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460 Recipient Committee Campaign Statement - Semi-Annual 01-01-2016 to 06-30-2016 Recipient Corrnmitte� Date Stamp 1 GOVER PAG Campaign Statement �- r� ^�� n �� ' • � Cover Page ��`�"`� �� Statement covers period Date of election if applicable: Page � of�_ ftom 01/01/2016 (Month, Day,Year) JUL 18 201� For Official Use Only SEE INSTRUCTIONS ON REVERSE through O6/3O/2016 '� • ^l �,��.T�NO CITY CL��l� 1. Type of Recipient Committee: �ui co��ness-coMpiete ae�+,z,a,ena a 2. Type of Statement: Q Officeholder,Candidate Controlled Committee ❑ Primari�y Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement � State Candidate Election Committee Committee ❑✓ Semi-annual Statement ❑ Special Odd Year Report Q Recall � Controlled ❑ Termination Statement (Also Comp�ete PeA 5) 0 Sponsored (AlsoCompletePan6) (Also file a Form 410 Termination) ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidatel � Small Contributor Committee Officeholder Committee � Political PartylCentral Committee (�go Complete PaR n 3. Committee Information I.D.NUMBER Treasurer(s) 1368800 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME QF TREASURER Dr. Huang for Ciy Council 2016 Isabel Rodriguez MAILING ADDRESS BOX) CITY STATE 21P CODE AREA CODEIPHONE 10502 Peralta Ct. PHONE NAME aF ASSISTANT TREASURER,IF ANY Cupertino CA 95014 408-489-8989 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O,BOX MAllINO ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE 21P CODE AREA CODE/PHONE OPTIONAL: FAX/E-MA�L ADDRESS 267-501-181$! DrAndyHuang@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best Assistant Treesurer Executed on ��8�2016 8y � ' Date Signature of Controlling Officeholder,Gandidate,Slate Meas�ure Proponent or Responsible Officer of Sponsor Executed on By Dete SignaWre oi ConkWing O�iceholder,Candidate,State Measura Proponent Executed on Date By Signature ot ContrWing O�ceholder,Candidate,State Measura Prapanent FPPC Form 460�Jan,(201+ fPiPC Advice:advice@fppc.ca.eov(866/275377: COVER RAGE-PART 2 Recipie�t Committee � . , � , � Campaign Statement . . Cover Page --- Part 2 Page� bf � 5. OfFiceholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASUR� Andy Huang OFFICE SOUGHT OR HELD QNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LE'TTER JURISbICTION � SUPPORT City Council ❑ oPPosE RESIDENTIAUBUSINESS AdDRESS (NO.AND S7REET) 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: Lisf any commiHees not lncluded(n fhJs sfatement lhat are contro/Ied by you or are pr(marlty formed to rbcelve OFFICE SOUGHT 012 HEID I DISTRICT NO.IF ANY contri6utions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candldate/Officeholder Commlttee Lfst na►ties of oft'icehqlder(s)or eandidate(s)for whJCh thJs commfttee�s prlmarHy 1�ormed. �f YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BO�C) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPQRT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLQER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT [] OPPQSE COMMITTEE NAME I.D,NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE S4UGHT OR HE�D ❑ SUPPQRT ❑ OPPOSE MAME OF TREASURER CONTROLLED COMMITT�EE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ Ni0 ❑ SUPPORT ❑ OPPOSE COMM�TTEE ADDRESS STREE7 ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE A#tach continuation sheets if necessary FPPC Form 460(Jan�f201� fPPC Advice:a+dvice@fppc.ca.gqv'(866/295-377; wWuvv.�pp�c.ca.gc Campaign Disclosure Statement Amounts may be rounded SUIUMARY PAC Summa Pa e to whole dollara. Statement covers�period � . , / ry g 01/01/2016 ' • - � � from throu h 06/30/2016 page --3 of 5 SEE INSTRUCTIONS ON REVERSE 9 NAME�F FILER I.D.NUMBER Dr. Huang for City Council 2016 1368800 Column A Column e Calendar Year Surnmary for Candidates Contributions Received TOTALTHISPERI00 CALENOARYEAR (FROMATTACHE�SCHEOULES) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions................................................... scneduie a,Line 3 $ 50 $ General Elections . 0 6773 111 through 6130 7l1 to Date 2. Loans Received................................................................ scr,eduie e,tine 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ 50 � Received $ $ 4. Nonmonetary Contributions............................................ scnedu�e c,Line 3 � 21. E�enditures 5. TOTALCONTRIBUTIONS RECEIVED....................................AddLiness+4 $ 50 $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scheduie E,Line 4 $ 50 $ Candidates 7. Loans Made....................................................................... scneduie N,Line 3 � 0 22. Cumulative Expendltures Made" 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6+7 $ 50 $ (If Suhjed to Vduntery Expenditure Limit) 9. Accrued Expenses(Unpaid eills)..........................................scneduie F une 3 � � �ate oi Election Total to oate 10.Nonmonetary Adjustment.........................................................scneduie c,Line 3 � (mmlddlyy) 11. TOTAL EXPENDITURES MADE.........................................add��,es s+9+�o $ 50 $ _�_� � Current Cash Statement ____J� � 12. Beginning Cash Balance............................ Previous summary Page,Llne 16 $ � To calculate Column B, 13.Cash Receipts........................................................... corumn a,Llne 3 above 50 add amounts in Column 0 A to the corresponding "Amounts fn this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scr,ed��e i,Line 4 amounts from Column B reported in Column B. 15.Cash Payments......................................................... coiumn a,Line 8 above 50 of your laSt t'eport. Some amounts in Column A may 16.ENDING CASH BALANCE ..................Add Lines�2+13+14,then subtract Line�5 $ � be negative figures that shauld be subtracted from !f fhis is a fermination siafemeni,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED................................ s�nedu�g s,Part 2 $ 0 filed for this calendar year, only carry over the amounts Cash Equivalents and Qutstanding Debts from Lines 2,�,and 9(if 18. C2Sh EqUlvelentS................................................ See instructions on reverse $ � any). 'I J. OUtStBftditl9 DBbtS.............................. Add Lrne 2+Line 9 in Column B adove $ 6�73 FPPC Form 460�1an/201� FPPC Advice:advice@fppc.ca.gav(866/275-377. www.fppc.ca.gc Schedule A Amounts may b�raunded SCH�DUI.E Monetary Contributions Received to whole dollars. Statetnent covers period � . � 01 C01/2016 � � from • through 06/30/2016 page � of S/ SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Dr. Huang for City Council 2016 1368800 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITfEE,ALSO ENTER 1.0.NUAIBER) CODE * OCCUPA710N AND EMPLDYER RECEIVED THIS GALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REpUIRED) OF BUSINESS) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑p�' ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTALS Schedule A Summary •Contributor Codes 1. Amount received this period-itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) ........................................................................................................$ O COM—Reciplent Commlttee (ather than PTY or SCC) . . . 50 OTH—Other(e.g.,business entlty) 2. Amount received this period-unitemized monetary contributions of less than $100 ..................... $ pTv-Political Parry 3. Total monetary contributions received this period. sCc-smau Contributor Committee Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. ...,.T07AL � 50 ( rY 9 )................. FPPC Form 460(Jan/201� FPPC Advice:advPce�fppc.ca.gav{866/275-377; www fnn�r�a er Schedule E Aenounts may be rounded SCHEDUL ko whole dallars. Statpment covers period � . I Paytnents Made • � from 01!01/2016 • ' 06/30/2016 '�� S� SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER Dr. Huang for City Council 2016 1368800 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contributian(explain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or c2ble 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)* P05 postage,deliuery 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 COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID *Payments that are contributions or independent expenditures must also be summarized on 5chedute D. 5UBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals. � ).............................................................................................................$ 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 50 3. Total interest paid this period on laans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $ � 4. Total payments made this period. (Add Lines 1, 2, and 3. Eruter here and on the Summary Page, Column A, Line 6.)........... . TOTAL $ 50 ............... FPPC Form 460(Jan/201� FPPC Advice:advice@fppc.ca.gov(866/275377: www.fppc.ca.gc