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1st 460 Semi-annual from 1/1/2004 Date of election if appli (Month, Day, Year) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period SEE INSTRUCTIONS ON REVERSE through WO4Iœ 1. Type ot Recipient Committee: AHCom..-s-ComplelePam1,2,3,a"'" OtIiceholder candidate Controlled Committee n Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily FonT!ed 0 Recall 0 Controlled (A""Comple!e""") 0 Sponsored (_Comp",""'"') 2. Type ot Statement: 0 Preelection Statement [X Semi-annual Statement 0 TenT!inationStatement 0 Amendment (Explain below) uartenv Statamerl 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach FonT! 495 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Polrtical Party/Central Committee 0 Primarily Formed Candidate/ Officeholder Committe. (A"" Complete"'" ') 3. Committee Intonnation 1.0. NUMBER 1257379 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kris Wang tor City Council NAME OF TREASURER Amy Yang MAILING ADDR".S 7645 Dumas Dr CiTY STATE ZIP CODE AREA CODE/PHONE 408-257-7516 Cupertino NAME OF ASSISTANT TREASURER. IF ANV STATE CA ZIP CODE 95014 AREA CODE/PHONE 408-257-7516 STREET ADDRESS (NO P.O. BOX) 7645 Dumas Dr. CITY Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOX MAILING ADDRESS STATE ZiP CODE AREA CODE/PHONE CITY STATE Zip CODE AREA CODE/PHONE CIF OPTIONAL FAX! [-MAIL ADDRESS OPTIONAl,FAAI E-MþJl ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewng this statement and to the best of m ,,,", Executed on By Executed on DOlo By ..."""~ of co",."", """""""'. caoo_. "".. M..."~ Prope"'"' FPPC Fonn 460 (Jun""") FPPC TolI.Free Helpline: IIIi6IASK-FPPC Slate of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 NAME OF OFFiCEHOLDER OR CANDIDATE NAME OF BAllOT MEASURE 5. Officeholder or Candidate Controlled Committee ~- OFFICE SOUGHT OR HELD (INCLUDE LOCATiON AND DISTRICT NUMBER IF APPliCABLE) City Council, City of Cupertino RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) STATE ZIP CITY 7645 Dumas Drive, Cupertino, CA 95014 Related Committees Not Included in this Statement: Usr any committees nof Included In this statemont that are controlled by you or are primarily fanned to rscelve contrlbullons or mal<e expenditures on behalf of your candidacy. COMMrrrEE NAME I.D. NUMBER NAME OFTREASURER CONTROllED COMMITTEE? DYES DNO COMMITTEEAOORESS STREET ADDRESS (NO RO BOX) CITY STATE AREA CODEIPHONE ZIP CODE COMMrTTEENAME !D. NUMBER NAME OF TRE.ASURER CONTROllED COMMITTEE? 0 YES 0 NO COMMITTEEAOORESS STREET ADDRESS (NO PO BOX) CITY STATE AREA CODEIPHONE ZIP CODE 6. Ballot Measure Committee "AllOT NO. OR lETTER JURISDICTION 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHa..DER, CANDIDATE, OR PROPONENT OFFICE scum.". OR HELD I DISTRICT NO. IF ANY 7. Primarily Fonned Committee List names of offfceholder(s) or candldate(s) for which this committee Is primarily fanned- NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANOIDATE OFFICE SOUGHT OR HELD 0 SUPpf.¡RT 0 OpposE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE Attach continuation sheets If necessary FPPC Fonn 460 (June"') FPPC Toll-Free Helpline, 8661ASK-FPPC ..- of Callfomla Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE from through Statement covers period CALIFORNIA 46 0 FORM 1/1/04 6/30/04 3 5 Page of 1.0. NUMBER ,. Monetary Contributions 2. Loans Received. 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions ............. 5. TOTAL CONTRIBUTIONS RECEIVED Schedule A Line 3 $ Sc"""ulee Line3 MdUœs1+2 Schedule C. Line 3 ..AdciUnes3+4 Expenditure Limit Summary tor State Candidates Expenditures Made 6. Payments Made... 7. Loans Made.. 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) . 10. Nonmonetary Adjustment. 11. TOTAL EXPENDITURES MADE.... Schoou/. E. Line 4 Schedule H. Liœ 3 AddUœsß+ 7 $ .. ScheduleF. LineJ Sc/Ied"", C, Line J ..AdciUnesa.9.1O Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts Previous Summar¡ Page, Line 16 Column A, Uœ J OO""e 14. Miscellaneous Increases to Cash 15. Cash Payments.. S,"""Ii.I, Line 4 CoIumnA,Unea_,. 16. ENDING CASH BAlANCE.. .AddUœs12+13+14./hensubt""'Wne15 $ If this is . termination st._ent. Line 16 must be zero. ColumnA TOTAL THIS"""'O tFROUATTACHEOSCHEDULES¡ 1174.90 0 1174.90 0 0 1174.90 1174.90 0 0 1174.90 0 ColumnS CAlENOAR YEAR TOTAL TODATE 0 0 0 0 0 0 0 0 0 0 $ 1174.90 0 1174.90 0 0 1174,90 17. LOAN GUARANTEES RECEIVED Sohedole B. Pdlt 2 $ 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your iast report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only cany over the amounts from Lines 2, 7, and 9 (if any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. See instructlOl1s on ,..",= $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B abcNe $ 0 0 Calendar Year Summary for Candidates Running in Both the State Primary and enerall:Jectlons 111lhrough 6130 7f1 to Oate 20 Contributions Received $ 21. Expendrtures Made $ 22. Cumulative Expenditures Made' (.S"bJ"'to\lol"""!yExpend'"~Llm') Date of Eiection Total to Date (mmldd/yy) ----1----1- $ ----1----1- $ ----1----1- $ ----1----1- $ ----1----1- $ ----1----1- $ 'Since Janual'( " 2001. Amounts in litis section may be different from amounts reported in Column B. FPPC Form 460 (June/C1) FPPC ToII-l'ree Helpline: 8681ASK-FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from~,I,,'" CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FilER through { / ,,-.;/v "- Page......!L of ...r ~ CODES: It one ot the tollowing co eM' campaign paraphemalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' OIC civic donations RL candidate filing/ballot fees FND fundraising events NJ independent expendrture supporting/opposing othe", (explain)" LEG legal defense l1T campaign litarature and mailings 'es accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications RAD radio airtime and production costs MTG meetings and appearances RFD returned contributions OFC office expenses SAL campaign worke",' salaries PET petition circulating TEL tv. or cable airtime and production costs PHO phone banks me candidate travel, lodging, and meais POL polling and survey research TRS staff/spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor PRO professionai services (Iegai, accounting) VaT voter registration PRT print ads VlEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE f!rCOMMLTIæ.AlSO ENTER lO.N"",,") CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Library Measure B non-profit CVC 200.00 The Lunar New Year Unity Parade non-profit civic event CVC 250.00 Euphrat Museum Art 1 Foothill Foundation non-profit donation CVC 100.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 550.00 Schedule E Summary 1. Payments made this period ot$1 00 or more. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $1 00 ....................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) $ $ $ TOTAL $ 950.00 224.90 0 1174.90 FPPC Form 460 (JunE!/O1) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) through 1/1/04 6/30104 CALIFORNIA 460 FORM Statament covers period from page~ 10. NUMBER of 5 CODES: If one ot the following «'des accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS camDaian consultants MrG meetings and appearances RFD retumed contributions CTB contribution (expiain nonmonetaty)' OR:: office expenses SAL campaign wor1<ers' salanes Cl/C civic donations PET petition circulating TEL t.v. or cable airtime and production costs RL candidate fiilnglbailot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research 'IRS staff/spouse travel. lodging, and meals ND independent expendrture supporting/opposing others (expiain)' PO6 postage, delivety and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration ill campaign litarature and mailings PRT print ads WEB information technology costs (intemet. e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COM"'TTEE. ALSO ENTER 1.0. NO,""E", AA for Community Involvement non-profit 150.00 CVC Cupertino Education Endowment Foundation non-profit 250.00 CVC . Payments that are contributions or independentexpendnures must also be summarized on Schedule D. SUBTOTAL $ 400.00 FPPC Form 460 (JunelO1) FPPC Toll-Free Helpline: 8SS/ASK-FPPC