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460 Recipient Committee Campaign Statement - Termination Recipient Committee COVER PAGE MM �v Campaign Statement Cover Page • fi Statement covers period Date of election if applica - 1 6 201 a 1 of 6 from 01101/2017 (Month,Day,Year) I For Official use only SEE INSTRUCTIONS ON REVERSE through 03/10/2017 11/08/2016 C PERTINO CITY CL 1. Type of Recipient Committee: All corntniffees cornpIrAe Parts 1,2,3,and 4. 2. Type of Statement: Officeholder,Candidate Controlled Committee n Primarily Formed Ballot Measure ❑ Preelection Statement 0 State Candidate Election Committee 0 Quarterly Statement Committee ❑ Semi-annual Statement El Special Odd-Year Report 0 Recall 0 Controlled A0 C-06b pal 5) 0 Sponsored Termination Statement (Also file a Form 410 Termination JA ) ❑ General Purpose Committee W Com*b P-6) 0 Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Offlceholder Committee 0 Political Party/Central Committee faaoCampterePerr 3. Committee Information1383579 1 Treasurer(s) COMMITTEE NAME OOR CANDIDATES NAME IF NO COMMITTEE) NAMEOFTREASUREA David Fung for City Council 2016 Kathy Jacques WILINGADDRESS MAILING ADDRESS OF DIFFERENT)NO.AND STREET OR P.O.BOX MAILINGADDRESS OPTIONAL FAX I E-MLADDRESS — OPTIONAL FAX I E-MAILXDDRESS 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 Resporalble Offwerof Sponwr Executed on Date By Signature of controlling Office r,CohdING.State Measure Proponent Executed on Date By SW94M 01COntraftQ 5Wshoffe-r.Candidate.State Maas;Z F;;p—oneM FPPC Form 460(Jan/2016) FPPC Advilew.adviceLWf0pcca.gov(866/275-$772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee Campaign StatementFNIA e 460 Cover Page Part 2 Page 2 of--G- 6. f G6. Officeholder or Candidate Controlled Committee S. 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 LETTERRISDICTION ❑ SUPPORT JU Cupertino City Council ❑OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,If any. DAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not included in this Statement: ustanycommmees not included In this statement that are controlled by you or are primarily formed to recolve QFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or snake expenditures on behalf of your candidacy. COMMITTEE NAMEI.Q.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee ust names or otficehoidw(s)or candidates)ror which this ponrmmee is primarily formed. [I 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 COD HONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ COMMITTEE NAME I.D.NUMBER OPPOSE 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 C3 YES ❑ NO ❑SUPPORT COMMnTEEADDRESS STREETADDRESS (NO P.O.BOX) ❑OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(!an/2016) FPPC Advice:advice ftpe ca.gov(866/275-43772) www.fppc.co.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Summary Page Statement covers period from 01/01/2017 .s + • SEE INSTRUCTIONS ON REVERSE through 03/10/2017 page 3 of 6 NAME 9F FILER I.D.NUMBER David Fung for City Council 2016 1383579 Contributions Received Column A Column 8 Calendi3r Year Summary for Candidates (MMATTLA�SME�IIUU_S) ro T�ODATE Running in Both the State Primary and 1. Monetary Contributions................................................... schedule A,tine 3 $ 1125 $ 1125 General Elections 2. Loans Received............................................................... Schedule B,tine 3 -5000 -5000 111 through SW 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS.............................. $ $Add Lines t+2 -3875 -3875 20• Contributions Received $ $ 4. Nonmonetary Contributions........................... schedule C,tine 3 0 0 21. Expenditures 5. TOTAL CONTRI13UTIONS RECEIVED....................................Add Lines 3+4 $ 3875 $ -3875 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made............................................................... Schedule E,tine 4 $ 243 $ 243 Candidiates 7. Loans Made..... . ............................................................. Schedule H,Una 30 0 8. SUBTOTAL CASH PAYMENTS.......................................... Add tines 6+7 $ 243 $ 243 22. Cumulative Expenditures Made (If Subject to VotunbVy Expenditure umtt) 9. Accrued Expenses(Unpaid Bilis)..... ...................................Scjhedule F,tine 3 0 0 Date of Election Total to Date 10.Nonmonetary Adjustment....................................................Schedule C.Line 3 _ 0 0 (mmlddtyy) 11.TOTAL EXPENDITURES MADE........................................Add Linea a+g+io $ 243 $ 243 ®1� Current Cash Statement $ 12.Beginning Cash BalancePrevious Summary Page,Line 16 $ 4118 ���������������������������� To calculate Column B. 13.Cash Receipts-, ...................................................... Column A,Line 3 above -3875 add amounts in Column 14.Miscellaneous Increases to Cash.................................. soh®aura 1,tinea A to the corresponding *Amounts in this section may be diflarent from amounts amounts from column B reported in Column B. 15.Cash Payments......................................................... Column A,Line a above 243 of your last report. Some amounts in Column A may 16.ENDING CASH BAi.ANCE ..................Add tines 12+13+14,then subtrect Line 15 $ 0 be negative figures that ifthis is a termination statement,Line 18 must be zero, should be subtracted fromprevious period amounts. if this is the first report being 17.LOAN GUARANTEES RECEIVED................................ schedule B,Part 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts' from Unes 2,7,and 9(if 18. Cash Equivalents................................................ see instruo/ions on reveres $ any). 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column a above $ FPPC Form Rho(Janj2016) FPPC Advice:advice@"c.ca.gov(866/2753772) www fppccp.gov SChedude A, Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period + • ' r J from 01/0112017 FORM through 03/1012017 SEE INSTRUCTIONS ON RE ul)h Page of 6 I�tP,ME OF FILER David Tung for City Council 2016 I.D.NUMBER138 570 BATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED WC0MMnTF.EALSO e4TER Lc.NUMBER) GODS* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO GATE itFSELF-OAPLOYW,ENIS�NAW PERIOD (JAN.I-DEC.31) (IF REQUIRED) 6F BUSINESS) David Fung iii IND 03/10117 Clccom Principal, Symian DOTH Development 696 606 n/a CI PTY M scC CI Iain D corp C3 oTH D PTY F-1 scc [J IND C!cots MOTH PTY Cl SCC CI IIT Ci coli 0 OTH 0 PTY C Scc ®IND CI coil Q oTH ❑PTY ❑ SCC SUBTOTAL Schedule A Summary -------- *Contributor Codes 1. Amount received this period- itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.).................................................................................................. . .. 696 coni-Recipient committee (other than PTY or SCG) 2. Amount received this period-unitemized monetary contributions of less than$100......... ........ ....$ 420 oTH-other(e,g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC-Small contributor Committee (Adel Lines 1 and 2, Enter dere and on the Summary Page,Column A, Lime 1.)......................TOTAL 1125 FPPCFon 460(Jan/416) FPPC Advice:advice@fppc»ca.gov(866/275-3772) to ww fppc.eagov Schedule B— Part 1 Amounts may be rounded SCHEDULE B-PART 1 Loans Received • to whole dollars. Statement covers period i from 01/01/2017 •- SEE INSTRUCTIONS ON REVERSE through 03/10/2017 Page 5 of 6 NAME OF FILER I.D.NUMBER David Fung for City Council 2016 1383579 FULL NAME,STREETADDRESSAND ZIP CODE IFAN INDMDUAL,ENTER 10 c OUTSTANDING AMOUNT OUTSTANDING 9 QF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID INTEREST ORIGINAL CUMULATIVE (IFCOMMITrEE,ALSO ENTER LD.NUMBER) IP SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS NAME OFeUSINEss7 PERIOD PERIOD THIS PERIOD' CLOSE OF THIS PERIOD PERIOD LOAN TO DATE David Fung Principal, Symian 0 PAID CALENDAR YEAR RATE ®FORGIVEN PER ELECTION'' t $ 5000 S 0 s 696 03/10/17 s 0 /yp`����r/�, ®IND [3 COM ❑OTH ❑ PTY ❑SCC DATE DUE DATE INCURRED S ❑PAID CALENDAR YEAR $ s x s s ❑ FORGIVEN EEN PER ELECTIONf! t❑IND ❑COM ❑oTH ❑ PTY ❑SCC $ $ $ DATE DUE s DATE INCURRED $ ❑PAID CALENDAR YEAR s s x $ s ❑FORGIVEN RATE PER ELECTION t❑IND C] COM ❑oTH ❑ PTY ❑SCC $ S $_ DATE DUE 9 DATE INCURRED $ SUBTOTALS $ $ $ $ Schedule B Summary Sa E Una 3) 1. Loans received this period....................................................................................................................$ n (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 2. Loans paid or forgiven this period..................... Rnnn IND—Individual (Total Column(c) plus loans under$100 paid or forgiven.) COM—Recipient Comm'Ittee (Include loans paid by a third party that are also itemized on Schedule A. (other than PTY or SCC) ) OTH—Other(eg.,business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)..............................................................NET $ 50nn SCC-Small Contributor Comrn)ttee Enter the net here and on the Summary Page, Column A, Line 2. (Vey beanepaWenumbo 'Amounts forgiYan or paid by another party also must be reported on Schedule A FPPC Form 460{Jan/t018) "if required. FPPC Advice:advlce@fppc.ra.gov(866/275-4772) www.fppc.cp.gov Schedule E Amounts may be rounded SCHEDULE EStatement covers period � Payments Made tD whole dors. '� � 1 from 0110112017 •' � SEE INSTRUCTIONS ON REVERSE through 03/10/2017 Page 6 of 6 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 paraphemalia/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 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 supporting/opposing others(explain)* POS postage,delivery and messenger services TSF transfer between committees of the same candidatefsponsor 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 ANDADDRESS OF PAYEE IiFCOMWTTEE.ALSO 89M LD.NUMSM CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Nationbuilder Campaign Website Hosting WEB 226 "Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 226 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals. .,,_„$ 226 2. Unitemized payments made this period of under$100................................... 17 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column e 0 4. Total payments made this period.(Add Lines 1, 2,and 3.Enter here and on the Summary Page, Column A, Line 6.)............ 243 ...............TOTAL$ FPPC Form 460(ion/2016) FPPC Advlce:advice@fppcca.gav(866/275-3772) www.fppr-ca.gov