460 Recipient Committee Campaign Statement - Amendment � �(`� ��J �� ��`, � COVERPAGE
Recipient Committee Type or print in ink. D L' �aa�P�—.a`�,
Campaign Statement , �'� ' � • �
Cover Page C �
(Govemment Code Sections 84200-84216.5) _ N O V — Q �(��U ��� 1 2�'
Statement covers period Date of election if ap,'icabl� a„ of_x,�
from
1/1/2016 (Month, Day,Yeai1 For Official Use Only
3i31i2o,6 CU�ERTINO CITY CLE �
SEE INSTRUCTIONS ON REVERSE through I I
1. Type of ReCipierlt COmmittee: a��committees-Comp�ete Parts�,z,s,a�a a. 2. Type of Statement:
❑ Officeholder,Candidate Controlled Committee � Primarily Formed Ballot Measure ❑ Preelection Statement � Quarterly Statement
Q State Candidate Election Committee Committee ❑ Semi-annual Statement � Special Odd-Year Report
Q Recall Q Controlled � Termination Statement � Supplemental Preelection
(AlsoCompletePartS) � Sponsored Also file a Form 410 Termination
(A/soCompletePart6) � � Statement-Attach Form 495
❑ General Purpose Committee � Amendment(Explain below)
Primaril Formed Candidate/
Q sponsored ❑ y fix the typos on page 3 Expenditures Made column 6B, 8B, 11 B:
Q Small Contributor Committee Officeholder Committee
Q PoliticalParty/CentralCommittee (A�soComplefePart7J 5,251.13 (2015)+5,931.05 (2016Q1)= 11,182.18, not 11,1182.18
3. Committee Information I.D 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) N0.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.
Executed on By
Date Signature of Treasurer or Assistant Treasurer
Executed on By
Date Signature of ConVolling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Dale Signature of ConVolling Officeholder,Candidate,Stale Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period �-
Summary Page to whole dollars. I � �
from ����2016 • '
SEE INSTRUCTIONS ON REVERSE through 3/31/2016 page�of `� � �
. �A�
NAME OF FILER I.D. NUMBER
Committee Supporting Cupertino Citizens'Sensible Growth Initiative 1381645
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Runnin in Both the State Prima and
(FROMATTACHEDSCHEDULES) TOTALTODAlE 9 rY
19,361.62 25,036.62 General Elections
1. Monetary Contributions ........................................... scned��e,a,Line 3 $ $
O O 1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... scnedu�e e,�ine s
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add�ines�+z $ 19,361.62 $ 25,036.62 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... scneduie c,Line 3 5.05 60.10
21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED ...........................add�ines3+4 $ 19,366.67 $ 25,096.72 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... scnedu�e e,�ine a $ 5,931.05 $ 11,182.18 Candidates
7. Loans Made............................................................. scned�ie H,Line 3 � �
5,931.05 11,182.18 22• Cumulative Expenditures Made*
8. SUBTOTALCASH PAYMENTS .................................... Add�ines 6+7 $ $ (IfSubjecttoVolunWryExpenditureLimit)
9. Accrued Expenses (Unpaid Bills)...............................scned�ie F�rne s � � Date of Election Total to Date
10. Nonmonetary Adjustment ..........................................scneduie c.une s 5.05 60.10 (mm/dd/yy)
11. TOTALEXPENDITURESMADE................................add(.inese+s+�o $ 5,936.10 $ 11,242.28 �� �
Current Cash Statement —�—� �
12.Beginning Cash Balance....................... Pre�ro�s s�mmaryPa9e,Line 16 g 423.87
To calculate Column B,add
13.Cash Receipts ................................................... coium�a,Line 3 above 19,361.62 amounts in Column A to the
� corresponding amounts *Amounts in this section may be different from amounts
14.Miscellaneous Increases t0 CBSh........................... Schedule l.Line 4 from Column B of your last reported in Column B.
15.Cash Payments.................................................. coiumn a,Line 8 above 5,931.05 report. Some amounts in
Column A may be negative
16.ENDING CASH BALANCE.......... Add�ines�2+�s+�4,then subtract�ine�s $ 13,854.44 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 e,Part 2 $ 0 for this calendar year, only
carry over the amounts
from Lines 2,7,and 9(if
Cash Equivalents and Outstanding Debts any).
18. Cash Equivalents........................................ See instructions on reverse $ �
19. Outstanding DebtS......................... Add Line 2+Line 9 in Column e above $ � FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)