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460 Pre-election 3rd ecipient Committee Campaign Statement Cover Page Type or print In Ink. (Government Code Sections 84200~4216.5) I Statement covers period Date from 10/21/03 SEE INSmUCTIONS ON REVERSE through 10/30/03 1. Type of Recipient Committee: All Comrnltte~s -Complete Parts ¶, 2, 3, end 4. 2. ;UPERTINO CITY Type of Statement: : COVER PAGE LERK I [] Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall [] General Purpose Committee O Sponsored O Small Contributor Committee O Potitical Party/Central Committee [] Ballot Measure Committee O Pdmadly Formed O Controlled O Sponsored [] Pr/madly Formed Candidate/ [] PreelectJon Statement [] Semi-annual Statement [] Termination Statament [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelectioe Statement - Attach Form 495 3. Committee Information II.D. NUMBER 1257379 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 E;TATE 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 408-257-751 6 NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and ecipient Committee Campaign Statement Cover Page -- Part 2 l~jpe or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kris Wang OFFICE BOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLIC.~BLE) City Council, City of Cupertino RESIDENTIAIJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 7645 Dumas Drive, Cupertino, CA 95014 Related Committees Not Included in this Statement: List any commiffees not Included in this statement that are controlled by you or are prfmertiy formed to receive conlrlbutlons or make expendlthr~s on behalf of your candidacy. COMMITTEE NAME I.D* NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITrEEADDRESS STREETADDREB$ (NO P,O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMII-[~E? [] YES [] "O COMMITTEE ADDRESS STREET ADDRESS (NO P,Q BOX) CITY STATE ZIP CODE AREA CODEtPHONE COVER PAGE ~ PART 2 6. Ballot Measure Committee Page NAME OF BALLOT MBASURE BALLOT NO. OR LETTER JURISDICTION ~1~OPPOsESUPPORT 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 L]stnamesofofflcehalder(s) or candidata(s) for which this comm~the Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFF[CE SOUGHT OR HELD [] SUPPORT ~j OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD r~ [] OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/G1) FPPC Toll-Free Helpllne: 866/ASK-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 10/21/03 through 10/30/03 SUMMARY PAGE Page ._ '7~ _ of ___¢_ NAME OF FILER Kris Wang Contributions Received I. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Unes 1 + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Dna 4 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... AddUnes6+7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + lo Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summap/Page, Line 16 13. Cash Receipts ................................................... column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Column A, une 8 above 16. ENDING CASH BALANCE .......... Add Line$12 + 13 + 14, then subbact Line 15 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pan ~ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instruct~ns on reverse 19. Outstanding Debts ......................... AddLine2+LineglnColurnnBabove Column A $ 660.00 Column B $ 19750.00 $ 660.00 $ 19750.00 $ 660.00 $ 19750.00 $ 6022.49 $ 19224.58 0 $ 6022.49 $ 19224.58 102.00 0 102.00 0 $ 6124.49 $ 19326.58 $ 5887.91 660.00 0 6022,49 $ 525.42 $ 0 $ 0 $ 102.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last repo~ Some amounts in Column A may be negative figures that should be subtracted from previous pedod amounts. If this is the first report being flied for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ .......... $ ..................... Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) __]___J___ $ __]___J___ $ __l.__J___ $ __! L__ $ __L__J___ $ __~___~___ $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Junel01) FPPC Toil-Free Helptine: 8661ASK-FPPC chedule A Type or print in ink. SCHEDULE A ~moums may =e rounaea Monetary Contributions Received Statement covers period to whole dollars. ~i!IU ~ · from 10/21/03 ~11 ~i il~l SEE INSTRUCTIONS ON REVERSE through 10/30/03 P ge of -'~ _ NAME OF FILER MBER Kris Wang IF AN INDIVIDUAL, ENTER I AMOUNT CUMULATIVE TO DATE PER ELECTION DA3E FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER [ RECEIVED THIS CALENDAR YEAR TO DA~E RECEIVED (IFCOMMIll~E,ALSOENTERI.D. NUMBER} CODE * (~FSEIF-EMPLOY~D, ENTERNAME r PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 10/29/03 Democratic Activists for Women Now r~COM FPPC#950169 200.00 t 200.00 !P*O' B°x 6614 ~IOTH . San Jose, CA 95150 I-]PTY ' Flscc I I ~]IND i ............... 10/27/03 Don Allen rqCOM Retired 100.00 100.00 j 14101 Loma Rio Dr. I-lOTH Saratoga, CA 95070 [] PTY []scc []IND 10/27/03 Sara Allen F-iCOM Homemaker 100.00 [ 100.00 14101 Loma Rio Dr. I-lOTH Saratoga,CA 95070 [] PTY []scc California Real Estate Political Action Committee []COM 200.00.~ 200.00 I 525 S. Virgil Ave. ~]OTH I j Los Angeles, CA 90020 [] PTY I I rnscc ' I-lCOM i Dscc I , J Schedule A Summary 1. Amount received this period - contributions of $100 or more. ( nc ude a Schedu e A subtota s ) 600 2. Amount received this period - unitemized contributions of less than $100 ............................................. $ 60 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ....................... TOTAL $ 660 *Contributor Codes IND - Individual COM - Recipient Comn~ttee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll-Free Helpllne: 866/ASK-FPPC chedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kris Wang Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/21/03 10/30/03 through SCHEDULE E Page -'~ of 7 I.D. NUMBER CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ campaign paraphernalia/misc. (;NS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations Fit_ candidate filing/ballot fees FND fundraising events ~ independent expenditure supperang/opposing others (explain)~ LEG legal defense LIT campaign literature and mailings MTG meetings and appearances CFC office expenses PE¥ pefitio~ circulating PHC phone banks POL polling and survey research POS postage, delive~ and messenger services FRO professional services (legal, accounting) PRT pdnt ads RAD radio airtime and production costs RFD returned conttibutions SAL campaign workers' salaries t,v. or cable airtime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between commitfees of the same candidate/sponsor VOT voter registration information technology costs (intercet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMFFFEE.ALSO ENTER I.D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Diana Hong Brochure 461 Chantecler Drive LIT 1000.O0 Fremont, CA 94539 Spotlight Design Brochure LIT 2736.OO Top Notch Data Mailing service & Postage LIT 1935.41 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 5871.38 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 151.11 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ O 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 6022.49 FPPC Form 460 (Junel01) FPPC Toll-Free Help#ne: 866/ASK-I:=PPC chedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 10/21/03 10/30/03 through Page ~-~ I.D. NUMBER SCHEDULE E (CONT.) Kris Wang CODES: If one of the following codes accurately describes the ~ campaign paraphernalia/misc. MBR CNS campaign consultants MTG CT~ contribution (explain nonmonetary)* OFC CVC civic donations PET FIL candidate filing/ballot fees PHO FND f~ndraising events POI. I%~ independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PR1' payment, you may enter the code. Otherwise, describe the payment. member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD radio airtime and production costs retumed contributions SAL campaign workers' salaries t.v. or cable airfime 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 VOT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMIT[EE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Amy Yang Labels 7645 Dumas Dr OFC 58.61 Cupertino, CA 95014 Gene Wang mlsc 7645 Dumas Dr OFC 199.97 Cupertino, CA 95014 Cary Chien Register voters info 7645 Dumas Dr LIT 92.50 Cupertino, CA 95014 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (June/01) FPPC Toll-Free Helpllne: 866/ASK-FPPC chedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE lype or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/21/03 10/30/03 through 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. CNF' campaign paraphernalia/misc. Ct, IS campaign consutiants CTB contl~bution (explain nonmonetaly)* CVC civic donations RL candidate filing/ballot fees F~) fundraising events IXID independent expenditure suppolgng/bpposing others (explain)* LEG legal defense UT campaign literature and matlings MBR member communications MI'G meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT plint ads SCHEDUI-E Page ? of '~ LD. NUMBER PAD radio airtime and production costs PR3 returned contributions SAL campaign workers' salades ~ t.v. or cable airfime 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 WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMFCrEE, ALSO ENTER I.D. NUMBER} DESCRIPTION OF PAYMENT BALANCE BEGINNING TH~S PERIOD = THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Cary Chien 7645 Dumas Dr LIT I 102.00 102.OO Cupertino, CA 95014 SUBTOTALS $ $ $ $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 102.00 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 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 from Line 1. Enter the difference here and 102.00 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ 'i~-~£~-.-~-~e ~rn~;-- FPPC Form 460 (June/Gl) FPPC Toll-Free Helpllne: 8661ASK.FPPC