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460 Recepient Committee Campaign Statement – Semi Annual Recipient Committee Type or print in ink. Date Stamp CALIFORNIA 460 Campaign Statement grFORM Cover Page(Government Code Sections 84200-84216.5) g■' 1 7 Statement covers period Date of election if applic 1 «!e a of7/1/2015 (Month, Day,Year) Itl For Official Use Only from - - -- �/ SEE INSTRUCTIONS ON REVERSE through 12/31/2015 -CUPERTINO CITY CI MK 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,a,and 4. 2. Type of Statement: — ❑ Officeholder,Candidate Controlled Committee 0 Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee 2 Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑ Termination Statement (Also Complete Par 0 Sponsored ❑ Supplemental-A Attach FormPreeleorn (Also Complete Parte) • (Also file a Form 410 Termination) Statement-Attach 495 ® General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee - ' •-— - Q Political Party/Central Committee Aso CompletePart7) 3. Committee Information I.D. NUMBER Treasurer(s) 1376003 COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER Cupertino Residents for Sensible Zoning Action Committee Liang-Fang Chao 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 Orocerotsporsor Executed on EY Date signature of Controlling Officeholder,Candidate,State M ensure Proponent Executed on Sy Date Signature of Controlling Orficabolder,Candidam,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free HelplIne:6661ASK-FPPC(666/276-3772) State of California Type or print in ink. COVER PAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page—Part 2 Page 2 of 7 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ 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 offlceholder(s) or candfdate(s)for which this committee/s primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEENAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO 0 SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (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:866/ASK-FPPC(866/2754772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. 7/1/2015 FORM from SEE INSTRUCTIONS ON REVERSE through 12/3112015 Page 3 of 7 NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 ColumnAr Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARVEAR (FROMATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and 1,605.00 13,109.96 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ Ill through 6/30 7/1 to Date 2. Loans Received Schedule B,Linea 0 0 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines f+2 $ 1,605.00 $ 13,109.96 20. ContributionsReceived $ $ 4. Nonmonetary Contributions Schedule C,Linea 72.60 847.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 1,677.60 $ 13,956.96 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 5,835.57 $ 8,763.00 Candidates 7. Loans Made Schedule H,Line 3 0 0 583557 8,763.00 22. Cumulative Expenditures Made* , . 8. SUBTOTALCASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expendbure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 6+9+10 $ 5,835.57 $ 8,763.00 / I $ Current Cash Statement _____J____I $ 12.Beginning Cash Balance Previous SummaryPage,Line 16 $ 8,577.53 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 1,605.00 amounts in Column A to the 0 corresponding amounts 'Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments Column A.Line eamve 5,835.57 report. Some amounts In Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 4,346.96 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 17.LOAN GUARANTEES RECEIVED Schedule B,Part2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any)Lines 2, 7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0 19. Outstanding Debts Add Line 2+Line 9 in Column 8 above $ 0 FPPC Form 460 (January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) ScheduleA Type or print in ink. SCHEDULE A MonetaryContributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA from 7/1/2015 FORM' 4 .;O • SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 4 of 7 NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMITTEE,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) OF BUSINESS) IZ IND 07/04/15 Phyllis Dickstein ❑coM Retired, $200.00 200.00 ❑PTY ❑SCC ®IND 09/02/15 Qin Pan ❑cam Statistician, $100.00 $100.00 0 PTY ❑scc ®IND 09/4/15 Liana Crabtree 0coM Engineer Service $500.00 $500.00 0 PTY Siemens 0 scc ❑IND ❑COM ❑OTH ❑PTY 0 SCC ❑IND 0 COM 00TH ❑PTY ❑SCC , SUBTOTALS 800.00 _ _. Schedule A Summary '*Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 800.00 COM—Recipient Committee (other than PTY or SCC) 2. Amount received thiseriod—unitemized monetarycontributions of less than$100 $ 805.00 0TH—Other(e.g., business entity) p PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line 1.) TOTAL $ 1,605.00 -- FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772) 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 SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 5 of 7 NAME OF FILER I.D.NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 IF AN INDIVIDUAL,ENTER AMOUNT! CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE OCCUPATION AND EMPLOYER ZIP CODE OF CONTRIBUTOR CODE* GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTERI.D.NUMBER) (IF SELF-EMPLOYED.ENTER VALUE (IF REQUIRED) NAME OF BUSINESS) (JAN 1-DEC 31) ❑IND ❑COM DOTH ❑PTY ❑SCC ❑IND ❑COM DOTH ❑PTY ❑SCC ❑IND ❑COM DOTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑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 (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100 $ 72.60 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. 72.60 SCC-small ContributorCommittee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772) Schedule E Type or print in ink. Statement covers period SCHEDULEE Payments Made Amounts may be rounded CALIFORNIA /� 6U y to whole dollars. from 7/1/2015 FORM T through 12/31/2015 Page6 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. 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 PET petition circulating TEL t.v. or cable airtime and production costs Ft 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 PND independent expenditure 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 UT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.O.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Xiangchen Xu Yard Signs and Wire Stakes Stuart 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$ 4,375.73 Schedule E Summary 1, Itemized payments made this period.(Include all Schedule E subtotals.) $ 5,595.73 2. Unitemized payments made this period of under$100 $ 239.64 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 $ 5,835.57 FPPC Form 480(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) Schedule E Type or print in ink. SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA ACO Payments Made to whole dollars. from 7/1/2015 FORM �}v through 12/31/2015 7 7 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER • Cupertino Residents for Sensible Zoning Action Committee 1376003 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalla/misc. 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 PET petition circulating TEL t.v. or cable airtime and production costs AL 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 PRO professional services (legal, accounting) VOT voter registration LUT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) City of Cupertino Notice of Intent 10300 Torre Avenue, PET Initiative Filing Fee $200.00 Cupertino, CA 95014 Kelly Aviles Law Office Professional Service Fee 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,220.00 FPPC Form 480(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772)