Download as pdf or txt
Download as pdf or txt
You are on page 1of 12

City of Los Altos

FPPC CAMPAIGN DISCLOSURE STATEMENT

Name of Committee: Fishpaw For Council 2010

Treasurer: Jerome T. Fishpaw

DISCLAIMER:

The information contained in these pages is information as submitted by the candidates to the City
Clerk as required by the Political Reform Act of 1974 (amended). The City Clerk does not certify the
accuracy of any information contained in these pages.

The City Clerk reserves the right to modify, update, change or make improvements at any time,
without notice, and assumes no liability for damages incurred directly or indirectly as a result of
errors, omissions or discrepancies.
COVER PAGE
Recipient Committee
Campaign Statement
Type or print in ink. Date Stamp
CALIFORNIA
FORM
460
Cover Page
(Government Code Sections 84200-84216.5) CITY CLERK'S OFF~ _ _ of -l.1
Statement covers period Date of election if applicable:
(Month, Day, Year) For Official Use Only
from 07/01/10
2010 OCT - r p ;}: 3 r
SEE INSTRUCTIONS ON REVERSE through 09/30/10 11/02/10

hll.'
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
I;z] Officeholder, Candidate Controlled Committee o Primarily Formed Ballot Measure [;z] Preelection Statement o Quarterly Statement
o State Candidate Election Committee Committee o Semi-annual Statement o Special Odd-Year Report
o Recall o Controlled o Termination Statement o
(Also Complele PanS) o Sponsored (Also file a Form 410 Termination)
Supplemental Preelection
Statement- Attach Form 495
o General Purpose Committee
(Also Complele Pan 6)
o Amendment (Explain below)
o Sponsored o Primarily Formed Candidate/
o Small Contributor Committee Officeholder Committee
o Political Party/Central Committee
(Also Compiele Pari 7)

I.D. NUMBER
3. Committee Information Treasurer(s)
1329511
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER

Fishpaw for Council 2010 Jerome T. Fishpaw


MAILING ADDRESS

15 Del Monte Avenue


STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
15 Del Monte Avenue Los Altos CA 94022 650-949-5331
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER. IF ANY

Los Altos CA 94022 650-949-5331


MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS

CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS


Jarrett@Fishpaw.com Jerome@Fishpaw.com
4.
I certify

Executed on 09/30/10 By - -. ._' ••


Dale

Executed on 4 /~ I I'D
-Dale 1
By r-" ~~'\
_1,..."',....u: 'I~~---'
__ .. _I..J __ ,.......I'...I_._ .... _._ ...~~..... .... ,_,-..<L .... _

Executed on Date
By Signature of Conirolling Officeholder. Candidate, State Measure Proponent

Executed on Date
By -------,:S""igr=-='a""'u:::re"":o"'rC'='on""'r""ol"-lIn"'g"'Offi"'e<>""hC':o"'ld::-:er--;.C'='an::-:dwld::-:.'=-e,""S'::-:.,=-eM;-;"e::-:.=-su='e-':P:::ro=po=n::-:en::-'- - - - - ­
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2

5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee


NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE

Jarrett Fishpaw
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LEITER JURISDICTION
o SUPPORT
Los Altos City Council
o OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
15 Del Monte Avenue Los Altos, CA 94022
NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT

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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.

COMMIITEE NAME I.D. NUMBER

7. Primarily Formed Candidate/Officeholder Committee List names of


NAME OF TREASURER CONTROLLED COMMIITEE?
offlceholder(s) or candidate(s) for which this committee is primarily formed.
DYES o NO
COMMIITEE ADDRESS STREET ADDRESS (NO P.O. BOX)
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
COMMIITEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF TREASURER CONTROLLED COMMIITEE?

o
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
DYES NO
o OPPOSE
COMMIITEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE ANach continuation sheets if necessary

FPPC Form 460 (January/OS)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866127S-3772)

State of California

Type or print in ink. SUMMARY PAGE


Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
from
Statement covers period

07/01/10
CALIFORNIA
FORM
460
SEE INSTRUCTIONS ON REVERSE
through 09/30/10 Page 3 of 1\
NAME OF FILER 1.0 NUMBER

Fishpaw for Council 2010 1329511


ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
Running in Both the State Primary and
(FROMAnACHED SCHEDULES) TOTAL TO DATE

General Elections
1. Monetary Contributions .. Schedule A, Line 3 $ 3870 $
3870
1/1 through 6130 7/1 to Date
2. Loans Received .. Schedule B. Line 3 3000 3000
6870 6870 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .. Add Lines 1 + 2 $ $ Received $ _ $----­
4. Nonmonetary Contributions . Schedule C, Line 3 689 689
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ 7559 $ 7559 Made $ .. _ _ $ - - - - ­

Expenditures Made Expenditure Limit Summary for State


6. Payments Made .. . Schedule E. Line 4 $ 3908 $ 3908 Candidates
7. Loans Made . Schedule H, Line 3 o o
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 3908 $ 3908 (If Subject to Voluntary Expenditure Limit)

9. Accrued Expenses (Unpaid Bills) Schedule ~ Line 3 o o Date of Election Total to Date
689 689 (mm/dd/yy)
10. Nonmonetary Adjustment Schedule C. Line 3

11. TOTAL EXPENDITURES MADE ................. ..... AddLines8+9+ 10 $ 4597 $ 4597


$--------­

Current Cash Statement $----­


12. Beginning Cash Balance .. Previous Summary Page, Line 16 $
o
To calculate Column B, add
13. Cash Receipts .. .. Column A, Line 3 above
6870 amounts in Column A to the
correspon'ding amounts
14. Miscellaneous Increases to Cash .. Schedule I, Line 4
o from Column B of your last
'Amounts in this section may be different from amounts
reported in Column B.
3908 report. Some amounts in
15. Cash Payments .. .. Column A. Line 8 above
Column A may be negative
16. ENDING CASH BALANCE ........ Add Lines 12 + 13 + 14, then subtract Line 15 $
2962 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 fried
17. LOAN GUARANTEES RECEIVED . Schedule B, Part 2 $ o for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts any).
18. Cash Equivalents. See ins/nuctions on reverse $ o
19. Outstanding Debts .. Add Line 2 + Line 9 in Column B above $ 3000 FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to whole dollars.
Statement covers period

from 07/01/10
CALIFORNIA
FORM
460
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER through
09/30/10
Page
4 \\
of - ' - - -

Fishpaw for Council 2010 1.0. NUMBER


1329511

DATE FULL NAME. STREET ADDRESS AND ZIP CODE O.F CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER /.D. NUMBERI
I CONTRIBUTOR
CODE *
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)

~IND

08/24/10
oCOM Realtor 100 100
DOTH Coldwell Banker
oPTY
OSCC
IZIIND
oCOM Egg Farmer
08/29/10 250 250
DOTH Self Employed
oPTY
OSCC

Q'] IND

08/31/10
oCOM Employment Recruiter 100 100
DOTH Personalized
OPTY
Placements
OSCC

I!llIND
oCOM Retired 100
08/22/10 100
DOTH
oPTY
OSCC

Q']IND
OCOM Homemaker
09/01/10 250 250
DOTH
oPTY
OSCC

SUBTOTALS 800 I

Schedule A Summary 'Contributor Codes

1. Amount received this period - itemized monetary contributions. 2700 IND -Individual
COM - Recipient Committee
(Include all Schedule A subtotals.) $ _ (other than PTY or SCC)
.$ 1170 OTH - Other (e.g., business entity)
2. Amount received this period - unitemized monetary contributions of less than $100 . PTY - Political Party
3. Total monetary contributions received this period. SCC - Small Contributor Committee

(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. TOTAL $ 3870
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CaNT.)
Monetary Contributions Received Amounts may be rounded
to whole dollars.
from
Statement covers period

07/01/10
CALIFORNIA
FORM
460
through 09/30/10 Page 5 of 1\
NAME OF FILER I.D. NUMBER

Fishpaw for Council 2010 1329511

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR


(IF COMMITTEE. AlSO ENTER 1.0. NUMBERI
I CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)

IlIIND
Gail Hall OCOM IT Manager\
09/08/10 United Airlines 100 100
DOTH
OPTY
OSCC
flllND
OCOM
Homemaker
09/10/10 100 350
DOTH
OPTY
OSCC

IZIIND
OCOM
Retired
09/21/10 100 100
DOTH
OPTY
OSCC

IZIIND
OCOM
Insurance Broker
09/22/10 Vita Insurance 500 500
DOTH
OPTY Associates, Inc.
oscc
IZIIND
OCOM
Retired
9124110 150 150
DOTH
OPTY
OSCC

SUBTOTALS 950 I I
'Contributor Codes
IND -Individual
COM - Recipient Commil1ee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
FPPC Form 460 (January/OS)
SCC - Small Contributor Commil1ee
FPPC Toll-Free Helpline: B66/ASK-FPPC (B66/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CaNT.)
Monetary Contributions Received Amounts may be rounded
to whole dollars.
from
Statement covers period

07/01/10
CALIFORNIA
FORM
460
through 09/30/10 Page 6 of_'I

NAME OF FILER I.D. NUMBER

Fishpaw for Council 2010 1329511

DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR


(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
I CONTRIBUTOR
CODE *
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED (IF SELF·EMPLOYEO. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)

IllIND
OCOM Retired
9/25/10 100 100
DOTH
OPTY
OSCC
~IND
OCOM
Retired
9/25/10 100 100
DOTH
OPTY
osee
IllIND
OCOM
ConsultantNolunteer
9/26/10 100 100
DOTH
OPTY
OSCC

IZlIND
OCOM
Retired
9/27/10 200 200
DOTH
OPTY
osce
IZlIND
DeoM Business, Meru Networks
9/28/10 150 150
DOTH
OPTY
osce

==============S==U=B=T=O=TA=L==S====6=5=0=1=========~ _

·Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Polilical Party
FPPC Form 460 (January/OS)
SCC - Small Conlributor Committee
FPPC ToII·Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CaNT.)
Monetary Contributions Received Amounts may be rounded
to whole dollars.
Statement covers period

from 07/01/10
CALIFORNIA
FORM
460
through 09/30/10 Page 7 of I\
NAME OF FILER I.D.NUMBER

Fishpaw for Council 2010 1329511

DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR


(IF COMMInEE. ALSO ENTER I.D. NUMBER)
I CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED (IF SELF·EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)

\ZJ IND
Elayne Dauber oCOM Retired
9/29/10 100 100
DOTH
OPT'(
OSCC
olND
QlCOM
9/30/10 200 200
DOTH
OPTY
OSCC

olND
oCOM
DOTH
OPT'(
OSCC

OIND
DCOM
DOTH
OPT'(
OSCC

olND
oCOM
DOTH
OPT'(
OSCC

SUBTOTAL$ 300 [ I

-Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PT'( or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
FPPC Form 460 (January/OS)
SCC - Small Contributor Committee
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE B - PART 1
Type or print in ink.
Schedule 8 - Part 1
Loans Received
Amounts may be rounded
to whole dollars.
Statement covers period

from 07/01/10
CALIFORNIA
FORM
460
09/30/10 8_
Page _ _ of _1_1_
SEE INSTRUCTIONS ON REVERSE through
NAME OF FILER I.D. NUMBER

Fishpaw for Council 2010 1329511

FULL NAME. STREET ADDRESS AND ZIP CODE


IF AN INDIVIDUAL. ENTER •
OUTSTANDING Ib) I AMOUNT PAID
Ie)
(d)
OUTSTANDING
(el (f) (9)
CUMULATIVE
AMOUNT INTEREST ORIGINAL
OCCUPATION AND EMPLOYER BALANCE BALANCE AT
OF LENDER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
(IF SELF.EMPLOYED. ENTER BEGINNING THIS CLOSE OF THIS
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) PERIOD THIS PERIOD' PERIOD LOAN TO DATE
NAME OF BUSINESS) PERI PERIoD

Jarrett Fishpaw Business Analyst


o PAID CALENDAR YEAR

Cisco Systems o 1000 I N/A % $


1000 s 1000
o FORGIVEN RATE
PER ELECTION"

0 Is 1000 Is 0 N/A S
08/16/10
t(;lJ IND o COM DOTH D PTY o SCC DATE DUE DATE INCURRED I
I

Business Analysis
o PAID CALENDAR YEAR

Cisco Systems L._ _ _0 2000 I N/A ~ s 2000 Is 3000


o FORGIVEN RATE
PER ELECTION"

0 2000 0 N/A 09/16/10


I ~ S s S
t~ INO o COM DOTH o PTY [I SCC DATE DUE DATE INCURRED
'I I I I
o PAID CAI.ENDAR YEAR

S_

o FORGIVEN
--"R~TE
PER HEeTlON"

to IND 0 COM DOTH 0 PTY 0 SCC I I I DATE DUE I I DATE INCURR£Q

SUBTOTALS $ $ $ $ I I
(Enler te) on
Schedule B Summary Schedule E. Une 3)

3000
1. Loans received this period . ............................................. $
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes

2. Loans paid or forgiven this period $


o IND -Individual
COM - Recipient Committee
(Total Column (c) plus loans under $1 00 paid or forgiven.) (other than PTY or SCC)
OTH - Other (e.g., business entity)
(Include loans paid by a third party that are also itemized on Schedule A.)
PTY - Political Party
3000 SCC - Small Contributor Committee
3. Net change this period. (Subtract Line 2 from Line 1.) NET $
(May be a neg alive number)
Enter the net here and on the Summary Page, Column A, Line 2.

'Amounts forgiven or paid by another party also must be reported on Schedule A.


.. If required. FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule C Type or print in ink.
SCHEDULEC
Amounts may be rounded
Nonmonetary Contributions Received to whole dollars.
from
Statement covers period

07/01/10
CALIFORNIA
FORM
460
SEE INSTRUCTIONS ON REVERSE
through 09/30/10 9_ of
Page _ _ ~
NAME OF FILER
1.0. NUMBER

Fishpaw for Council 2010 1329511

IF AN INDIVIDUAL, ENTER CUMULATIVE TO


FULL NAME, STREET ADDRESS AND AMOUNTI PER ELECTION
DATE CONTRIBUTOR DESCRIPTION OF DATE
ZIP CODE OF CONTRIBUTOR OCCUPATION AND EMPLOYER FAIR MARKET TO DATE
RECEIVED CODE * (IF SELF·EMPLOYED. ENTER GOODS OR SERVICES CALENDAR YEAR
(IF COMMITIEE. ALSO ENTER 10. NUMBER) VALUE (IF REOUIRED)
NAME OF BUSINESS) (JAN 1 - DEC 31)

DIND
Structural Engineers, Inc. DCOM Printer Ink
09/23/10 4970 EI Camino Real 480 480
[;Z]OTH
Los Altos, CA 94022 DPTY
OSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 480

Schedule C Summary 'Contributor Codes


1. Amount received this period - itemized nonmonetary contributions. 480 INO -Individual
(Include all Schedule C subtotals.) $ _ COM - Recipient Committee
(other than PTY or SCC)
2. Amount received this period - unitemized nonmonetary contributions of less than $100 $ 209 OTH - Other (e.g., business entity)
PTY - Political Party
3 Total nonmonetary contributions received this period. SCC - Sma II Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 689
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULEE
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period

from 07/01/10
CALIFORNIA
FORM
460
SEE INSTRUCTIONS ON REVERSE
through 09/30/10 Page 10
__ of II
NAME OF FILER I.D. NUMBER

Fishpaw for Council 2010 1329511

CODES: If one of the following codes accurately describes the payment. you may enter the code. Otherwise, describe the payment.
CfVP campaign paraphernalia/misc, MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs
FIL candidate filing/ballot fees PI-D phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IN) independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VaT voter registration
LIT campaign literature and mailings PRT print ads \NEB information technology costs (internet. e-mail)

NAME AND ADDRESS OF PAYEE

(IF cOMMlnEE, ALSO ENTER I.D, NUMBER)


CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Victorystore.com
5200 SW 30th Street CMP 928
Davenport, Iowa 52802

Town Crier
138 Main Street PRT 2004
Los Altos, CA 94022

Jo Ann Flshpaw Reimbursement for postage stamps


175

* Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 3107

Schedule E Summary
1. Itemized payments made this period. (InclUde all Schedule E subtotals.) $ 3501
2. Unitemized payments made this period of under $1 00 $ 407
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 $ 3908

FPPC Form 460 (January/OS)


FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE E (CaNT)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
to whole dollars.
Statement covers period

07/01/10
CALIFORNIA
FORM
460
Payments Made from I

through 09/30/10 Page _1_1_ of_1_J_


SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Fishpaw for Council 2010 1329511

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
C1vP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
cm contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations F£T petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees Pf-() phone banks TRC candidate travel. lodging, and meals
FND fundrarsing events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IN) independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VaT voter registration
LIT campaign literature and mailings PRT print ads IM::B information technology costs (internet, e-mail)

NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID


(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)

Office Depot Paper and envelopes for literature


910 EI Monte Avenue 259
Mountain View, CA 94040

Main Street Cafe Coffee & Pastries


134 Main Street 135
Los Altos, CA 94022

I
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 394
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

You might also like