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460 Semi-Annual 1st Recip'ient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216,5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from January 1, 2003 through June 30, 2003 Date of election if al (Month, Day, Ye ~CUP !RTINO CITY CLEI: 1. Type of Recipient Committee: All Committees - Complete Parts t, 2, 3, and 4, [] Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall [] General Purpose Committee 0 Sponsored O Small Contributor Committee O Political Party/Central Committee [] Ballot Measure Committee 0 Pdmadly Formed 0 Controlled 0 Sponsored [] Pdmadly Fon'ned Candidate/ Officeholder Committee 2. Type of Statement: [] Pmelecben Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 COVERPAGE 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Elect Patrick Kwok for City Council STREET ADDRESS (NO P.O, BOX) 10222 Carmen Road CITY STATE ZIP CODE AREA CODE/PHONE Cupertino Ca 95014 (408) 777-3191 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 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 Executed on. Julywe21, 2003 By Executed on July 21, 2003 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 Patdck Kwok OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Cupertino Council Member RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 10222 Carmen Road, Cupertino Ca 95014 Related Committees Not Included in this Statement: List any commlttees not Included In this statement that are controlled by you or are prfmarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME LD. NUMBER [] YES [] NO NAME OF TREASURER CONTROLLED COMMrI3~E? COMMIT'rEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STA3E ZIP CODE AREA CODE/PHONE COMMri~FEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMrTTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RD, aOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 6. Ballot Measure Committee 2 Page-- 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 Llstnamesofofflceholder(s) or candldate($) for which this commlffee 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 [] SUPPORT [] OPPOSE Attach continuation sheets if necessa~ FPPC Form 460 (Junel01) FPPC Toll-Free Help#ne: 86&'ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEEINSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2003 SUMMARY PAGE through June 30,2003 Page 3 of 4 NAME OF FILER Claudia Chang/Elect Patrick Kwok for City Council Contributions Received 1. Monetary Contributions ........................................... ScheduleA, Line 3 2. Loans Received ...................................................... Schedole a, Line 3 3. SUBTOTAL CASH CONTRiBUTiONS ......................... Acid Lines I + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 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 ....................................Acid Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................... schedule~ uue3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Acici Lines a + 6 * 10 Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSurnma~lPl~ge, Une 16 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... SchedoleI, Line4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Adci Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a. Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on rewrse $ 19. Outstanding Debts ......................... AddLine2+Lie~egleColumnBabove $ Column A TOTAL THIS FERI~O $ 0 0 S 0 $ 0 $ 0 $ Column B CALENDAR YEAR TOTAL TO DA~ $ $ 0 $ 0 0 $ 0 $ 0 0 0 $ 0 $ 0 $ 3877.23 0 10.29 0 $ 3887.52 To calculate Column B, add amounts in Column A to the correspending amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous pedod 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). LO. NUMBER 1237120 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6~30 711 to Oate $ $ $ $ 20. Contdbubens Received 21. Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) __i___l___ $ __£__1___ $ __J___l___ $ __J___./___ $ __L__L__ $ *Since January 1, 2001. Amounts in this section may be different from amounts reported 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 $~,,,~nt covers to whole dollars. from January 1,2003 through June 30, 2003 SEE INSTRUCTIONS ON REVERSE 4 4 Page of __ SCHEDULEI NAME OF FILER I,D. NUMBER Claudia Chang/Elect Patrick Kwok for City Council 1237120 CATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVEC (IF COMMITFEE ALSO ENTER i D NUMBER} INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... 2. Unitemized increases to cash under $100 this period ............................................................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL 10.29 10.29 FPPC Form 460 (June/01) FPPC Toll-Free H®lpline: 8661ASK-FPPC