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460 Recipient Committee Campaign Statement - Semi-Annual 01-01-2016 to 06-30-2016 COVER PAGE Recipient Committee � Campaign Statement �� ; � �� ` • ' � ' � � � Cover Page D �� (�' � �/ � • - � � � i, � Statement covers period Date of election if applic ,'��` J U L 1 � 2016 I ��e � af � 01/O1/2016 (Month,Day,Year) �,� J : For Official Use Only from � _ _... . _. : SEEINSTRUCTIONSONREVERSE through 06/30/2016 �vosi2o16 , ��-�� TY CL�Fi�6"'a , 1. Type of Recipient Committee: ,au comm�nees-compiece Pa�es�,z,s,a�a a. 2. Type of Statement: � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled (AlsoComplefePartS) � Sponsored ❑ Termination Statement (AlsoCompletePart6) (Also file a Form 410 Termination) ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Officeholder Committee � Political Party/Central Committee (Also Complete Part 7J 3. Committee Information I I.D.NUMBER Treasurer(s) 1383579 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER David Fung for City Council 2016 Kathy Jacques MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE C��1' 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 � C��' STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAILADDRESS treasurer4fungcampaignCgmail.com 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. � / �� Executedon JUIy 18, 2016 By � Executed on gy Date Signature of Conholling Officeholder,Candidate,State Measure Proponent Executed on gy Date Signature of Controlling O�ceholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) COVER PAGE-PART 2 Recipient Committee Campaign Statement � � � � � � • 1 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 David Fung OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER I JURISDICTION I � SUPPORT Member, Cupertino 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: Listanycommittees 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. I COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• PCIIY181'II�/ FOPfTI@C� C1t1CIICIBt@IOffIC@IIOICIeC CO�Tlfllltt@@ List names of officeholder(s)or candidate(s)for which this committee is 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 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 ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NOP.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers eriod Summary Page P � . - � � � ' from 01/O1/2016 • - SEE INSTRUCTIONS ON REVERSE through 06/30/2016 page 3 of � NAME OF FILER I.D.NUMBER David Fung for City Council 2016 1383579 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions................................................... scnedu�ea,Line 3 $ 4,249 $ 4,249 General Elections O O 1/1 through 6130 7/1 to Date 2. Loans Received................................................................ scneduie e.�rne s 4,249 $ 4,249 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ Received $ $ 4. Nonmonetary Contributions............................................ scnedu�e c,Line 3 0 0 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED...................................Add�ines3+4 $ 4,249 $ 4,249 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scnedu�e E,Line 4 $ 150 g 150 Candidates 7. Loans Made....................................................................... scnedu�e H,Line 3 0 0 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines 6+� $ � $ � (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills)..........................................scneduie F�ine s � � Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scaed��e c,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE........................................Add�ines 8+g+�p $ 150 $ 150 _�� $ Current Cash Statement �_� $ 12. Beginning Cash Balance............................ P�evtous summary Pa9e,Line 16 $ � To calculate Column B, 13.Cash Receipts........................................................... Co�umn A,�ine 3 above 4�249 add amounts in Column � A to the corresponding •Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scnedu�e i,Line 4 amounts from Column B reported in Column B. 15.Cash Payments......................................................... Co�umn,4,�ine 8 above 150 of your last report. Some 4 099 amounts in Column A may 16. ENDING CASH BALANCE ..................Add(.ines 12+13+14,then subtract line 15 $ � be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED................................ schedu�e s,Pan 2 $ 0 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if 18. C85h EqUivalellts................................................ See instructions on reverse $ 0 a�y�� 19. OutStatld'Ing Debts.............................. Add Line 2+Line 9 in Column e above $ � FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers Monetary Contributions Received period ' ' ' � • 1 from 01/O1/2016 � - SEE INSTRUCTIONS ON REVERSE through 06/30/2016 page 4 of � NAME OF FILER — —-- - I.D.NUMBER David Fung for City Council 2016 1383579 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Richard Lowenthal �IND 6/14/16 ❑conn Retired, None 1,000 1000 1000 ❑pN ❑scc �IND 6/15/16 Geoff Paulsen ❑coM Retired, None 100 100 100 ❑PrY ❑scc �IND 6/20/16 Orrin Mahoney ❑coM Retired, None 100 100 100 ❑OTH ❑PTY ❑SCC Hung Wei �IND 6/20/16 ❑Pn' District ❑scc Stewart Kelly �IND 6/21/16 ❑OTH Uplift Inc. ❑PTY ❑SCC SUBTOTAL$ 1,900 � I Schedule A Summary "Contributor Codes 1. Amount received this period-itemized monetary contributions. �N�-ind��dua� (Include all Schedule A subtotals.).........................................................................................................$ 4,100 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100 ...........................$ 149 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. scc-smau contr�butor committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 4,249 � � FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . - � ' from 01/01/2016 • - • through 06/30/2016 page 5 of 7 NAME OF FILER I.D.NUMBER David Fung for City Council 2016 1383579 DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * �CCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME pERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Eric Seale �IND 6/23/16 ❑PTY ❑scc Nina Wong-Dobkin �IND Educator, None 6/27/16 ❑PTY ❑scc Soma McCandless ��N� Board Member, 6/30/16 ❑PTY District ❑scc Peter Fun Q IND 6/28/16 g ❑com Managing Editor, 200 200 200 ❑PTY ❑scc Katherine Fung �coM Independent Consultant, 6/28/16 ❑PTY ❑scc SUBTOTAL$ 1,100 . ,._.. .._ _ _r.__._._, , J "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(Jan/2016) � FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period ' � ' � 1 from 01/01/2016 • - • through 06/30/2016 page 6 of 7 NAME OF FILER I.D.NUMBER David Fung for City Council 2016 1383579 DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION 1 RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QFSEIF-EMP�OYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Darcy Paul ❑coM Attorney, Paul Law Group 6/29/16 ❑PTY ❑scc David Fung �IND Engineering Consultant, 3/15/16 ❑PTY ❑scc David Fung �IND En ineerin Consultant, 6/30/16 ❑PTY ❑scc ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,100 I J "`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(Jan/2016) � FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E Statement covers period ' Payments Made to whole dollars. ' •• - , � from 01/01/2016 06/30/2016 7 7 SEE INSTRUCTIONS ON REVERSE thl'OUgh Page of NAME OF FILER I.D.NUMBER David Fung for City Council 2016 1383579 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 FIL 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 supportinglopposing 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 (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID David Fung PO Box Rental, FPPC Registration FEE, Domain OFC Name Registration 130 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 130 Schedule E Summary 1. Itemized a ments made this eriod. Include all Schedule E subtotals. 130 P Y p ( )............................................................................................................. $ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 20 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 here and on the Summa Pa e, Column A, Line 6. 150 rY 9 )........................... TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov