The URL can be used to link to this page

460 Recipient Committee Campaign Statement – Semi Annual COVER PAGE Recipient Committee Campaign Statement Type or print in ink. Date Stamp CALIFORNIA• 460 Cover Page RI © (sUUE FORM (Government Code Sections 84200-84216.5) 1of9 Statement covers period Date of election if appll 7 from 7/1/2015 (Month, Day,Year) JAN 2 ! 2016 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/2015 t PERTINO CITY CLEMI< 1. Type of Recipient Committee: AU committees-complete Parts 1,2,a,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee I71 Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee I21 Semi-annual Statement 0 Special Odd-Year Report Q Recall C Controlled (Also Complete Pad 5) Sponsored ❑ TerminationileaSan410 0 Supplemental-Attach Formorn Q D (Also file a Form Termination) Statement-Attach 495 (Also Complete Part 6) ❑ General Purpose Committee El Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also complete Pad 7) 3. Committee Information 1,0, NUMBER Treasurer(s) . 1381645 • COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee Supporting Cupertino Citizens'Sensible Growth Initiative Xiaowen Wang MAILING ADDRESS STREET ADDRESS(NO P,O, BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/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 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. // Officer of Sponsor Executed on By Date SignatureorConirolling Officeholder,Candidate,State Measure Proponent Executed on By Date SIgnatureotConba5ng Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:966/ASK-FPPC(866/2763772) State of California Recipient Committee Type or print in Ink. COVER PAGE-PART2 CALIFORNIA Campaign Statement FORM 460 Cover Page—Part 2 Page 2 of 9 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Cupertino Citizens'Sensible Growth Initiative OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION SUPPORT None City of Cupertino ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 YES 0 NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:666/ASK-FPPC(6661275-3772) State of California I CHEDULE A Campaign Disclosure Statement Typo or print In Ink. SUMMARY PAGE 460 Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. from 7/1/2015 FORM 9 SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 3 of 9 NAME OF FILER I.D. NUMBER Committee Supporting Cupertino Citizens'Sensible Growth Initiative 1381645 ECTION Column A Column B Calendar Year Summary for Candidates ATE Contributions Received TOTALTHS PERIOD CALENDAR YEAR (F ROMATTACHEDSCHEDuLEs) TOTALTODATE Running In Both the State Primary and IUIRED) 5,675.00 5,675.00 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 2. Loans Received Schedule B,Line 3 0 0 tri through 8/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 5,675.00 $ 5,675.00 20. Contributions 5505 55.05 Received $ $ . 4. Nonmonetary Contributions Schedule C,Line321. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 5,730.05 $ 5,730.05 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line4 $ 5,251.13 $ 5,251.13 Candidates 7. Loans Made Schedule H,Line 3 0 0 5,251.13 5,251.13 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Dmx) 9. Accrued Expenses (Unpaid Bills) Schedule g Line 3 0 ' 0 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 0 0 (mmidd/yy) 11. TOTAL EXPENDITURES MADE - Add Lines 8+3+10 $ 5,251.13 $ 5,251.13 —J___/ $ Current Cash Statement J—/ $ 12.Beginning Cash Balance Previous SummaryPage,Line 16 $ 0 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 5,675.00 amounts in Column A to the 0 corresponding amounts Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash schedule I,Line 4 from Column B of your last reported in Column B. 15.Cash Payments Column A,Line eabove - 5,251.13 report. Some amounts In Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 423.87 figures that should be • subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed _ e 0 for this calendar year, only •e 17.LOAN GUARANTEES RECEIVED Schedule B,Pert 2 $ SCC) carry over the amounts Cash Equivalents and Outstanding Debts any).fromLines 2,7,ands(if ea entity) 18. Cash Equivalents See instructions on reverse $ 0 ommittee 19. Outstanding Debts Add Line 2+Line Din Column B above $ 0 FPPC Form 460(January/05) anuaryio5) FPPC Toll-Free Helpline:866/ASK-FPPC(866(2763772) 6(2763772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received Statement covers eriod p to whole dollars. CALIFORNIA 1 7/1/2015 from • • - SEE INSTRUCTIONS ON REVERSE 12/31 /2015 h through 4 Page of 9 NAME OF FILER I.D. NUMBER Committee Supporting Cupertino Citizens' Sensible Growth Initiative 1381645 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) BIND 12/14/2015 Xiaowen Wan g ❑COM Engineer, $125.00 $125.00 ❑ PTY ❑ SCC ®IND 12/22/2015 Xiangchen Xu ❑ PTY ❑ SCC ®IND 12/22/2015 Randall Shingai [:]COM Retired, $500.00 $500.00 ❑ PTY ❑ SCC [ZIND 12/22/2015 Kai Zhu ❑ PTY Property ❑ Scc Liyun An WIND ❑COM Engineer, 12/27/2015 ❑ PTY ❑ SCC SUBTOTAL $ 1,224.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................ ............... $ 4,224.00 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 $ 1,451.00 5,675.00 *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: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. /� [�0 from 7/1/2015 FORM TV through 12/31/2015 Page 5 of 9 NAME OF FILER I.D.NUMBER Committee Supporting Cupertino Citizens'Sensible Growth Initiative 1361645 ATFULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION QFDOADDRE,ALBO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE QF SELF-EMPLOYED,ESS)ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Margaret Griffin ®IND Retired, 12/28/2015 ❑PTY ❑SCC Shuyi Chen OMD Homemaker, 12/29/2015 O PTY ❑SCC Jon Willey ®IND Engineer, 12/31/2015 ID PTY ID SCC Liang-Fang Chao ®IND 0Engineer, 12/31/2015 ❑PTY CI SCC Virginia Tamblyn ®IND Retired 12/31/2015 ❑PTY ❑SCC SUBTOTAL$ 2,700.00 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. 7/1/2015 from FORM through 12/31/2015 Page 6 of 9 NAME OF FILER I.D.NUMBER Committee supporting Cupertino Citizens'Sensible Growth Initiative 1381645 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMET-ME-ALSOENTERI,D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF£OFeOSINESS) ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) NavneetYadav ®IND Chief Architect, ❑PT? ❑SCC Yu Ying ®IND Software Engineer, 12/30/2015 OPT? ❑SCC ❑IND 0 COM 00TH ❑PTY 0600 ❑IND ['COM ❑OTH ❑PTY ❑SCC ❑IND ['COM ❑0TH ❑PTY ❑sCC SUBTOTALS 300.00 *Contributor Codes IND-Individual COM-Redpient Committee (other than PTY or SCC) OTH-Other(e.g., business entity) PTY-Political Party FPPC Form 460(January/05) SCC-Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule C Type or print in Ink. SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 from 7/1/2015 • FORM through 12/31/2015 Pae 7 of g SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Committee Supporting Cupertino Citizens'Sensible Growth Initiative 1381645 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO FULL NAME,STREET ADDRESS AND PER ELECTION CONTRIBUTOR DESCRIPTION OF DATE DATE OCCUPATION AND EMPLOYER FAIR MARKET TO RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR. (IF COMMITTEE,ALSO ENTER I.D.NUMBER) REQUIRED)NAME OF BUSINESS) (JANI-DEC 31) (IF REQUIRED) ❑IND ['COM ❑0TH ❑PTY ❑SCC ❑IND ['COM [10TH ❑PTY ❑SCC ❑IND ['COM [10TH DPW ❑SCC ❑IND ❑COM ❑0TH - ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary `Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND—Individual (Include all Schedule C subtotals.) $ 0 COM—Recipient Committee 55.05 (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100 $ _ OTH—Other(e.g., business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $_ 55.05 FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(866)275-3772) Schedule E Type or print in Ink. Statement covers period SCHEDULES Payments Made Amounts may be rounded P CALIFORNIA 460 y to whole dollars. 7/1/2015 FORM from SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 8 of 9 NAME OF FILER I.D. NUMBER Committee Supporting Cupertino Citizens'Sensible Growth Initiative 1381645 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtvP campaign paraphernalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independentexpenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE 1 (IF COMMITTEE,ALSOENTERI.O.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Lisa Warren Paper Printing/Banners Law Offices of Stuart M. Flashman Professional Service Fee/Retainer's Fee Holder Law Group Professional Service Fee * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,773.80 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 5,189.99 2. Unitemized payments made this period of under$100 $ 61.14 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 $ 5,251.13 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275.3772) Schedule E Type or print in ink. SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA Aan Payments Made to whole dollars. from 7/1/2015 FORM through 12/31/2015 9 9 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER Committee Supporting Cupertino Citizens' Sensible Growth Initiative 1381645 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MEG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense FRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB Information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE,ALSO ENTER I.O.NUMBER) Liang-Fang Chao Ads for Notice of Intent Eric Schaefer Materials for Circulator Training • *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,416.19 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772) The following administrative changes were made to 460 Recipient Committee Campaign Statement — Semi Annual Cupertino Residents for Sensible Zoning Action Committee 7/1/15 — 12/31/15 1. Added missing page 4