460 Recipient Committee Campaign Statement – 07-01-15 to 12-31-15 Recipient Committee T COVER PAGE
Campaign Statement Type or print in Ink. '' = _ L;FORNIA
Cover Page MW = FORM 460
(Government Code Sections 84200-84216.5) 1 3
Statement covers period Date of election If applicab : 1 PI: of
07/01/2015 (Month, Day, Year) FEB 1 2016 'or Official Use Only
from
SEE INSTRUCTIONS ON REVERSE through 12/31/2015 CUPERTINO CITY CLERK
1. Type of Recipient Committee: All committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
9 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee 2 Semi-annual Statement ❑ Special Odd-Year Report
Q Recall 0 Controlled
❑ Termination 0 Supplemental Preelection(N Sponsored (Also file a Form 410 Termination) Statement-Attach Form
495
(Also Complete Part SJ Amendment(Explain
❑ General Purpose Committee ❑ ( P below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Conbibutor Committee Officeholder Committee -- - - -
Q Political Party/Central Committee (Also Complete Ped?
3. Committee Information I.D. NUMBER Treasurer(s)
1368800
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Dr. Huang for Ciy Council 2016 Isabel Rodriguez
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,
01/31/2016 (`
Executed on By
Dale &
Officer of Sponsor
Executed on By
Dale Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Canddate,Stale Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(666/275-3772)
State of California
Type or print In Ink. COVER PAGE-PART2
Recipient Committee
Cam ai nStatement CALIFORNIA 460
P 9 FORM
Cover Page—Part 2
Page 2 of 3
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Andy Huang
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
City Council ❑ 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 eny 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 0 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 ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 YES ❑ NO ❑ SUPPORT
0 OPPOSE
COMMITTEE ADDRESS 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:866/ASK-FPPC(866/2753772)
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. 07/01/2015 FORM
from
SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 3 of 3
NAME OF FILER I.D. NUMBER
Dr. Huang for City Council 2016 1368800
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR Runningin Both the State Primaryand
(FROM ATTACHED SCHEDULES) TOTALTO DATE
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 0 $
0 6773 111 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines l+2 $ 0 $ 20. Contributions
Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Lino 4 $ 0 $ Candidates
7. Loans Made Schedule H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0 $ (f Su Most to Voluntary Expenditure 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 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+19 $ 0 $ —J___/ $
Current Cash Statement 1 $
12.Beginning Cash Balance Previous Summary Page,Line 16 $ 0
To calculate Column B,add
13.Cash Receipts Column A,Line 3 above
0 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 8 above 0 repoSome amoIn
Column A may be negative
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0 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,Part 2 $ 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 B above $ 6773 FPPC Form 460(January/05)
FPPC Toll-Free Helpline: 8661A5K-FPPC(8661275.3772)