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"#ffis'\
Committee
Q Controlled
Q Sponsored(Also Complete Paft 6)
! Primarily Formed Candidate/Officeholder Committee(AlsoComplete PartT)
I.D. NUMBER
Recipient CommitteeGampaign StatementGoverPage(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1 . Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4.
n Officeholder, Candidate Controlled Committee I Primarily Formed Ballot Measure
2. Type of! PreelectionStatement
fl Semi-annualStatement
I TerminationStatement(Also file a Form 410 Termination)
fl Amendment (Explain below)
COVERPAGE
O State candidate Election Committee
Q Recall(AlsoCwplete Pad 5)
I General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
3. Committee lnformationCOMMITTEE NAIME (OR CANDIDATE'S NAME IF NO COMMITTEE)
santsa clara County Public safeLy AIIiance
nnn
Quarterly Statement
Special Odd-Year Report
Su pplemental PreelectionStatement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
ING ADDRESS
1155 Meridian Avenue, #214CITY
San Jose, CA 95L25
STATE ZIP CODE AREA CODE/PHONE
1408) 978-2064
CITY STATE ZIP CODE AREA CODE/PHONE
ffiRER,TFANY
Ten Almaden Boulevard, Suite l-250CITY STATE ZIP CODE AREA CODE/PHONE
San Jose. CA 95113 (4nA) 2?1 -?24qOPTIONAL: FAX / E-MAIL ADDRESSOPTIONAL: FAX / E-MAIL ADDRESS
4. verification
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed . tl '> e ' ll
Executed on
Executed on
Executed on
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By
Bv-'
--
Sgnature of controlling officeholder' candidate. State lveasure Proponen(
---------Gnatu@acontrolling
officeholder, candidate. State Measure ProponenlFPPC Form 460 (January/0s)
FPPC Toll-Free Helpline: 866/A5K-FPPC (866127 r37721State of California
STREET ADDRESS (NO P.O. BOX)
1155 Meridian Avenue, +214
By
Type or print in ink.
RecipientGommitteeCampaign Statement
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUIV!BER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Gommittees Not lncluded in this Statement: Listanycommitteesnot included in this statement that are controlled by you or are primarily formed to receivecontrihutions or make expenditures on behalf of your candidacy.
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY SIATE ZIP CODE AREA CODE/PHONE
COMMITTEEADDRESS STREETADDRESS (NO PO. BOX)
STA]E ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
5. Primarily Formed Ballot Measure Commiftee
ldentify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Primarily Formed Candidate/Officeholder Committee List names orofficeholder(s) or candidate(s) for which this committee is primarily formed.
Attach continuation sheefs if necessary
7.
CITY
BALLOT NO. OR LETTER
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
CONTROLLED COMMITTEE?
nYES nNo
CONTROLLED COMMITTEE?
n YES fl No
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD n suPPoRrtr oPPosE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I suPPoRT
T OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ! suPPoRT
n oPPosE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD f] SUPPoRT
! oPPosE
FPPC Form 460 (January/os)FPPC Toll-Free Helpline: 866rA5K-FPPC (8661275-3772)
State of California
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Gampai g n Disclosu re StatementSummary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Santa CLara County PubIic Safety Alliance
Gontributions Received
1. Monetary Contributions schedute A, Line 3
2. Loans Received ................. schedute B, Line 3
3. SUBTOTALCASH CONTRIBUTIONS Add Lines 1 + 2
4. Nonmonetary Contributions schedute c, Line 3
5. TOTALCONTRIBUTIONS RECEIVED .....AddLines3+4
Expenditures Made6. Payments Made............ schedute E, Line 4
7. Loans Made schedute H, Line 3
8. SUBTOTALCASH PAYMENTS .................. AddLines6+7
9. Accrued Expenses (Unpaid Bills)...............................Sched1tteF,Lines
10.NonmonetaryAdjustment.................. ..schedutec,Line3
11. TOTALEXPEND|TURESMADE................................AddLinesB+s+10
Current Cash Statement'12. Beginning Cash Balance ..-.................... preyious Summary page, Line 16
13. Cash Receipts ....... Cotumn A, Line 3 above
14. Miscellaneous lncreases to Cash schedule I. Line 4
'l 5. Cash Payments..... Cotumn A, Line I above
1 6. ENDING CASH BAI-ANCE .......... Add Lines 1 z + 1 3 + 1 4, then subtract Line 1 s
/f thls is a termination statement. Line 16 must be zero.
Type or print in ink.Amounts may be rounded
to whole dollars.
Column ATOTALTHIS PERIOD
(FROi/l ATTACHED SCHEDULES)
0.00
0.00
Golumn BCALENDAR YEAR
TOTALlO DATE
0 .00
0.00
0.00
0.00
SUMMARYPAGE
Calendar Year Summary for GandidatesRunning in Both the State Primary andGeneral Elections
1/1 through 6/30 7/1 to Date
20. ContributionsReceived S- $-
21. ExpendituresMade $- $-
Expenditure Limit Summary for StateCandidates
22. Cumulative Expenditures Made*(lf Subiect to Voluntary Expenditure Limit)
Date of Election(mm/dd/yy)
Total to Date
0.00
0.00
0.00 0.00
60. o0 60.00
0.00
319.00
0.00
379.00
420 .'75
0. oo
60.00
To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. lf this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).
$
$
.Amounts in this section may be different from amountsreported in Column B.
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/A5K-FPPC (866127 5-377 2'l
60.00
360.75
17. LOAN GUARANTEES RECEIVED Schedu/e B, parl z $ o . oo
Gash Equivalents and Outstanding Debts18. Cash Equivalents See insfructions on reverse
19. Outstanding Debts ... AddLine2+LinesinCotumnBabove
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$
$
Statement covers period
or/or/2or|
o6/3O/2OLL
I.D. NUMBER
t2ar451
Schedule EPayments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Santa Clara County Safety AlIiance
CIF campaign paraphemalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independentexpenditure supporting/opposing others (explain)-LEG legal defenseLIT campaign literature and mailings
Type or print in ink.Amounts may be rounded
to whole dollars.
MBR membercommunicationsMTG meetings and appearancesOFC office expensesFEt petition circulatingPl-lO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesFRO professional services (legal, accounting)PRT print ads
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registration\AEB information technology costs (internet, e-mail)
Statement covers period
from oL/oL/2oLI
06/3o/2oLL
GODES: lf one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
NAME AND ADDRESS OF PAYEE(lF COI\,IMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYIVIENT
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00
Schedule E Summary
4. Total payments made this period. (Add Lines 1 ,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......... TOTAL $
0.00
50.00
0.00
60.00
FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/A5K-FPPC 1866127 5-377 2l
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SCHEDULE F
Statement covers period
ftom 0r/ot/20L1,
o6 /.ao /2011
I.D. NUMBER
12 814 51
Schedule FAccrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Santa clara county Public Safety Alliance
CODES: lf one of the following codes accuratelyCtlP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising events
Type or print in inkAmounts may be rounded
to whole dollars.
payment, you may enter the code.member communicationsmeetings and appearancesoffice expensespetition circulatingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print ads
Otherwise, describe the payment.RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTEL t.v. or cable airtime and production costsIRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
IND independentexpenditure supporting/opposing others (explain)*
LEG legal defenseLtT campaign literature and mailings
describes theMBRMTGoFcFET
Pt-0POLPOSPROFRT
NAME AND ADDRESS OF CREDITOR(F COIVMITTEE. ALSO ENTER I.D. NUMBER)
CODE ORDESCRIPTION OF PAYMENT
(alOUTSTANDING
BALANCE BEGINNINGOF THIS PERIOD
(b)AMOUNT INCURRED
THIS PERIOD
(clAMOUNT PAIDTHIS PERIOD
(ALSO REPORT ON E)
(dlOUTSTANDING
BALANCE AT CLOSEOF THIS PERIOD
Pirayou Law ottlce
6950 Almaden Expressway *125San ,fose , CA 9 512 0
PRO 390.00 0.00 0.00 390.00
irayou l,aw ottlce
950 Almaden Expressway #125an,Jose, CA 95120
PRO 0.00 319.00 0.00 319.00
* Payments that are contributions or independent expenditures must also besummarized on Schedule D.
SUBTOTALS $ :so.oo $ :rs. oo $ o.oo$ ?09.00
Schedule F Summary1. Totalaccrued expenses incurred this period. (lnclude allSchedule F, Column (b)subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.).............. .......... INGURRED TOTALS $
2. Total accrued expenses paid this period. (lnclude all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............. PAID TOTALS $
3. Net change this period. (Sub{ract Line 2 ftom Line 1. Enterthe difference here and
FPPC Form 460 (January/05)FPPG Toll-Free Helpline: 866/A5K-FPPC (866127 5'37721
0.00
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