460 Semi-annual 2nd ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from __ July 1~, 200~3
Ithrough December 31, 2003
1. Type of Recipient Committee: All Committees - Complete Parts t, 2, 3, and 4.
Date of election if applical
(Month, Day, Year)
2. Type of Statement:
LJPERTINO CITY Cl
COVER PAGE
[] Officeholder, Candidate Controlled Committee O State Candidate Election Committee
(~ Recall
[] GeneraI Purpose Committee 0 Sponsored
0 Small Contributor Committee
O Political Party/Central Committee
[] Ballot Measure Committee 0 Pdmadly Formed
O Controlled
O Sponsored
[] Primarily Formed Candidate/
Officeholder Committee
[] Preelecfion Statement
[] Semi-annual Statament
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Repor~
[] Supplemental Preelection
Statement - Attach Form 495
3. Committee Information
1237120
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Elect Patrick Kwok for City Council
STREET ADDRESS (NO PO SOX)
10222 Carmen Road
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 408 777-3191
MAILING ADDRESS (~F DIFFERENT) NO. AND STREET OR PO BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAiL ADDRESS
Treasurer(s)
NAME OF TREASURER
Claudia Chang
MAILING ADDRESS
7437 Fallenleaf Lane
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 408 277-5186
NAME OF ASSISTANT TREASURER. IF ANY
Patti Nakamura
MAILING ADDRESS
3447 Cadillac Ddve
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
Executed o~ By
FPPC Toll-Free Helpline: 866/ASK-FPPC
State o! 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 STAT ZIP
10222 Carmen Road, Cupertino, CA., 95014
Related Committees Not Included in this Statement: Llstanycommi~ees
not Included in this statement that are controlled by you or are p~fmarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMI~CFEE NAME I.D. NUMBER
CONTROLLED COMMFFTEE?
[] YES [] NO
NAMEOFTREASURER
COMMIttEE ADDRESS STREET ADDRESS (NO RO, BOX)
CITY STAT ZIP CODE AREA CODE/PHONE
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STAI~ ZIP CODE AREA CODE/PHONE
COVE R PAGE - PART 2
6. Ballot Measure Committee
2
Page __
of 4
NAMEOFBALLOTMEASURE
BALLOT NO. OR LE~i-E R URISDICTION
[]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 olficehoider(s) or candldate(s) for
which this committee 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 necessary
FPPC Form 460 (June/Of)
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 1,2003
SUMMARY PAGE
through December 31, 2003 Page 3 of 4
NAME OF FILER
Claudia Chang/Elect Patrick Kwok for City Council
Contributions Received
1. Monetary Contributions ........................................... Schedu/eA, Line3
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLinesl+2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
7. Loans Made ............................................................. Schedu~ H, Lme 3
8. SUBTOTAL CASH PAYMENTS ....................................AddUnesS+7
9. Accrued Expenses (Unpaid Bills) ........ .' ...................... ScheduteF, Line3
10. Nonmonetary Adjustment .......................................... Schedu~ C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance ....................... Previous SummaryPage, Line 16
13. Cash Receipts ................................................... ColumnA, Line 3above
14. Miscellaneous Increases to Cash ........................... Schedu/e I, Line 4
15. Cash Payments .................................................. ColumnA, LineSabove
16. ENDING CASH 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 instructions on reverse
19, Outstanding Debts ......................... AddLine2+LineginColurnneabove
Column A
0
$
0
$ 0 $
0
$ 0
$ 0 $
0
$ 0 $
$ 0
$ 3887.52
0
6.73
0
$ 3894.25
$ 0
$ 0
$ 0
Column B
0
0
0 20. Contdbubens
Received
0
21. Expenditures
0 Made
LD. NUMBER
1237120
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
0
$ $
0
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounls 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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Date of Election Total to Date
(mm/dd/yy)
£__ $
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: 8661ASK-FPPC
0 0
$ $
Schedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to whole dollars,
SEEINSTRUCTIONS ON REVERSE
NAME OF FILER
Claudia Ohang/Eloct Patrick Kwok [or City Council
DATE FULL NAME AND ADDRESS OF SOURCE
RECEIVED (iF COMMITTEE ALSO ENTER f D NUMBER)
SCHEDULEI
from July 1, 2003
through~)ecember 31,200..:- 4 4
I Page of .__
LD. NUMBER
1237120
AMOUNT OF
DESCRiPTiON OF RECEIPT 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 $
6.73
6.73
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 8661ASK-FPPC