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460 Recipient Committee Campaign Statement – 2nd Preelection Statement – 09-25-16 to 10-22-16 Recipient Committee ,j �-'�`�`Da�es�a�,P ` COVERPAGE Campaign Statement '� � � � ' � � ' ' • 1 Cover Page OCE 2 8 2016 Page � of� Statement covers period Date of election if applicable: frotn 9�25/2016 (Month,Day,Yea�) ( �� r"'1 �°��", For Official Use Only °?' '� � t 10/22/2016 Nov 8 2016 SEE INSTRUCTIONS ON REVERSE throUgh 1. Type of Recipierlt Commlttee: A��committees-comP�ete Parts 1,z,s,a�d a. 2. Type of Statement: � [� O�ceholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement t Q Aarterly Statement � 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ S p e c i a l O d d-Y e a r R e p o rt 0 Recall � Controlled ❑ Termination Statement (AlsoCompleteParc5) � Sponsored (Also file a Form 410 7ermination) _ (Also Complete PaR 6! : ❑ General Purpose Committee ❑ Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee � Political Party/Central Committee (AlscCompletePad7J . 3. Committee Information I I.D.NUMBER Treasurer(s) 1389099 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Scharf for Cupertino City Council 2016 Yanping Zhao MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZiP CODE AREA CODE/PHCNE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY � Cupertino CA 95014 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE CUPERTINO, CA 95015-0467 OPTIONAL: FAX/E-MAILADDRE55 OPTIONAL: FAX/E-MAILADDRESS 4. Verifica4ion 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. 28 OCT 2016 � Proponent or Responsi6le Officer of Sponsor Executed on By Date Signature of Controlling Officeholder.Candidate,State Measure Proponenl Executed on B�� Date � SignaWre of CoMrolling Offceholdec Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Reci�ient Committee � . , Campaign Statement . - ' • � 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 Steven M. Scharf OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Cupertino City Council Member ❑ oPPosE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Cupertino, CA 95014 Identify the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE:OR PROPONENT Related Committees Not Included in this Statement: �rsra�ycommrnees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD I DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D NUMBER 7. Primarily Formed Candidate/Officeholder Committee Listnames of NAME UF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHO�DER 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 COMMITTEE ADDRESS STREETADDRESS (NO P.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 Disclasure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period � . Summary Page g/25/2016 . - � • � from SEE INSTRUCTIONS ON REVERSE throuyh 10/22/2016 page 3 of 7 NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATfACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... scneduiea,Line 3 � 518.00 $ 3322.94 O 2000 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ scneduie e,�ine s 518.00 5322.94 zo. contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+z � $ Received $ $ 4. Nonmonetary Contributions............................................ scnedu�e c,�ine 3 21. Expenditures 5. TOTALCONTRIBUTIONS RECEIVED.....................................add�ines3+4 � 468.00 � 5322.94 Made $ $ Expenditures IVlade Expenditure Limit Summary for State 65.22 3100.64 6. Payments Made................................................................ s�ned��e E,Line 4 � � Candidates 7. Loans Made....................................................................... scnedu�e H,cr»e s 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines 6+7 $ $ (If Subject to Voluntary Expenditure Limi!) 9. Accrued Expenses(Unpaid Billsj..........................................s�neduie F�i�e s Date of Election Tctal to Date 10. Nonmonetary Adjustment.........................................................scneduie c,�ine s (mm/dd/yy) 65.22 3100.64 �� $ 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+g+10 $ $ Current Cash Statement �� $ . . 1769.52 12. Beglnlling CBSh BalanCe............................ Previous Summary Page,Line�s � To calculate Column B, 13. Cash Receipts........................................................... Column A,Line 3 above 51$ add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. s�ned��e�,Line 4 amounts from Column B reported in Column B. 15. Cash Payments......................................................... coiumn a,Line 8 above 65.22 of your last report. Some 2222.30 amounts in Co�umn a may 16. ENDING CASH BALANCE ..................Add�ines�2+�3+�a,then subtract Line 15 $ be negative fgures 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................................ schedule e,Part z $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts f�om���es 2,�,and 9(if any). 18. CBSh EqUlValents................................................ See instructions on reverse $ 20�� 19. Outstanding Debts.............................. add u�e z+Line 9 in Column 8 above $ FPPC Fo�m 460(Jan�2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period � . I 9/25/2016 • � from • � through 10/22/2016 page 4 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUP,�BER Steven M. Scharf 1389099 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT I CUMULATIVE TO DATE PER ELECTION RECEIVED (�F COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE �iF se�F-EMP�oveo,eNreR NnMe PERIOD (JAN.1-DEC.31) QF REQUIRED) OF BUSINESSJ �IND 10/4/2016 Jennifer Griffin ❑OTH Retired 50 50 ❑scc �IND 10/10/2016 Lawrence Siders �o°H 18 18 ❑scc Stan Sieler C�IND 10/17/2016 ❑conn �PT'r ❑scc [�IND 10/12/2016 Dongming Yao �o�H En ineer, Intel ❑scc Phyllis Dickstein �coM 10/3/2016 ❑Pn Retired ❑scc SUBTOTAL$ r �J�S Schedule A Summary `Contributor Codes � 1. Amount received this period-itemized monetary contributions. 5,�8 IND—Individual (Include all Schedule A subtotals.) $ COM—Recipient Committee ........................................................................................................ (ot er t an PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100 ...........................$ OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. 5�8 scc-smau contr�butor comm�ttee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) ww;nr.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period � _ 9/25/2016 � � . � � • � from 10/22/2016 5 7 through Page of_ NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMP�OYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Colette Chien C�IND 100 100 10/10/2016 �Pn ❑scc [�IND ❑COM ❑OTH ❑PTY ❑SCC �IND ❑COM ❑OTH ❑PTY ❑SCC �(IND ❑COM ❑OTH ❑PTY ❑SCC IND COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ '��Q *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(lan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B-PART 1 Schedule B — Pa�rt 1 to whole dollars. Statement covers period Loans Received 9/25/2016 � �� � � � • � from 10/22/2016 6 7 SEE INSTRUCTIONS ON REVERSE th�oUgh Page of NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 IFAN INDIVIDUAL,ENTER �a� I (6) ��) �u) �e) (ry �g) FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT qMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCC FSETF-OEMPLOYDED,nEN EOYER gALANCE RECEIVED THIS OR FORGIVEN BALANCE AT pAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS pERIOD THIS PERIOD` CLOSE OF THIS pERIOD LOAN TO DATE PERIOD PERIOD ❑PAID CALENDAR YEAR g $ % $ $ anTE ❑FORGIVEN PER ELECTION" t S S S DATE DUE $ DATE INCURRED 5 ❑(IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR g 5 % $_ S ar•rE ❑FORGIVEN PERELECTION`* x S S g $ 5 t�`IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED ❑ PAID CG,IENDAR YEAR S S „ 3 S R4TE ❑FORGIVEN PER ELECTION** t S 5 5 DATE DUE S DATE INCURRED S [�IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ ( (Enter(e)on Schedule B Summary ScheduleE,Line3) 1. Loans received this period....................................................................................................................$ � (Total Column (b) plus unitemized loans of less than $100.) � tContributor Codes 2. Loans paid or forgiven this period.......... . . . . . $ 0 IND—Individual ... . ... . . ................................................................................. (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) � PTY—Political Party 3. Net chan e this eriod. Subtract Line 2 from Line 1. ......................................NET $ SCC-Small Contributor Committee 9 P � )........................ Enter the net here and on the Summary Page, Column A, LIC�e Z. (Maybeanegativenumber) Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC form 460(Jan/2016) **If required. , FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period Payments Made to who�e do��ars. 9/25/2016 .� . � • � from 10/22/2016 7 7 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 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 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 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 COMMITiEE.ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AfvtOUNT PAID Walgreens Photo, Mountain View, �A CMP Photos 65.22 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 65.22 Schedule E Summary 65.22 1. Itemized payments made this period. (Include all Schedule E subtotais.).............................................................................................................$ 0 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).............................................................................$ 4. Total a ments made this eriod. Add Lines 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. TOTAL $ 65.22 P Y P � rY 9 )........................... FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov