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460 Recipient Committee Campaign Statement 10-19-14 to 12-14-14 TerminationRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10/19/2014 through 12/14/2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall C) Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee C) Sponsored O Small Contributor Committee Q Political Party /Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Hunsweck for City Council 2014 STREET ADDRESS (NO P.O. BOX) 4. Verification 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 By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpfine: 866/ASK-FPPC (8661275 -3772) State of California Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Statement CALIFORNIA Cover Page — Part 2 FORM S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Michael Hunsweck OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cupertino City Councilmember RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE7 ❑ YES F-1 NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I,D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES F1 NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Page 2 of 6 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee 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 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (6661275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Michael Hunsweck Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 10/19/2014 through 12/14/2014 page 3 of 6 Contributions Received Schedule >_, Line 4 $ ColumnA Column B 7. Loans Made .............................. ............................... Schedule H, Line 3 TOTALTHIS PERIOD CALENDAR YEAR 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ (FROM ATTACHED SCHEDULES) TOTALTODATE 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 8925.68 $ 23025.68 2. Loans Received ...................... ............................... Schedule B, Line 3 - 5900.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 3025.68 $ 23025.68 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 0.00 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $ 3025.68 $ 23025.68 Expenditures Made 6. Payments Made ........................ ............................... Schedule >_, Line 4 $ 3422.88 $ 23275.68 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 3422.88 $ 23275.68 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 10. Nonmonetary Adjustment .......... ............................... Schedule C, Linea 0.00 0.00 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 3422.88 $ 23275.68 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 18 $ 13. Cash receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... column A, Line 8above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line s in Column B above $ 397.20 3025.68 0.00 3422.88 0.00 0.00 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 first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 1367806 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ _ 21. Expenditures Made $ $ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (lr5ubjectto Voluntary Expenditure Limit) Date of Election Total to Date (mmiddiyy) $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275-3772) Schedule A Type or print in ink. SCHFr]I11 F A ^411 -1„' 1110y UV FUUiiueU Statement covers period Monetary Contributions Received to whole dollars. 1 011 912 0 1 4 CALIFORNIA 460 . from • SEE INSTRUCTIONS ON REVERSE through 12/14/2014 4 Page of 6 NAME OF FILER I.D. NUMBER Michael Hunsweck 1367806 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMnTEE,AIS0WERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 39) (IF REQUIRED) 10120/2014 Michael Hunsweck (Candidate) ® IND F] COM Engineer 10200 Miller Ave Apt 405 E] OTH Intel Corporation $3500 -00 $22725.68 Cupertino, CA 95014 ❑ PTY ❑ SCC ® IND 12114!2014 Michael Hunsweck (Candidate) 10200 Miller Ave Apt 405 ❑ COM ❑OTH En Engineer $ 5425.68 $22725.68 Intel Corporation Cupertino, CA 95014 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 8825.6$ 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.) ...... $ 8925.68 .1..... $ TOTAL_ $ 1 11 8925.68 '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 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Michael Hunsweck FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Michael Hunsweck (Candidate) tit IND © COM ❑ OTH ❑ PTY ❑ SCC Michael Hunsweck (Candidate) tla IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/19/2014 through 12/14/2014 IF AN INDIVIDUAL, ENTER OCCUPATIONANEMPLOYER O (IFSELF- EMPLOYED, ENTER NAMeoFBUSINESS) OUTSTANDING BALANCE BEGINNING THIS P RIOD AMOUNT RECEIVED THIS PERIOD W AMOUNTPAID OR FORGIVEN THIS PERIOD" OUTSTANDING BALANCE CLOSE OF THIS PERIOD Engineer PERIOD LOAN V PAID Intel Corporation CALENDAR YEAR 0 $ 474.32 $ 0.00 Q FORGIVEN $ $ -68 RATE PER ELECTION""" $ 700.00 $ 0.00 $ 225.68 NIA $ DATE DUE Engineer CALENDAR YEAR ❑ PAID 5200.00 Intel Corporation a $ $ $ 0.00 lZ FORGIVEN PER ELECTION 0.00 10/15/14 $ $ 5200.00 $ 0.00 $ 5200.00 NIA DATE DUE ❑ PAID $ $ FORGIVEN 5 5 g DATE DUE SUBTOTALS $ 0.00$ 5900.00 $ 0.00 $ 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. $ 0.00 $ 5900.00 ...... I..... NET $ - 5900.00 (May be a negative number) SCHEDULE B - PART t Page 5 of 6 I.D. NUMBER 1367806 INTEREST ORIGINAL CUMULATIVE PAID THIS AMOUNTOF CONTRIBUTIONS PERIOD LOAN TO DATE CALENDAR YEAR 0 700.00 22725 a, $ $ -68 RATE PER ELECTION""" 0.00 06/16/14 $ $ DATE INCURRED CALENDAR YEAR 0 5200.00 22725.68 a $ $ RATE PER ELECTION 0.00 10/15/14 $ $ DATE INCURRED CALENDAR YEAR $ $ PER ELECTION ifitl HATE 5 5 DATE INCURRED 0.00 (Enter (e) on Schedule E, Line 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 "Amounts forgiven or paid by another party also must be reported on Schedule A. i * If required. 11 FPPC Form 460 {January/05) FPPC Toll -Free HeIpline: 8 WAS K -FPPC (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Michael Hunsweck Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/19/2014 through 12/14/2014 Page 6 of 6 I.D. NUMBER 1367806 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CI MP CNS campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CTS campaign consultants contribution (explain nonmonetary)" MTG meetings and appearances RFD returned contributions CVC civic donations OFC office expenses SAL campaign workers' salaries FIL candidate filing /ballot fees PET PHO petition circulating banks TEL t.v. or cable airtime and production costs FND fundraising events POL phone polling and survey research TRC TRS candidate travel, lodging, and meals staff /spouse travel, lodging, and meals ND LEG independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor Lrr 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 (IFCOMMITPEE, ALSO ENTER I.D- NUMBER) Vistaprint CODE OR POS, LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) DESCRIPTION OF PAYMENT 2. Unitemized payments made this period of under $100 ................................................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).......... ........................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter Mere and on the Summary Page, Column A, Line 6.) .. SUBTOTAL$ ... $ ................ $ ................. $ ......... TOTAL $ AMOUNT PAID $3364.88 3364.88 3364.88 58.00 0.00 3422.88 FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) E