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460 Semi-Annual 2nd ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEEINSTRUCTIONS ON REVERSE Statement covers period Date of election if ap from July 1,2002 (Month, Day, Yea through December 31, 2002 / CUr [] Ballot Measure Committee (~) Primarily Formed (~) Controlled 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [] Officeholder, Candidate Controlled Committee (~ State Candidate Election Committee (~ Recall (Also Complete PaR 5) [] General Purpose Committee O Sponsored (~ Small Contributor Committee (~) Political Party/Central Committee 2. Type of Statement: [] Preelection Statement [] Semi-annual Statement [] Termination Statement :RTINO CITY CLEI [] Quarterly Statement [] Special Odd*Year Report [] Supplemental Preelection COVER PAGE 0 Sponsored [] Primarily Formed Candidate/ Officeholder Committee [] Amendment (Explain below) Statement - Attach Form 495 3. Committee Information Jl.o. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Elect Patrick Kwok for City Council STREET ADDRESS (NO PO BOX) 10222 Carmen Road CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 (408) 777-0809 Treasurer(s) NAME OF TREASURER Claudia Chang MAILING ADDRESS 2313 Samaritan Drive #3 CITY STATE ZIP CODE AREA CODE/PHONE San Jose CA 95124 (408) 371-3108 NAME OF ASSISTANT TREASURER, IF ANY Patti Nakamura MAILING ADDRESS 3447 Cadillac Drive CiTY STATE ZIP CODE AREA CODE/PHONE San Jose CA 95117 OPTIONAL FAX / E-MAIL ADDRESS 4. 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 ?'~'~ Executed on ,~anua,), By · Ex~cuted on Janua_ By Executed on. By FPPC Toll-Free Helpline: 866/ASK-FPPC State of California ecipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Patrick Kwok OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Cupertino Council Member RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STALE ZIP 10222 Carmen Road, Cupertino, Ca., 95014 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. COMMITTEE NAME ID. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMI~FEE ADDRESS STREET ADDRESS (NO P.O BOX) CITY STA';~ ZIP CODE AREA CODE/PHONE COMMI~i-EE NAME LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO PO BOX} CITY STATE ZIP CODE AREA CODE/PHONE COVE R PAGE- PART 2 6. Ballot Measure Committee Page__2 of 4 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION [] 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 Committee List names of offTceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE FFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE ,FFICE 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 Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1,2002 SUMMARY PAGE through December 31, 2002 Page ~3 of 4~ NAME OF FILER Claudia Chang/Elect Patrick Kwok for City Council Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTALCASHCONTRIBUTIONS ......................... Add Lines I +2 4. Nonmonetary Contributions .................................... Schedule C, Li~e 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... AddLinese+7 9. Accrued Expenses (Unpaid Bills) ............................... Schedu/eEUne3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + lO Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summao~ Page, Line 16 13. Cash Receipts ................................................... CelumnA, Dne3above 14. Miscellaneous Increases to Cash ........................... Schedule/, Line4 15. Cash Payments .................................................. ColumnA, Lineaabove 16. ENDINGCASH BALANCE .......... Add Lines 12 + 13 + 14. then subtract Line 15 If this is a termination statement, Line 16 must be zero 17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See ~nstructions on reverse $ 19, Outstanding Debts ...................... AddLine2+LmeginColumnBabove $ ColumnA TOTAL THIS PERI~ (FROM ATTACHED SCHEDULES) 0 $ 0 $ 0 $ 0 $ 0 $ $ 0 $ 0 $ 0 $ 0 0 $ 0 3862.06 0 15.17 0 $ 3877.23 Column B C^LENOARy*F~AR TOTALTODATE $ To calculate Column B, add amounts in Column A to 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 repor[ being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 1237120 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20, Contdbutions Received 21. Expenditures Made 1/1 through 6/30 711 to Date $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) __J.__J___ · ~__ $ / /___ $ __J.__J___ $ ~__l___ $ __J.__J___ $ *Since January 1. 2001. Amounts in this section may be different from amounts repoded in Column B FPPC Form 460 {Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. from July 1,2002 through 3ecember 31,200~ SCHEDULE I 4 4 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Claudia Chang/Elect Patrick Kwok for City Council 1237120 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (~F COMMITTEE, ALSO ENTER ID NUMBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ 0 2. Unitemized increases to cash under $100 this period ............................................................................................... $ 15.17 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 15.17 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC