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1st 460 Amendment " " Date of election if apl (Month. Day, Yea Type or print in ink. Statement covers period 1/1/2004 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) For Official Use Only from CUAERTINO CITY CLERK n Quarterly Statement U Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 c;,ç ¿. fD ~ 11/04/2003 Type of Statement: o Preelection Statement !XI Semi-annual Statement D Termination Statement 18J. Amendment (Explain below) >, .... , \,I.,ç C' \~ 2. 6/30/2004 All Conmlttees - Complete Parts 1, 2, 3, and 4. o Ballot Measure Committee o Primarily Formed o Controlled o Sponsored (A.'soCOmpiet!1P8rt6) o Primarily Formed Candidatel Officeholder Committee {AlSJ CQmp/ete ¡'elt 7} through SEE INSTRUCTiONS ON REVERSE Type of Recipient Committee: [Xi Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (AOOCompletePartS) [J General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee 1. Treasurer(s) NAME OF TREASURER Amy Yang MAILING ADDRESS 7645 Dumas Dr C ·ttee I f t" .D. 'WMBER omml norma Ion 1257379 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kris City Counci 3. AREA CODE/PHONE 408-257-7516 ZIP CODE 95014 STATE CA IF ANY CITY Cupertino NAME OF ASSISTANT TREASURER, AREA CODE/PHONE 408-257-7516 ST,A.TE liP CODE CA 95014 NO. AND sTREET OR P.O. BOX Wang for STREET ADDRESS (NO P.O. 7645 Dumas Dr. CITY Cupertino MAiLING ADDRESS (!F DIFFERENT) soX) MAILING ADDRES~ AREA CODE/PHONE ZIP CODE Sf ATE CITY AREA CODE/PHONE ZIP CODE STATE CITY complete ADDRESS Sy By ðã~ "'" on ExeCt.!ted on Executed Type or print In ink. COVER PAGE - PART 2 Recipient Committee ORNIA 460 Campaign Statement RM Cover Page - Part 2 2 of Þ6 - - 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Kris Wang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION o SUPPORT City Council, City of Cupertino o OPPOSE RESIDENTIALlBUSINESS ADDRESS (NO. AND STREET) ëiTY STATE ZiP 7645 Dumas Olive, Cupertino, CA 95014 Identify the controllìng officeholder, candidate, or state measure proponent. if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT IF ANY DISTRICT NO. OFFICE SOUGHT OR HELD Related Committees Not Included in this Statement: Us. .ny commltt... not Included In this statement that are controlled by you or Bra primarily formed to receive contributions or make expenditures on bøhalf of your candIdacy. .0. NUMBER COMMITTEE NAME NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUppORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OpposE NAME OF OFFICEHOLDER OR CANDIDArE OFFICE SOUGHT OR HELD o SUppORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT o OPPOSE 7. Primarily Fonned Committee List names of offlcsholder(s) or candidate(s) for whIch thIs committee Is primerlly fonned. OOr-.'TROUED COMMITTEE? DYES ONO AREA CODElPHONE NUMBER OONTROLlEOCOMMITTEE? DYES ONO ZIP CODE .D. STREET ADDRESS (NO f>O BOX) STÆt NAME OF TREASURER NAME OF TREASURER cQMMITTEEACORESS CITY COMMITTEE NAME If necessery Attach continuation sheets AREA CODElPHONE STREET ADDRESS (NO PO. BOX) ZIP CODE STArE COMMITTEE ADDRESS CITY FPPC Form 460 (JuneI01) FPpC Tol~ree Helpline: 8661ASK-FPPC state of California .....'11'1' ',..IJ1t; .;JI' ..,,,~ ·.....¡fI',.. '!'!If'''''' .Irl" "'I't'J", Campaign Disclosure Statement Type or print in ink. - I Summary Page Amounts may be rounded Statement covers period to whole dollars. from 1/1/2004 6/30/2004 Page _ of through ______________________ SEE INSTRUCTIONS ON REVERSE - - NAME OF FILER !D. NUMBER - Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAl THSPERIOO CALEN~ YEAR Running in Both the State Primary and (FROMATT.AœEDSCHEDULES) TO'VII..TOQo!..TE 0 0 General Elections 1. Monetary Contributions ........... ................... Scllooule A, Line 3 $ $ 0 0 1/1 through 6f3O 7/1 to Date 2. Loans Received .......... ......... -.................. SchedlJle B. Une 3 SUBTOTAL CASH CONTRIBUTIONS. """. $ 0 $ 0 20. Contributions 3. Add Lines 1 + 2 Received $ .-----------. $ -------.--. 4. Nonmonetary Contributions ............... .... ....., Schedule C, Lme 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .",.", .... Add Lines 3 + 4 $ 0 $ ----------~-- Made $ $ -------- Expenditures Made 2134.90 Expenditure Limit Summary for State 6. Payments Made ......... Schedule E. Line 4 $ 2134.90 $ Candidates ............................. 7. Loans Made ...... ............ Schedule H, Line 3 0 0 ......................... 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ",,,,,",",,,,,,,,,, Add Unes6 + 7 $ 2134.90 s 2134.90 (If SUbject to~untary Expendnure l.lmlt) 9. Accrued Expenses (Unpaid Bills) . . Schedule F, Line 3 0 0 Date of Election Total to Date ......... 10. Nonmonetary Adjustment ............ .... ......... Schedule C, Une 3 0 0 (mmldd/yy) 11. TOTAL EXPENDITURES MADE..... ."" "",. AddUnes8+9+ 10 $ 2134.90 $ 2134.90 ___.1____.1___ $-------.---- Current Cash Statement ------1~_ $ 12. Beginning Cash Balance ................ ..... Previous Summa!}' Page, Une 16 $ 1174.90 ----------- To calculate Column S, add ------1~_ $ 0 amounts in Column A to the 13. Cash Receipts ."""" "",."."",,,,,, ",.",." ..... Coiumn A, Line 3 above corresponding amounts 2974.25 ------1~_ $ 14. Miscellaneous Increases to Cash ............. ........ .... Schedule I, Line 4 .---------- from Column B of your last 15. Cash Payments"..".".."" ........"."."" ........ CoiumnA, UflS Babvve 2134.90 report. Some amounts in Column A may be negative ------1~_ $ 2014.25 figures that should be 16. ENDING CASH BALANCE ........ . Add Lines 12+ 13+ 14, tliensub!ractLi,'1e 15 $ --------------. subtracted from previous ------1~_ $ If this is a termination statement Line 16 must be zero. period amounts. If this is - the first report being filed 17. LOAN GUARANTEES RECEIVED .."..""........". Schedule 8, Parl 2 $ 0 for this calendar year, only "Since January 1, 2001. Amounts in this section may be - carry over the amounts - from lines 2, 7, and 9 (if different from amounts reported in Column B. Cash Equivalents and Outstanding Debts any). 8. Cash Equivalents. Sæ im:;trucfions on fflvarse $ 0 .......... - 9. Outstanding Debts Add Line 2 + Line 9 in Column B above $ 0 FPPC Form 460 (June/01) FPPC TolI·Free Helpline: 866/ASK-FPPC 460 CALIFORNIA FORM " ,< SCHEDULE E -"fIf" .'., Statement covers period 1/1/2004 , -"Vi ..... , Type or print in ink. Amounts may be rounded to whole dollars. 'f' ...,.,.. >,In'll< Schedule E Payments Made 6 Page ~ of LD. NUMBER 1257379 6130/2004 from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kris Wang for candidate/sponsor otherwise, describe the payment RAD radio airtime and productíon costs RFD returned contributions SAL campaign workers' salaries TEL t.v. Of 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 VOT voter registration V\lEB information technology costs (internet, e·mai' the payment, you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses FEr petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads codes accurately describes (explain) City Counci CODES If one of the foilowing Q¡p campaign paraphernaliafmisc. CNS campaign consultants CTB contribution (explain nonmonetary)* cve civic donations RL candidate filinglballot fees FNO fund raising events NO independent expenditure supportinglopposing others LEG legal defense lIT campaign literature and mailings AMOUNT PAID DESCRIPTION OF PAYMENT non-profit OR 200.00 250.00 100.00 --------- non-profit civic event non-profit donation i i l_~DE I i cvc i I i _______________________--1---_. The Lunar New Year Unity Parade ! ! cvc I .-------------------------------------------------------------------------.------------+-------------- Euphrat Museum Art / Foothill Foundation I ! cvc I NAME AND ADDRESS OF PAYEE (IF COMMllìEE,ALSO ENTER LD. NUMBER) Library Measure e 550.00 SUBTOTAL $ also be summarized on Schedule D. must .. Payments that are contributions or independent expendìtures Payments made this Unltemized payments made this period of under $100 interest paid this period on loans. this period_ Schedule E Summary period of $1 00 or 1830.00 304.90 $ $ Schedule E subtotals. nclude al more. 1 $ --------------~. TOTAL $ 2134.90 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK~FPPC Column A, Line 6. (Enter amount from Schedule e, Part (e) (Add Lines Enter here and on the Summary Page, Column 1 and3. 2, 1 Total Total payments made 2. 3. 4_ ·, "t'.1t ". ¥Wt'I: "...,.., -;¡.- .. SCHEDULE E (caNT.) - - ; Statement covers period IRNIA 46- I from 1/112004 "M -- I 6130/2004 j- 6 ! through___________ Page_ of_ LD NUMBER 1257379 ...'. Type or print in ink. Amounts may be rounded to whole dollars. :-tl(lP: t . ., Schedule E (Continuation Sheet) Payments Made ',~' "-r' " SEE INSTRUCTIONS ON REVERSE NAME OF FILER candidate/sponsor describe the payment. radio airtime and production returned contributions campaign workers' salaries tv. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same voter registration information technology costs e costs the payment, you may enter the code. Otherwise, MBR member communications RAD MTG meetings and appearances RFD OFC office expenses SAL PET petition circulating TEL PHO phone banks TRC POL polling and survey research TRS fQS postage, delivery and messenger 5eNices TSF PRO professional services (legal, accounting) VOT PRT print ads V\E.B City Counci following codes accurately describes (explain CODES: If one of the campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetaryy civic donations candidate filingíballot fees fund raising events independent expenditure supportingíopposing others legal defense campaign literature and mailings Kris Wang for eM' CNS CTB cve FlL FND ND LEG LIT mail NAME AND ADDRESS OF PAYEE , AMOUNT PAID ; CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE. ALSO ENTER I.D. NUMBER) ! ; AA for Community Involvement I non-profit ! CVC 150.00 I I ! ; Cupertino Eduætion Endowment Foundation i non-profit 250.00 ! CVC , ; ; ; _____________._______________________________________________________________-i-__________ -----------------------.-------------------.------------------- ------------------------ Cupertino Library Foundation non-profit 880.00 CVC , , I -- I .- - - - - -- -- (internet SUBTOTAL $ 1280.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC Payments that are contributions orindependent expenditures must also be summarized on Schedule D. '. '1"'''' SCHEDULE , '~' ~.f¡l. Statement covers period from 1/1/2004 ""'" ~, Type or print in ink. Amounts may be rounded to whole dollars. ., ... "'/' ~, ....- Schedule Miscellaneous Increases to Cash ~, 6 6 Page ______ of 1.0. NUMBER 1257379 6/30/2004 through SEE INSTRUCTIONS ON REVERSE NAME OF FiLER Kris Wang for City Counci AMOUNT OF INCREASE TO CASH 2974.25 SUBTOTAL $ 2974.25 -------------------------------------------------~------. DESCRIPTION OF RECEIPT Refund for failed to deliver campaign brouchure FULL NAME AND ADDRESS OF SOURCE (iF COMMITTEE. ALSO ENTER 1.0. NUMBER) Attach additional information on appropriately labeled continuation sheets. --------------- Schedule I Summary 1 US Postal Service DATE RECEIVED 2/10/2004 $ 2974.25 $ ........_--_._-_.__.~. $ 0 $ 2974.25 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC TOTAL Schedule H, Column (e 2, and 3. Enter here and on the ncreases to cash of $100 or more this period. Unitemized increases to cash under $100 this period Total of all interest received this period on loans made to others. to cash this period. (Add Lines 1 2. 3. 4. Total miscellaneous increases Summary Page, Line 14.)