 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above amounts in Column A to the 14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15.Cash Payments......................... ....................... Column A,Line 8 above report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 1764.40 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 from Lines 2,7,and 9(if any). 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 5,000 FPPC Form 460(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772)