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460 Recipient Committee Campaign Statement 12-31-2009 ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200.84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appli 07101109 (Month, Day, Year) from through 012/31/09 1. Type Of Recipient Committee: All CommiHees-Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Pad S) ^ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political PartylCentral Committee ^ Prmarily Formed Ballot Measure Committee Q Controlled Q Sponsored (Also CamplNePart6J ^ Primarily Formed Cand~atel Officeholder Committee (Also Complete Part 7J U FHB • 1 ~Q 2. Type of Statement; ^ Preelection Statement ® Semi-annual Statement ^ Termination Statement (Also file a Form 410 Termination) ^ Amendment (Explain below) CITY COVERPAGE t. ~ 1 1 of 6 Official Use Only ^ Quarterly Statement ^ Special Odd-Year Report ^ Supplemental Preelection Statement -Attach Form 495 3. Committee Information I.D. NUMBER 1257379 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re-Elect Kris Wang for City council CITY STATE ZIP CODE AREA CODEIPHONE Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS Treasurerts) NAME OF TREASURER LUCy LU MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Cupertino CA 95014 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my under penalty of perjury underthe laws ofthe State of California thatthe foregoing is true and correct. Executed on 1130110 Dale Executed on 1130110 Dale Executed on Dale Executed on Date By By contained herein and in the attached schedules is true and complete. I certify By Signature of Controlling Oficehdder, Candidate, SMte M easure Proponent By Signatureof ControllingOficehdder,Candidate, SUteMeasure Proponent FPPC Form 460 (January105( FPPC Toll•Free Helpline: 8661ASK•FPPC (8661275.3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07101109 SUMMARYPA6E 012/31109 6 2 SEEINSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER 1257379 Contributions Received ColumnA Column B Calendar Year Summary for Candidates ToTUTHisPERioD (FROMATTACHEDSCHEDUIfS) CALEHDARVEAR TOTPLTODATE Runnin m Both the State Primary and 9 General Elections 1. MCnetaryCOntrlbUflDnS ................................. .......... Schedule A,Line3 $ ~•~~ $ ~•D~ 2. Loan$ ReC81Ve(i ............................................ .......... Schedule B, Line 3 0.00 O,OD 111 through 6130 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ........... .............. Addunest+2 $ 0.00 $ 0.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .......................... .......... schedule c Line3 0.00 0.00 , 21. Expenditures 5. TOTAL CONTRIBUTIONSRECEIVED .......... .................AddLines3+a $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. PaymenlsMade ............................................. .......... scneduleE,Linea $ 2294.00 g 5507.00 Candidates 7. Loans Made ................................................... .......... schedule H, Line 3 0.00 0.00 77 fumulafiva Frnandihiroe AAedni tf. SUBTOTALCASH PAYMENTS ...................... .............. Add lines 6+7 $ $ pf SubjecttoVdunGryEcpendiNre Limit) 9. Accrued Expenses (Unpaid Bills) ................. .............. schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ............................. ............. schedule c, Line 3 0.00 0.00 (mmlddlyy) 11. TOTALEXPENDITURESMADE ..................... ...........AddLinesB+g+to $ 2294.00 $ 5507.00 -J~- $ Current Cash Statement 12. Beglnning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash ReceptS ................................................... Column A,Line3above 14. Miscellaneous Increases to Cash ........................... schedule 1, Linea 15. Cash Payments .................................................. column A,Line6al,ove 16. ENDING CASH BALANCE .......... Add Lines 12+ 13 + 14, then subtractLine t6 $ I/this is a termination statement, Line 16 must be zero. 20743.03 0.00 9.89 2294.00 18458.92 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line2+LineginColumnBabove $ 0.00 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 period amounts. If this is the frst report being fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if anyl. 'Amounts in this section may be different from amounts reported in Column B. 0.00 I I FPPC Form 460 (January105) FPPC Toll•Free Helpline: B661ASKfPPC (8661275J772) Schedule D SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period • Su ortm 10 osm Other Amounts may be rounded h l d ll pp 9 pp 9 ~ ~ ,' to w o o ars. e Candidates, Measures and Committees 07101109 from ~ 012131109 3 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER 1257379 ~~ NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYpE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVETODATE CALENDAR YEAR PER ELECTION TODATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31( QF REDUIRED( OR COMMITTEE BEN LIAO FOR CUPERTINO SCHOOL ~ Monetary 10111109 BOARD Contribution 150.00 Nonmonetary Contribution 0 Independent Support ~ Oppose Expenditure ORRIN MAHONY FOR COUNCIL 0 Monetary 10122109 Contribution 100.00 ~ Nonmonetary WI Ill IUU4VI1 0 Independent m Support ~ Oppose Expenditure YES ON MEASURE G ®Monetary 10126109 Contribution 100.00 Nonmonetary Contribution Independent Support ~ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $ 350.00 2. Unitemized contributions and independent expenditures made this period of under $100 ..................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL 3 0.00 350.00 FPPC Form 460 (January105) FPPC Toll-Free Helpline: 8661ASK•FPPC (8661275.3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Statement covers period SCHEDULEE from 07101109 through 012131109 Page 4 of 6 I.D. NUMBER 1257379 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Clue campaign paraphemalialmisc. MAR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB conUibuGon (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate flinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IhD independent expenditure supportinglopposing others (explain)' PO.S postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lfr campaign literature and mailings PRf print ads WEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF PAYEE prcoMMirree,usoeMeero,NUMSeRI CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID MANDARIN BUSINESS ASSOC 501 C3 # 03-0523517 CVC 1000.00 FREMONT UNION HIGH SCHOOL DISTRICT FOUNDATION EDUCATION FUNDRAISING CVC 150.00 YINXIAO ZHENG OFC 240.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1390.00 Schedule E Summary 1944.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column (e).) ............................................................................... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 1944.00 FPPC Form 460 (January105) FPPC Toll-Free Helpline: 8861ASK-FPPC (8661275.3772) Schedule E (Continuation Sheet) Payments Made NAME OF FILER Type or print in ink. Amounts may be rounded towhole dollars. Statement covers period from 07/01109 through 012131109 SCHEDULEE(CONT) Page 5 of 6 I.D. NUMBER 1257379 CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CfvP campaign paraphernalialmisc. MBR membercommunirations RAD radio airtime and production costs CNS campaign consultants MiG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PFp phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals PD independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lfi campaign literature and mailings PRT print ads WEB in(onnation technology costs (intemet, a-mail) NAMEANDADDRESSOFPAYEE QF CDMMITfEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTIONOFPAYMENT AMOUNT PAID CUPERTINO ROTARY FOUNDATION CVC DONATION 200.00 CUPERTINO ROTARY MTG MEETINGS & APPEARANCES 354.00 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 554.00 FPPC Form 460 (January105) FPPC Toll•Free Helpline: B661ASK-FPPC (8661275.3772) Crharlida I T........,.:..;..:.~ SCHEDULEI Miscellaneous Increases to Cash Amounts may he rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 07101109 from through 012131/09 ~. , ~ ' / ~ ' page 6 of 6 NAME OF FILER I.D. NUMBER 1257379 DATE RECEIVED FULL NAMEANDADDRESSOFSOURCE prcoMMirree,usoeureaio.euMeeRl DESCRIPTION OF RECEIPT AMOUNT OF INCREASETOCASH 711-12131109 WELLS FARGO INTERESTS 9.89 Attach additional information on appropnatelyaabeled continuation sheets. SUBTOTAL $ 9.89 Schedule I Summary 1. Itemized increases to cash this period ........................................................................................................................ $ 0.00 9.89 2. Unitemizetl increases to cash of under $100 this period ............................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL 3 9.89 FPPC Form 460 (January105) FPPC Toll•Free Helpline: 6661ASK•FPPC 16661275.3772)