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700 Statement of Economic InterestSTATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Official Use Only DOCUMENTA PUBLIC COVER PAGE Please type or print in ink. V NAME OF FILER (LAST) (FIRST) (MIDDLE) Fung David IC � n, 1. Office, Agency, or Court Agency Name (Do not use acronyms) ��-��® CITY ��K Cupertino City Council Division, Board, Department, District, if applicable Your Position City Council Member P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of R1 City of Cupertino ❑ Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left I I -or- December 31, 2015. (Check one) The period covered is I I through O The period covered is January 1, 2015, through the date of December 31, 2015. -or- leaving office. ❑ Assuming Office: Date assumed 1 O The period covered is I I through the date of leaving office. ❑✓ Candidate: Election year 2016 and office sought, if different than Part 1: 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) Cupertino CA 95014 UATIIML ILLtrNUNt NUMULK t -MAIL ADDRESS ( I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public 700(2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-1 77777,CALIFORNIA Investments Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) David Fung Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY Apple, Inc. GENERAL DESCRIPTION OF THIS BUSINESS Electronics Manufacturer FAIR MARKET VALUE 0 $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT 0 Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: 15 _J_/ 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,0.00 - $10,000 ❑ $10,001 - $10o,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: —11 15 �_/ 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 15 ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: / 15 _J_/ 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 15 _/_/ 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 15 _J_/ 15 ACQUIRED DISPOSED FPPC Form 700 (2015/2016) Sch. A-1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-2 • - BE Investments, Income, and Assets lNameof business Entities/irusts(Ownership Interest is 10% or Greater) id Fung Symian Development Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 52 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Engineering Consulting Firm FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT LYOURartnership 0 Sole Proprietorship ❑Other BUSINESS POSITION Principal/Owner ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 © OVER $100,000 ❑ $1,001 - $10,000 • • t tip •- •- ❑ None or ® Names listed below Soundhawk Corp, Menlo Park, CA • •• • •- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $1o,001 - $100,000 5 115 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ LeaseholdF1Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 15 /15 ❑ $10,001 - $100,000. ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION •• 000 OVER $100,000 ■ $1,001 - $10,000 ► 3.' LIST THE NAME OF ;EACH REPORTABLE: SINGLE SOURCE .OF INCOME OF;$10,000 OR MORE (Attach a'sepamte sheet if necessary.) None or ■ Names listed below ► 4. INVESTMENTS AND INTERESTS iN REAL"PROPERTY HELD OR. LEASED BY.THE BUSINESS ENTITY OR TRUST . Check one box: F]INVESTMENT REAL PROPERTY Name of Business Entity, if Investment, Q Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 15 _/_/ 15 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ] Over $1,000,000 NATURE OF INTEREST ] Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ] Leasehold ❑ Other Yrs. remaining Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2015/2016) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPCToll-FreeHelpline:866/275-3772 www.fppc.ca.gov