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461 Major Donor and Independent Expenditure Committee Campaign Statement 07-01-2016 to 12-31-2016 Major Donor and Independent Expenditure Committee Campaign Statement SEE INSTRUCTIONS ON REVERSE 1. Name and NAME OF FILER KT Urban, Inc Statement covers period from 07/01/2016 through 12/31/2016 Her and affiliated entity 190 West St. James, LLC AREA CODE/DAYTIME PHONE ( 2. Nature and Interests of Filer (Complete each applicable section.) EI A FILER WHO IS AN INDIVIDUAL MUST LIST THE NAME,ADDRESS,AND BUSINESS INTERESTS OF EMPLOYER OR,IF SELF-EMPLOYED,THE NAME,ADDRESS,AND NATURE OF THE BUSINESS NAME OF EMPLOYER/BUSINESS BUSINESS INTERESTS ADDRESS OF EMPLOYER/BUSINESS A FILER THAT IS A BUSINESS ENTITY MUST DESCRIBE THE BUSINESS ACTIVITY IN WHICH IT IS ENGAGED Developer A FILER THAT IS AN ASSOCIATION MUST PROVIDE A SPECIFIC DESCRIPTION OF ITS INTERESTS 0 A FILER THAT IS NOT AN INDIVIDUAL,BUSINESS ENTITY,OR ASSOCIATION MUST DESCRIBE THE COMMON ECONOMIC INTEREST OF THE GROUP OR ENTITY ❑Amendment (Explain): MAJOR DONOR AND INDEPENDENT EXPENDITURE Date of election if applicabl (Month,Day,Year) FEB — i 1 a e For CU E TINC CITY CLERK- 1 of 3 Official Use Only 3. Summary (Amounts may be rounded to whole dollars.) 1. Expenditures and contributions (including loans) of$100 or more made this period. (Part 5.)........................................... $ 336,243.54 2. Unitemized expenditures and contributions (including loans) under $100 made this period................................................. $ 0.00 3. Total expenditures and contributions made this period. (Add Lines 1 + 2.)............SUBTOTAL $ 336,243.54 4. Total expenditures and contributions made from prior statement. (Enter amount from Line 5 of last statement filed. If this is the first statement for the calendar year, enter zero.)..................................... $ 290,706.58 5. Total expenditures and contributions (including loans) made since January 1 of the current calendar year. (Add Lines 3 + 4.).............................................TOTAL $ 626,950.12 4. Verification have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein is true and complete. I Executed on 01/30/2017 By DATE SIGNATURE OF INDIVIDUAL DONOR OR RESPONSIBLE OFFICER IF OTHER THAN AN INDIVIDUAL FPPC Form 461 (Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Major Donor and Independent Expenditure Committee Campaign Statement SEE INSTRUCTIONS ON REVERSE 1-v-yr riLrm MAJOR DONOR AND INDEPENDENT EXPENDITURE Amounts maybe rounded Statement covers period to whole dollars. from 07/01/2016 through 12/31/2016 KT Urban, Inc. and affiliated entity 190 West st. James, LLC 5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made (Ifmore space is needed,use additional copies of this page for continuation sheets.) Page 2 of 3 DATE NAME,STREET ADDRESS,CITY,STATE AND ZIP CODE DESCRIPTION OF CANDIDATE AND OFFICE, CUMULATIVE AMOUNT OF PAYEE TYPE OF PAYMENT PAYMENT MEASURE AND JURISDICTION, AMOUNT THIS RELATED TO THIS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF OTHER THAN MONETARY CONTRIBUTION OR LOAN) OR COMMITTEE PERIOD CANDIDATE,MEASURE, OR COMMITTEE 07/16/2016 Magnuson & Company 1717 I Street ® Monetary CNS Citizens Initiative to 5,000.00 624,550.12 Sacramento, CA 95811 Contribution Revitalize in he Oaks Sho pp g ® Loan Center Measure: N/A Non-Monetary City of Cup rtino Contribution ® Independent Expenditure Q Suppoort ❑ Oppose 07/16/2016 Consultants, Incorporated 265 26500 West Agoura Road ED PET Citizens Initiative to 10,163.00 624,550.12 Suite 102-146 Contribution Revitalize the Oaks Shopping Calabasas, CA 91302 El Measure:Center Measure: N/A Non-Monetary City of Cupertino Contribution Independent Support E] Oppose Expenditure 07/21/2016 Beverly Bryant 16940 Placer Oaks Road Monetary CNS Citizens Initiative to 11,925.00 624,550.12 Los Gatos, CA 95032 Contribution Revitalize the Oaks Shopping Loan Center Measure: NIA Non-Monetary City of Cupertino Contribution ® Independent Expenditure ® Support ❑ Oppose 07/21/2016 IDMLOCO, LLC 1818 L Street, Suite 314 ❑ Monetary WEB Citizens Initiative to 9,000.00 624,550.12 Sacramento, CA 95811 Contribution Revitalize the Oaks Shopping EJ Loan Center Measure: N/A El Non-Monetary City of Cupertino Contribution ® Independent ® Support Oppose Expenditure SUBTOTAL $ 36,088.00 FPPC Form 461 (Jan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov Major Donor and Independent Expenditure Committee Campaign Statement Amounts may rounded to whole dollars. lars. SEE INSTRUCTIONS ON REVERSE NAML OF FILER MAJOR DONOR AND INDEPENDENT EXPENDITURE Statement covers period from 07/01/2016 through 12/31/2016 1 Page 3 of 3 KT Urban, Inc, and affiliated entity 190 West St. James, LLC 5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made (If more space is needed,use additional copies of this page for continuation sheets.) DATE NAME,STREET ADDRESS,CITY,STATE AND ZIP CODE DESCRIPTION OF CANDIDATE AND OFFICE, CUMULATIVE AMOUNT OF PAYEE TYPE OF PAYMENT PAYMENT MEASURE AND JURISDICTION, AMOUNT THIS RELATED TO THIS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF OTHER THAN MONETARY CONTRIBUTION OR LOAN) OR COMMITTEE PERIOD CANDIDATE,MEASURE, 08/08/2016 Imprenta Communications Group 1025 9th St #221 Monetary PET Citizens Initiative to OR COMMITTEE 269,635.09 624,550.12 Sacramento, CA 95814 Contribution Revitalize the Oaks Shopping pp in g QLoan Center Measure: N/A Non-Monetary City of Cupertino Contribution Independent ❑X Support ® Oppose Expenditure 08/10/2016 Bell, McAndrews & Hiltachk, LLP 455 Capitol Mall, Suite 600 Monetary ❑ ry RO Citizens Initiative to 2.385.21 624,550.12 Sacramento, CA 95814 Contribution Revitalize the Oaks Shopping Loan Center Measure: N/A El Non-Monetary City of Cupertino Contribution Independent Support ® Oppose Expenditure 08/19/2016 Townsend Calkin Tapio Inc. 1717 I Street Monetary 0 CNS Citizens Initiative to 28,135.24 624,550.12 Sacramento, CA 95814 Contribution Revitalize the Oaks Shopping Loan Center Measure: N/A Non-Monetary City of Cupertino Contribution ® Independent Expenditure ® Support Oppose El Monetary Contribution F] Loan ❑ Non-Monetary Contribution Independent r-1:1—support Oppose Expenditure SUBTOTAL $ 300,155.54 FPPC Form 461 (Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov