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460 Recipient Committee Campaign Statement 10-19-14 to 12-31-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200.84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10119/2014 through 12/31/2014 I. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. I] Officeholder, Candidate Controlled Committee ❑ Pr #marily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recalls Q Controlled (AlsoCorrrplerePerrS) 0 Sponsored ❑ General Purpose Committee (Al- CrxrWerePart 6) Q Sponsored ❑ Prima rily Formed Candidatel Q Small Contributor Committee Officeholder Committee Q Political PartylCentral Committee (Argo Cur*tate Pan T) 3. Committee Information I.D. NUMBER 1368800 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Dr. Huang for Ciy Council 2014 STREET ADDRESS (NO P.C. BOX) 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Information contained herein and in the attached schedules Is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. „ — Executed on 01110/2014 Dete Executed on 01110/2014 Data Executed on Dale By By By Soiahrre of Con Wring Oeicaholder, CQrKrl&te, StatL Rmure Proponent Exebu6ad an By DOW SlgnoWrenFConhdingO(ficehoic6F r-mdlobte,, StatffMeastureFroporent FPPC Form 4F01 (Jaimary105) FPPC Tall -1 ree Heliullne; 8661ASK -FPPC (8661275 -3772) State, of CaNfornis Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Stalement � O R A 460 Cover Page — Part 2 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 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included In this Statement: List anycwnmittees not included In this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf or your candidacy. COMMrfTEE NAME I.Q. NUMBER NAM OF IKLASURER � CONTROLLED COMMITTEE? ❑ YES [-] NO ADDRESS STREETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page of. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT I❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, it any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR DISTRICT NO. IF ANY 7. Primarily Formed Candidatelofflceholder Committee List names of officeholders) or candidate(s) for which this commhtes is prknartly 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 (January/05) FPPC Tall-Frss Helpline. 866fASK -FPPC (8661275 -3772) $tats of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period) from 10119/2014 SUMMARYPAGE SEE INSTRUCTIONS DiVREVERSE through 12/31/2014 Page of NAME OF FILER I.D. NUMBER Dr. Huang for City Council 2014 1368800 Contributions Received ColumnA Column 8 Calendar Year Summary for Candidates T01ALTHIS PERIOD (FROMATrAGHEDSCWEDUU = r.) CALZNDARYEAR TorALTODATL Running in Both the State Primary and 1. Monetary Contribuf+ons . .......................... ................ Schedule A, Line 3 $ 150 $ 9221 General Elections 2. Loans Received .............. ......... ............................... Seheduie 8, Line 3 1100 7549 111 through 6130 711 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines I +2 $ 1250 $ 16770 20. Contributions 4. Nanmonetary Contributions ..... ............................... schedule C. Line 0 200 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ - -- 1250 $ 16970 Made $ g Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 1966 $ 16907 Candidates 7. Loans Made .............................. ............................... SchadukH,Line3 0 0 8. SUBTOTALCASHPAYMENTB " " ".. " " " " " " " " " °"" Add Liness +7 $ 196$ $ 1'6907 22. Cumulative Expenditures Made* "• (if Subject to Voluntary Expenditure omit) 9. Accrued Expenses (Unpaid Bills) ...................... ......... 5cheduta F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ...... schedule C, Line 0 200 (mmlddlyy) 11. TOTAL EXPENDITURES MADE....... ........ .................AddLines8 +s +?o $ 1966 $ 17107 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary page, Line le $ 13. Cash Receipts ........... ......... ............................... ColunmA. Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule r, Limo 15. Cash Payments ................... ............................... Column A, Line 8above 16. ENDING CASH BALANCE .......... add Lines 12 + 13 +14, then subtract tine is $ If this Is a termination statement, Line 16 must be zero. 1107 1250 0 1966 391 17. LOAN GUARANTEES RECEIVED ................ . schedule 8, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents. ........... ............................ See instructioni en reverse $ 0 19. Outstanding Debts ......................... Add Line 2 +Line gin Cotumn 8 above $ 7549 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 first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I $ 'Amounts in this section may be different from amounts reported in Column S. FPPC Form 460 (January /115) FPPC Tow -Free Welpline. 8661ASK -FPPC ($661275.3772) Schedule A Type or print In Ink. Monetary Contributions Received Amounts may be rounded to whole dollars. SEE INSTRUCTIONS oM REVFRRF •m- Vr rILCR Dr. Huang For City Council 2014 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMW7EE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OFausiNESS) Ying Chun Chang nIND 11/4/2014 1135 Eagle Cliff Court ❑COM Owner San Jose, CA. 95120 ❑OTH Ying's Acupuncture Clinic ❑ PTY ❑ SCC ❑ IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑0TH ❑ PTY ❑SCC ❑IND ❑COM ❑0TH ❑ PTY ❑ SCC Statement covers period from 10/1912014 through 12131/2014 AMOUNT RECEIVED THIS PERIOD SCHEDULE A age of I.D. NUMBER 1368800 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) $150 I $150 SUBTOTAL$ 150 Schedule A Summary 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 $ 150 0 '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 150 FPPC Form 460 (January105) FPPC Tall -Free Helplinec 8661ASK,17PPC (8661275 -3772) T nn v-. ww7n4 1— 1..16 SCHF -DOLE R - PART 1 0WIVU1111l: a — irdl -L I Amounts may be rounded Statement covers period Loans Received to whole dollars, 10/1912014 CALIFORNIA � 460 from O SEE INSTRUCTIONS ON REVERSE through 12/3112014 Page S of ...._. NAME OF FILER I.D. NUMBER Dr, Huang for City Council 2014 1368800 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN IND#VIBUAL, ENTER OCCUPATION AND EMPLCYER OUTSTANDING AMOUNT O (e) AMOUNT PAID t RING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER QECOMMITTEE, ALSO ENTERLD.NUMBER) WSELF -EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR BALAN BALANCE AT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEDFOUSINESS) p ERIOD PERIOD THIS PERIOD "' PERIOD LOAN TO DATE Andy Huang River Oaks Travel ❑ PAID _MRI CALENDAR YEAR 10502 Peralta Olt., none $ 5580 none 1100 $ 5582 Cupertino, CA. 95014 $ ❑ FORGIVEN PFRELECTION" PATE $ 4480 $ 1100 5 0 12/30/2016 S 10/31/14 $ t0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION- RATE t❑ IND [I GOM El OTH ❑ PTY ❑ SCC S $ $ S S DATE DUE DATE INCURRED ❑ PAID CALENDAR YEA.IR $ $ % $ $ © FORGIVEN PERELECTIDN`k RATE tEl INQ COM ❑ ❑ OTH ❑ PTY ❑ SCC $ $ S $ $ DATE DUE DATE INCURRED SUBTOTALS $ 1100$ o 5580 o ...; Schedule B 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 or paid by another party also must be reported on Schedule A. " If required. 1100 0 ........ . .......... .................... NET $ 1100 (May be a nag9tiv* nmter) (Entor(e)on Schedule E, Lane 3) tContributor 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 (Januarylo5) FPPC Toll -Free Helpline_ SWASK -FPPC (Bfi&275 -3772) Schedule E Payments Made SEE INSTRUCTICNS 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 10/1912014 through 12/31/2014 Page —1— 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. CW CNS campaign paraphemaWmisc. MBR member communications RAD radio airtime and production costs CTB campaign consultants contribution (explain inonmonetary)` MM OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL TEL campaign workers' salaries t.v, or cable airtime and production costs F1L FAQ candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel, lodging, and meals W independent expencifture supportinglopposing 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 campaign literature and mailings PRO professional services (legal, accounting) VOT voter tegistration PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS CF PAYEE ( Wr0IMfTTEE .ALSOENTEAI.o.WUMOerti CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Post Master Advantage Grafix Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1754 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 1754 2. Unitemized payments made this period of under $100 $ 212 3. Total interest paid this period on loans. (Enter amount from 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 $ 1966 FPPG Farm 460 (danuary105) FPPG Toll -Free Helplfne::86fi1ASK-FPPC (66612753772)