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460 Pre-election 2nd e¢ipiont Comnlittee Typo or print in ink. 11~-,7! Campaign 8~tement II,TI Cover Page covers period a (~vemment Code Se~ions ~200-84216.5) ~ Statement Da~ of election E I 9/23/03 (Month, Day, Ye~) from SEE INSTRUCTIONS ON RE~RSE through 10/20/03 11/04/03 ~. Type of Recipient Commiffee: All Coma~s - Comple~ Pa~ 1, 2, 3, and · 2. Type of S~tement: ~ Offi~hoider, Candidate Controlled CommiEee ~ BallotMeasumComm~ee ~ Pmele~lenStatement ~ StateCa~idateEle~ionCommiUee ~ PHmari~Fo~ed ~ ~mi-annualStatement O Re~ll ~ Control~d ~ Te~leation Statement (~co~5) O Sponsored (AI~ C~Pa86) ~ A~ndment (~plain below) ~ General Pu~ose CommiEee ~ Sponsored ~ P~maH~Fo~edCandidate/ ~ Small Contributor CommiEee Offi~holder Comm~ee ~ Pol~i~l Pa~/Centml Commiffee [] Quarterly Statement [] Spedal Odd-Year Report [] Supplemental Preelection Statement - Altach Form 495 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kris Wang for City Council STREET ADDRESS (NO P.O. BOX) 7645 Dumas Drive CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-257-7516 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 Amy Yang MAILING ADDRESS 7645 Dumas Drive CITY STATE ZiP CODE AREA CODE/PHONE Cupertino CA 95014 408-257-7516 NAME OF ASSISTANT TREASURER, IF ANY Lucy Lu MAILING ADDRESS 7645 Dumas Drive CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-257-7516 OPTIONAL: FAX I E-MAIL ADORESS 4. Verification I have used all reasonable diligence in preparing and reviewing this slatement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perju~/under the laws of the State of California that the foregoing ,.---,~ .~ Executed on By ecipient Committee Campaign Statement Cover Page -- Part 2 Type or print In ink. COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kris Wang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMSER IF APPLICABLE) City Council, City of Cupertino RESIDENTIAIJBUSINESS ADDR ESS (NO. AND STREET) C~TY STATE ZIP 7645 Dumas Drive, Cupertino, CA 95014 Related Committees Not Included in this Statement: List any committee$ nor 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 I.D. NUMBER none NAME OF TREASUR ER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CtTY STATE ZIP CODE AREA CODE/PHONE COMMI3~'EE NAME ID NUMBER [] YES [] NO NAME OF TREASURER CONTROLLED COMMI~J'EE? COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee 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 Llstnamesofof~ceholder(s) or candldate(s) for which this committee Is prfmarily formed. NAME Of OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFtCEHOLDER 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 450 (Junei0t) FPPC Toll-Free Helpline: 8661ASK-FPPC 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 9/23/03 SUMMARY PAGE through 10/20/03 Page '~ of ~ ~ NAME OF FILER ID. NUMBER Contributions Received 1. Monetary Contributions ........................................... ScheduleA. Une 3 2. Loans Received ...................................................... Schedule B, Line 3 3, SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTALCONTRIBUTIONS RECEIVED ........................... AddLines3+4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line3 10. Nonmonetary Adjustment .......................................... schedu/e C. Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ...................... ~,mv/ous SummaryPage, Line 16 13. Cash Receipts ..................................................Column A. Line 3 above 14. Miscellaneous Increases to Cash ........................... $chedulel, Line4 15. Cash Payments ..................................................C~lurrmA, Lineaabove 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement. Line f6 must be ze~o. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 Cash Equivalents and Outstanding Debts 18, Cash Equivalents ....................................... See inst/uctions on revet~e 19. Outstanding Debts ......................... AddLine2+LineginCo~umnaabove Column A Column B 3909.00 19090.00 $ 0 0 $ 3909.00 $ 19090.00 0 0 $ 3909.00 $ 19090.00 $ 9718.56 $ 13202.09 0 0 $ 9718.56 $ 13202.09 5500.00 5500.00 0 0 $ 15218.56 $ 18701.09 $ 11697.47 3909.00 0 9718.56 $ 5887.91 0 $ $ 0 $ 5500.00 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 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date $ $ $ $ Expenditure Limit Summary for State Candidates Date of Election Total to Date (mm/dd/yy) / / __/ I $ __/ / $ __J / $ / / $ __/ / $ *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 chedule A Type or print in ink, SCHEDULE A through 10/20/03 Ipage 4.~ of / D SEE iNSTRUCTIONS ON REVERSE Kris Wang I i';5~379 IF AN INDIVIDUAL, ENTER AMOUNT CUMULAT~VETO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMrrTEE'ALSOENT~R~'D NUMBER) CODE 'e (tFSELF~MPLOYED, ENTERNAME PERIOD (JAN 1 - DEC 31) (IF REQUIRED) ~]IND 9123/03 Trude Ko []coM Engineer, HP 100 100 12164 Farr Ranch Rdl., [-~OTH Saratoga, CA 95070 [] pTY []scc [][ND 9/23/03 Martin Lin []COM Investment, self 100 100 67 Watemide Circle [] OTH Redwood city, Ca 94065 [] PTY []scc I~IND 9/23/03 Tr0County Apartment Association - PAC []COM 200 200 FPPC#810014 ~IOTH 792 Meddian Way, Suite A [] PTY San Jose, CA 95126 •scc []~ND 0~23~03 Lung Chu []COM VP, Magma Design 100 100 21059 Manita Ct., FqOTH Automation Cupertino, CA 95014 [] PTY [] scc []~ND 10/15/03 Laura Dean lqCOM Homemaker 100 100 22159 Rae Lane []OTH Cupertino, CA 95014 [] PTY [] scc SUBTOTALS Schedule A Summary 1. Amount received this period - contributions of $100 or more. 1600.00 (include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized contributions of less than $100 ............................................. $ 2309.00 3. Total monetary contributions received this period. 3909.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ *Contributor Codes IND - Individual COM - Recipient Committee (other than PrY or SCC) OTH - Other PTY- Political Party SCC- Small Contributor CommiUee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT.) Vlonetary Contributions Received Amountsmayberoundedtowholedollars. St={ei~,=ntcoversperiod ~ ~ ~ from 9/23/03 ~11. through. 10120/03~of [ ~ ~AME OF FILER I.D. NUMBER Kris Wang [ i';5~;~;;R iF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO BATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED {I~COMMITTEE, ALSOENTERID NI~MBER) CODE * (IFSELF~J~IPLOYED,ENTERNAME PERIOD (JAN. I * DEC* 31) (IF REQUIRED) OF BUSINESS) r~IND 100 100 10/15/03 Pacific Gas and Electric Company I~COM State/Local PAC []OTH 77 Beale Street [] PTY San Francisco, CA 94177 r~scc []IND 10/15/03 Lee Yu []COM Marketing, Agilent 100 100 21366 Amulet Drive []OTH Technologies Cupertino, CA 95014 [] PTY [~scc []IND Realtor, Charter 100 100 10/15/03 ,James Tong []COM 4048 Piedmont Terr. []OTH Properties Fremont, CA 94539 [] PTY [~SCC []IND Former California 100 100 10/15/03 Ted Lempert []COM P.O.Box 2966 r-] OTH Assemblyman Redwood City, CA 94064 [] PTY r~scc []IND 100 100 10/15/03 Yeh's Developments, LLC r~coM 1580 Oakland Road Suite C-109 []OTH San Jose, CA 95131 [] PTY []scc SUBTOTALS *Contributor Codes IND - Individual COM- Recipient Committee (other than pTY or SCC) OTH - Other PTY - Political Party SCC- Small Contributor Committee FPPC Form 460 (Junel01} FPPC Toll-Free Helpline: 8661ASK-FPPC chedule A (Continuation Sheet) ~y~ or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts maY be rounded S[~[=,,~=nt covem period ~i~ ~~ to whole dollars. from 9/23/03 through 10/20/03 I Page a/'~ of ~IAME OF FILER I.D. NUMBER Kris Wang IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMITTEE'ALSOENTERI'D'NUMBER) CODE ~' (IFSELF-EMPLOYED.ENTERNAME PERIOD (JAN. I ' DEC. 31) (IF REQUIRED) []IND 100 1 O0 10/15/03 WY Heritage Grove, LLC []COM 1630 Oakland Rd., A2_15 []OTH San Jose, CA 95131 [] PTY []scc []IND 100 100 10/15/03 Courtyard, LLC []COM 1630 Old Oakland Road []OTH San Jose, CA 95131 [] PTY [] scc []~ND 100 100 10/15/03 Modec Co., Inc. []COM 1580 Old Oakland Road Suite []OTH San Jose, CA 95131 [] PTY ~lscc []IND Farmer Insurance 100 100 10/15/03 Dennis Whittaker []COM 20622 Cheryl Drive []OTH Cupedino, CA 95014 [] PTY []scc ~]IND 10/15/03 Dolores Sandoval []COM Cupertino City 100 100 10720 Alderbrook Ln. []OTH Councilmember Cupertino, CA 95014 [] PTY []scc SUBTOTALS *Contributor Codes COM- Recipient Commiltee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONS ON REVERSE NAME OF FILER Kris Wang Statement covers period from 9/23/03 10/20/03 through Page SCHEDULE E of I,D. NUMBER 1257379 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QVP campaign paraphernalia/misc. CNS campaign consultants C'rB contribution (explain nonmonetary)* CVC civic donations FiL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications k, fi-G meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL polling and sun/ay research postage, delivery and messenger services PRO professional services (iegal, accounting) PRT pdnt ads RAD radio ainime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable ainime and production costs TRC candidate travel, lodging, and meals *I~S staff/spouse travel, lodging, amd meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (iF CO MMiTTEE. ALSO ~TER I O. NUMAR) COnE OR DESCRIPTION OF PAYMENT AMOUNT PAID Spotlight Printing Brochures 725 Bryant Street LIT 5872.56 San Francisco, CA 94107 US Postmaster Postage POS 1250.78 Top Notch Data Mailing labels 312 Brokaw Road LIT 507.50 Santa Clara, CA 95050 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 9718.56 1. Payments made this period of $100 or more. (include all Schedule E subtotals.) .................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 0 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 $ 9718.56 FPPC Form 460 (dunel01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule E (Continuation Sheet) Payments Made SEEINSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement corem period from 9/23/03 SCHEDULE E (CONT.) through 10/20/03 Page (~ of /9 NAME OF FILER Kris Wang CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernaliaJmisc. CNS campaign consultants CTB contribution (explain nonmonctaPJ)* CVC civic donations RL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings LO. NUMBER 1257379 k~R member communications MTG meetings and appearances O~:C office expenses PET petition circulating Fl--ID phone banks POL polling and survey research POS postage, delivery and messenger services FRO professional services (legal, accounting) PAT print ads PAD radio airtime and production costs RFD returned contributions SAL campaign workers' salades TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VDT voter registration V~EB information technology costs (infemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Fry's Electronics Supplies 600 East Hamilton Ave CFC 122.78 Campbell, CA 95008 Hong Fu Restaurant Fundraising luncheon 20588 Stevens Creek Blvd. FND 1670.00 Cupertino, CA 95014 Cary Chien M/sc office expenses 7645 Dumas Dr. CFC 294.94 Cupertino CA 95014 * Payments that are contributions orindependent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollam. Statement covers period from 9/23/03 10/20/03 through Page SCHEDULEF of /D NAME OF FILER Kris Wang CODES: If one of the following codes accurately describes the GVP campaign paraphernalia/misc. MBR CNS campaign consultants contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* legal defense ID. NUMBER 1257379 payment, you may enter the code. Otherwise, describe the payment. member communications MTG meetings and appearances OFC office expenses pebtion circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries T~_ t.v. or cable aiffime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer bekveen committees of the same candidate/sponsor VeT voter registration LiT campaign literature and mailings PRT print ads WE~ information technology costs (internet, e-mail) {a) lb) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT ~NCURRED AMOUNT PAID OUTSTANDING (IF COMMI~r~, AL~O ENTER ID. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD TH~S PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E~ OF THIS PERIOD Diana Hong 461 Chantecler Drive LIT 500 500 0 1000 Fremont, CA 94539 Spotlight Printing 725 Bryant St LIT 0 2500 0 2500 San Francisco, CA 94107 US Postmaster POS 0 1000 0 1000 * Payments that are contrith~ions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (bi subtotals for 5500.00 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 Eom Line 1. Enter the difference here and 5500.00 on the Summary Page, Column A, Line 9.) ..................................................................................................................................... NET $ FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded from through NAME OF FILER Kds Wang to whole dollam. Statement covem period ~/23/03 10/20/03 SCHEDULE F (CONT.) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ctv~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events I,D independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings MBR member communications MTG meetings ar~l appearances DFC office expenses PET petition circulating Pt-ID phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT pdnt ads * Payments that are contributions or independent expenditures must als o be summarized on Schedule D. PAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries T~_ t.v, or cable airtime and production costs 'IRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WI~B information technology costs (internet, e-mail) la) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMM~TTEEr ALSO ENTER 1.{3 NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) O F THIS PERIOD Top Notch Data 312 Bmkaw Road LIT 1000 1000.00 Santa Clara. CA 95050 SUBTOTALS $ $ $ $ FPPC Form 460 t June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC