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460 Recipient Committee Campaign Statement 1-1-14 to 9-30-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Statement covers period from 01/01/2014 through 09/30/2014 I. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Er Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee 0 Recall Q Controlled (also Complete Part S) Q Sponsored El General Purpose CCommittee (A1- completenertsl Q Sponsored L] Primarily Formed Candidatel Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information i LD_NUMBER WMMITTEE NAME (OR CANDIOATE'S NAME IF NO Dr. Huang for Ciy Council 2014 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE U OCT 6 201 ! Date of election if applicab Ps of /( (Month, Day, Year) For cial Use Only 11/04/2014 UPERTINU CITY CLERK 2. Type of Statement: ❑Preelection Statement ❑ Quarterly Statement ❑ Seml- annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also fie a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Isabel Rodriguez MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX 1 E -MAIL ADDRESS OPTIONAL: FAX 1 E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Date Signature of CoMtoWng ORbatnldar, Carr date. State Measure Proponent nr Responsihle Ofllcer of Sponsor Executed an By Dale Signature otControlXtg Og—wholcbr,Candkiate. State Measure Proponent Executed on By Date Signature 7 Con;Ffing Olrr holdsr, C"date, State Measure Proponent FPPC Form 460 (January105) FPPC Toll -Free Helpllne: 6661ASK -FPPC (66612753772) State of California Recipient Committee Type or print in Ink. COVERPAGE -PART2 Campaign Statement CALIFORNIA 460 Cover Page —� Part 2 FORM 5. Officeholder or Candidate Controlled Committee NAME, OF OFFICEHOLDER OR CANDIDATE Andy Huang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council RESIDENTIAUBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement; List any committees not Included In this statement that are controdad by you or are primarily formed to receive contributions or make expenditures an behalf of your candidacy. COMMITTEE I.Q. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE SFKLETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLEO COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODE/PHONE Page /�' of .---_t.! — G. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any, NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of nlNceholdiWs) or candidate(s) for which this comminae is primarily formed. NAME OF OFFICEHOLDER 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January105) FPPC Tod -Free Helpline: SSGIASK•FPPC (8861275 -3772) State of California Campaign Disclosure Statement Type or print In ink. Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dr. Huang for City Council 2014 Contributions Received 1, Monetary Contributions ............ ............................... schedule A. Line 3 $ 2. Loans Received ....................... ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... add lines 1 +2 $ 4. Nonmonetary Contributions ..... ............................... schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Ad6Lines3 +4 $ ColumnA TOTAL THIS PERIOD (FROM ATTACHED XHEWLES) 8671 2949 11620 200 11820 Statement covers period from 01/01/2014 through Column S CALENDARYWt 70TALTODATE $ 2949 Expenditures Made 6. Payments Made_ .................................................... schedule i Lrne 4 $ 9859 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS ..... ............................... Addlines6 +7 $ 9859 $ 9. Accrued Expenses (Unpaid Bills) .... .................. ......... Schedule Ftine3 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 200 11. TOTAL EXPENDITURES MADE .... ............................Add Lines s + g + 10 $ 10059 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... CoWmn A, Line 3 above 14. Miscellaneous Increases to Cash ........................... scneduie 1, Line 4 15. Cash Payments ................... ............................... column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then aubtraor Line 15 $ IF this is a tarmtnation statemant, Line 16 must be zero, 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on ,"verse $ 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column 8 above $ 0 11620 149 9859 1910 0 0 2949 0 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column 8 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 first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 09/30/2014 page of _L6 I.D. NUMBER 1368800 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 111 through 5MO 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Wade` (ItSuhjed to Voluntary pspndRure Lhnit) Date of Election Total to Date (mmiddlyy) _J 1 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January /05) FPPC Tall -Free Helpline. 8661ASK -FPPC (8661275 -3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dr. Huang for City Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period from 0110112014 through 09/30/2014 pa e y of it, I.D. NUMBER 1368600 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED JIFCOMMITTEF , ALSO ENTER I.D,NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF•EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN, 1 -DEC, 31) (IF REQUIRED} 07/3012014 Wai -Yan Sandy Chau 2416 Summit Dr., FIND ❑COM Investor, Burlingam, CA. 94024 ❑OTH Acor Campus Venture $100D $1000 ❑ PTY ❑5CC 08/01/2014 Cathy C. Tsang 759 Loyola Dr„ g]IND ©COM Homemaker $1000 $1000 Los Altos, CA. 94024 ❑OTH ❑ PTY ❑SCC Mark Santoro [RIwo 09106/2014 21951 Lindy Ln., ❑COMi ❑OTH CEO, Micromagic Inc. $100 $100 Cupertino, CA. 95014 ❑ PTY ❑ SCC Zhihua Chen ZINO Engineer, 09/06/2014 978 Westlynn Way, Apt. 92, ❑COM Actera $100 $100 Cupertino, CA. 95014 ❑OTH ❑ PTY ❑5CC Timothy Brand EIND Timothy Brand y 09/07/2014 10161 Lebanon Dr., Oco $100 $100 Cupertino, CA, 95014 ❑PTY ❑acC SUBTOTAL$ 2300 5criedule A 5ummary 1. Amount received this period -- itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5200 3471 8671 Contributor Codas IND — Individual COM— Recipient Committee (other than PTY or 5CC) OTH — Other (e.g., business entity) PTY — Political Party 5CC —Small Contributor Committee FPPG Form 450 (January/05) FP PC Toll Free Helpline: 8661ASK -FPPG (86612753772) Schedule A (Continuation Sheet) Type or print in Ink. a .� SCHEDULER tCDNT.I rw_ _____ mViiGRilry %0W11L1j1Ju+<rrJr>IS r%ecelVeta Amounts may Derounaeal Statement covers period to whole dollars. CALIFORNIA 4 tram 01/01/2014 e • / through 0913012014 Page of j L NAM{ OF FILER W. NUi Dr. Huang for City Council 2014 1368800 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTEfi CONTRIBUTO#t AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER W, NUMBER) OCCUPATION AND EMPLOYER RECEIVED CODE * RECEIVED THIS CALENDAR YEAR TggUIR pF6ELF Ol'BUMO,ENTERNAME OFBUSINESS) PERIOD (JAN, 1 -DEC, 31) (IF REQUIRED) AN. 1 - Barry Chang for Assembly 2014 OCDM 09/07/2014 FPPC # 1357584 $500 $500 11450 Canyon View Circle, ❑DTH Cupertino, CA, 95014 [3 PTY ❑scc Frank Geefay FIND Retired 09/07/2014 7961 Suderiand Dr., ❑COM $100 $100 Cupertino, CA. 95014 0 OTH ❑ scc Shugui Huang ZIND Scientist, 09/07/2014 212 Pilgrim Loop, ❑COM Bioassay Systems $150 $150 Fremont, CA. 94539 ❑ OTH ❑ PTY ❑SCC Ignatius Ding RIND Retired 09/07/2014 10397 Avenida Li C]COMi $100 $100 Cupertino, CA. 95014 ❑PTY ❑SCC Anna Li Acupuncture pIND Anna Li Acupuncture 09/1312014 608 E Fremont Ave., ❑cOM $100 $1a0 Sunnyvale, CA. 94087 ❑OTH ❑ PTY ❑ Scc SUBTOTAL$ 950 "Contributor Codes IND— Individual CO M — Recipient Cornmitteo (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party 5CC —Small Contributor Committee FPPC Form 460 (Januarylfl5) FPPC Toll-Free Helpline. 8651ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) nwwrctar %puil ItJW1.1U1m Ret:elved %mounrs may berounuea Statement covers period to whole dollars. CALIFORNIA 4 from 01/0112014 FORM • through 09/3012014 Page of NAME OF FILER LID, NUMBER Dr. Huang for City Council 2014 1368800 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( rFCOMMITTEE. ALSO ENTER I.P.NUMBER) CODE* OCCUPATION AND ZMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OFBUSINESS) PERIOD (JAN, 1- DEC. 31) (IF REQUIRED) David H. Chi BIND David H Chi 09/14/2014 309 Alvarado Ave. ❑COM $100 ;100 Los Altos, CA. 94022 ❑OTH ❑ PTY ❑ SCC Minghsiao Lin BIND Minghsiao Lin L.Ac, 09/20/2014 1378 Joyner Ct., ❑COM $100 $100 San Jose, CA, 95131 © OTH ❑ SCC UCPCMIPAC 9970546 71ND 09/20/2014 2258 Santa Clara Ave. 95 El QOM $500 $500 Alameda, CA. 94501 ❑PTY ❑ sCC HOMECREST LLC ❑IND 09120/2014 1695 Nighthawk Terrace ❑❑CO $300 $300 Sunnyvale, CA. 94087 ❑ PTY ❑ SCC The Zhao Acupuncture Clinic; ❑IND 09/20/2014 126 Waverly Place ❑❑COO $100 $100 San Francisco, CA. 94108 ❑ PTY ❑ SCC SUBTOTAL$ 1100 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612754772) Schedule A (Continuation Sheet) Type or print in Ink. Monetary Contributions Received Amounts may be rounded to whole dollars, LAME OF FILER Dr. Huang for City Council 2014 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED U FCOMMITTEE,ALSOENTERI.0.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF -EMPLOYED, ENTER NAME OFBUSINESS) Vera Ying Wang Vera Y. Wang OMD 09/20/2014 414 Murphy Ave., co M Sunnyvale, CA. 94085 ❑ OTH 1­1 PTv ❑SCC Luis Buhler BIND CFO, 09120/2014 10372 Scenic Circle ❑COM Rockledge Associates Cupertino, CA. 95014 0OTH ❑ SCC Longevity Acupuncture and Herbs ❑IND 09/21/2014 401 29th Street, Suite 108 ❑cam Oakland, CA. 94609 � aTTY ❑ scc Nature Magic Acupuncture & Herbs Clinic ❑IND 09/21/2014 1002 Westlynn Way #3 ❑coM Cupertino, CA. 95014 0 OTH ❑ PTY ❑ SCC H Lin BIND Homemaker 09/27/2014 1255 Johnson Ave„ ❑COM San Jose, CA. 95129 ❑ OTH ❑ PTY ❑ scc SUBTOTALS *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY-- Polltical Party SCC — Small Contributor Committee Statement covers period from 01/0112014 through 09130/2014 SCHEDULE A Page..._„,._ of II 1368800 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 -DEC, 31) tIF REQUIRED) $100 I $100 $250 1 $250 $100 1 $100 $100 I $100 $100 1 $100 650 FPPC Form 460 (January105) FPPC Toll-Free Helpline: 8661ASK -FPPC (86612753772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. AML Ur F'IL K Dr. Huang for City Council 2014 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (fFOOMMITTEE. ALSO ENTER I.O, NUM @ER) CODE 'A OCCUPATION AND EMPLCYER {IFSELF -EMPLOYED. ENTER NAME OFeusiNESS) Hui Zeng ©1NO Lab Assistant, 09/27/2014 838 South Marry Ave., Kaiser Sunnyvale, CA. 94087 ❑OTH ❑ PTY ❑ SCC Junting Litt ZINO Acupuncturist 09/29/2014 1987 42nd Ave„ � oaH Western & Eastern San Francisco, CA. 94116 Medical Practical Center ©PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM 710TH ❑ PTY ❑ SCC S UBTOTIAL $ *Contributor Codes IND — Individual CUM— Recipient Committee (other than PTY or SCC) OTH -- Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee from through SCHEDULE A (CONT.) nt covers period 01/01/2014 09/30/2014 Pegs of �� LD.NUMBER 1368800 CUMULATIVE"rt] DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. t -DEC, 31) (IF REQUIRED) AMC LINT RECEIVED THIS PERIOD $100 1 $100 $100 � $100 200 FPPC Form 460 (January/05) FPPC Toll -Free Helpline:866 /ASK -FPPC (6561275 -3772) F% M---. I Tvnp nr nrin# in ink SCHEDI1LF R - PART 1 M"' "`""1° LO — IF ar L r Amounts may be rounded Statement covers period Loans Received to whole dollars. 01101/2014 CALIFORNIA 460 from , SEE INSTRUCTIONS ON REVERSE through 09/3012014 Page -I— of 1(J NAME OF FILER I.D. NUMBER Dr. Huang for City Council 2014 1368800 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING b BALANCE AMOUNT ta) AMOUNT PAID d OUTS A DINti ° INTEREST ORIGINAL e CUMULATIVE IIFCOMMRTEE .ALSOENTERI.D.NUMgERI (IFSRLF- EMPLOYED.ENTER NAME OF BUSINESS) RECEIVED THIS BEGINNINGaTHIS AERIOD OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS THIS PERIOD PERIOD LOAN TO DATE Andy Huang River Oaks Travel ❑ PAID CAL£NDARYEAR 10502 Peralta Ct., Cupertino, CA. 95014 $ 0 s 900 none s 900 $ 982 FORGIVEN E] F PER ELECTION"` RATE tp IND 3 0 B 900 3 0 11/30/2014 $ 8/14/2014 s DATE DUE DAT£ INCURRED ❑ COM ❑ OTH ❑ PTY ❑ SCC Andres Huang Manager, L] PAID CALENDAR YEAR 10502 Peralte Ct., Yoogi s 0 s 899 none 899 ; 940 Cupertino, CA. 95014 $ E] FDROIVEN ELECTION^"' WE s 0 $ 899 $ 0 11/30/2014 s 8/2912014 s t❑+ IND ❑ COM Q OTH ❑ PTY ❑ 5CC DATE DUE DATE INCURRED Grace Huang Campus Cruiser, El PAID CALENDARYEAR 1230 W 29th St, Apt 14 University of Southern 0 950 Los Angeles, CA, 90007 California y $ none 050 s 951 E] FORGIVEN PERELECTION"" RATE $ 0 s 950 0 11/30/2014 $ 9/7/2014 $ f 0 IND ❑ COM C] OTH [] PTY El 5CC 5 DATE DUE DATE INCURRED SUBTOTALS $ 2749S 0 $ 2749 $ 0 ticheclule 8 summary 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1) .............................. Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven ar paid by another party also most be reported on Schedule A. " If required. 2949 G . NET $ 2949 (Msy be a negative number) 9ahedulu E, Llne 3) tGontributar Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party IL SCC - -Small Contributor Committee FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.,3772) Schedule C Nonmonetary Contributions Received ON Dr. Huang for City Council 2014 Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2014 e CALIFORNIA f through 0$13012014 j DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IFAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ RECEIVED ZIP CODE OF CONTRIBUTOR CODE + OCCUPATION AND EMPLOYER FAIR MARKET V COMM7TEE, ALSO ENTER I.D. NUMBER) (IF SELF- EMPLOYEt). ENTER GOODS OR SERVICES VALUE NAME OF BUSI NESS Isabel Rodriguez ZIND River Oaks Travel Red Cross 09/06/2014 ❑0TH ❑ PTY MSCC MIND ❑COM 710TH ❑ PTY ❑SCC MIND ❑COM MOTH M PTY ❑ SCC MIND ❑COM ❑0TH M PTY ❑sc- Attach additional information on appropriately labeled continuation sheets. Page y of I.D. NUMBER 1368800 CUMULATIVE TO DATE pER ELECTION CALENDAR YEAR TO DATE (IF REQUIRED) (JAN 1 -DEC 31) Radio, shoulder $200 $200 bags,fanny packs SUBTOTAL $ 200 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................... ............................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ ' Contributor Codes 200 IND—Indtvidual CO M — Recipient Committee 0 (other than PTY or SCC) QTH — Other (e.g., business entity) PTY-- Political Party 200 5CC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Help line' 8661ASK -FPPC (0661275-3772) Schedule D Summary of Expenditures Supporting /Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAMt UY rlLtK Dr. Huang for City Council 2014 Type or print in Ink. Amounts may be rounded to whole dollars. DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonstary Contribution Q Independent © Support ❑ oppose Expenditure [] Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support (] Oppose Expendliure Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent © Support [] Oppose ExpendIture Statement covers period from 01/01/2014 through 09/30/2014 Page { r✓ of f C' I.D. NUMBER 1368800 CUMUTATIVE70DATE PER2LECTION AMOUNTTHIS CALENDAR YEAR TO DATE PERiO1 (JAN. 1 -DEC. 31) (IF REQUIRED) SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 0 2. Unitemized contributions and independent expenditures made this period of under $100 ........................... 60 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ 50 FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275~4772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAML OF FILER Dr. Huang for City Council 2014 Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2014 through 09/302014 Page � of I.D. NUMBER 1368800 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP CNS campaign paraphemalia /mist. MBR member communications RAO radio airtime and production costs CTS campaign consultants contribution (explain nonnionetary)• MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL TEL campaign workers' salaries Lv. or cable airtime and production costs FIL FND candidate filing /ballot fees fundraising events RHO phone banks TRC candidate travel, lodging, and meals W independent expenditure supporting /opposing others (explain)' POL POS polling and survey research postage, delivery and messenger services TRS TSF staff /spouse travel, lodging, and meals transfer between committees of the same candidatelsponsor LEG LIT legal defense PRO professional services (legal, accounting) VOT voter registration campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE I COMM[TTEE,A+80 ENTER iDMUM08RI CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID City of Cupertino Ballot Statement FIL $2000 SS Graphics, Inc. 24" x 18" Yard Signs Signs Direct, Inc, 10" x 30" H -frame Step Stakes Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS ,2 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals,) . $ 9072 2. Unitemized payments made this period of under $100 $ 787 3. Total interest paid this period on loans. (Enter amountfrom 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 $ 0859 FPPC Form 460 (January/06) FPPC Toll-Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2014 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE through 09/3012014 Page !i —L of �- NAME OF FILER Dr. Huang for City Council 2014 I.D. NUMBER NUM8 13 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GIVP campaign paraphernalialmisc. CNS campaign consultants MBR MTG member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)" OFC meetings and appearances RFD returned contributions office expenses SAL campaign workers' salaries CVC civic donations FIL candidate flinglbailot fees PET PHO petition circulating TEL t.v. or cable airtime and production costs banks FND fundraising events POL phone TRC candidate travel, lodging, and meals polling and survey research TRS stafflspcuse travel, lodging, and meals IND independent expenditure supportinglopposing others (expialn)" LEG legal defense POS postage, delivery and messenger services TSF transfer between committees of the same candidetelsponser LIT campaign literature and mailings PRO PIRT professional services (legal, accounting) VOT voter registration print ads VVEB Information technology costs (internet, a -mall) NAME AND ADDRESS 01=PAYEE A180 ENTER 1, (IF COMMITTE E. p. Nl1M8ER] C ODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Advantage Grafix Full Color Cards 4.5" x 11" 10161 S. De Anza Blvd. Cupertino, CA. 95014 LIT $120 Advantage Grafix Full Color Cards 4.5" x 11" 10161 S. De Anza Blvd, Cupertino, CA. 95014 LIT $261 Advantage Grafix Full Color Cards 4.5" x 11" 10161 S. De Anza Blvd, LIT 12" x 18" signs $141 Cupertino, CA, 95014 Advantage Grafix Full Color Cards 4.5" x 11" 10161 S. De Anza Blvd. LIT Cupertino, CA, 95014 $261 HYH Restaurant Corp. Food for Kick Off Party Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC To1417-ree Relpline: 866/ASK-FPPC (866f2753772) Schedule E (Continuation Sheet) Payments Made Type or print In Ink. Amounts maybe rounded to whole dollars. Statement covers period from 01101/2014 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE � J �' J/-_ of r U through 09/30/2014 Page NAME OF FILER — Dr. Huang for City Council 2014 I.D. NUMB ER 13 CODES, If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment. CMP campaign paraphemalia /miso. CNS campaign consultants MBR member communications RAO radio airtime and production coats CTB contribution (explain normonetary)" MTG OFC meetings and appearances office expenses RFD SAL returned contributions campaign workers' salaries CVC civic donations FIL candidate filing /ballot fees PET PHO petition circulating banks TEL t.v. or cable airtime and production costs FIND fundraising events POL phone polling and surrey research TRC TRS candidate travel, lodging, and meals stafflspouse travel, lodging, and meals IPD independent expenditure supporting /opposing others (explain)" LEG legal defense POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) ads VOT voter registration print WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMRTEE. ALSO ENTER I.D. Nl1M8ER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Blossom Shyy Meals 10118 Bandiey Dr„ Cupertino CA. 95014 TRC $100 SS Graphics, Inc. 24" x 18" Yard Signs Signs Direct, Inc. 10" x 30" H -frame Step Stakes CMp $102 Advantage Grafix I Full Color Cards 4.5" x 11" LIT $411 Asia Village Food for Fund Raising Party FND $160 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ / / jl C FPPC Form 460 (January105) FPPC Toll-Free Relpline: 8661ASK -FPPC (86612753772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dr. Huang for City Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2014 through 09/30/2014 SCHEDULE E (CONT.) Page of I.D, NUMBER 1368800 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign parsphernalialmisc. campaign consultants MBR MTG member communications RAID radio airtime and production costs CTB contribution (explain nonmonetary)" OFC meetings and appearances office expenses RFD SAL returned contributions campaign workers' salaries CVC FIL clvlc donatlons candidate fllinglbaliot fees PET PHO petition clrCulating banks TEL t.v. or cable airtime and production costs FND W fundraising events POL phone polling and survey research TRC TRS candidate travel, lodging, and meals stafflspouse travel, lodging, and meals LEG independent expenditure supportinglopposing others (explain)` legal defense POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) ads VOT voter registration print WEB Information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE IfF COMMn7EE ALSO ENTER I.O. NUMBER! CODE C R DESCRIPTION OF PAYMENT AMOUNT PAID , Advantage Graflx Deposit for flyers and EDDM processing LIT $1500 Advantage Graflx Full Color Cards 4.5" x 11" LIT $411 Staples Paper and Printing Advantage Grafix Balance for flyers and EDDM processing LIT $2001 Asia Village Food for Fund Raising Party FND $160 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ `I FPPC Form 460 (January165) FPPC Tall-Free Helpline: 866/ASK -FPPC (86612753772) Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dr. Huang for City Council 2014 DATE FULL NAME„ AND ADDRESS OF SOURCE RECEIVED IIFCOMMITTEE, ALSO ENTER IA. NUMBER) Blossom Shyy 09/07/2014 Type or print in Ink. Amounts may be rounded Statement covers period to whole dollars, from 01/01/2014 Meals through 09/3012014 DESCRIPTION OF RECEIPT Page / 6 Of I.D. NUMBER 1368800 AMOUNTOF INCREASE TO CASH $100 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 100 Schedule I Summary 1. Itemized increases to cash this period. 100 2. Unitemized increases to cash of under $100 this period .................... . $ 49 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ............................ 0 4. Total miscellaneous increases to cash this period. (Add tines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $ 149 FPPC Form 460 (Januaryl85) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)