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460 Recipient Committee Campaign Statement - Quarterly 10-28-18 to 12-23-18 �$�Cl�l�tlt �i0�'YY11711tt�e �� IF- tY/ !�l 1 COVER PAGE � • ' � Campaign Staterr�ent � � ' � _ • 1 Cover Pa e E g � J�,�� ; ?�'19 Statement covers period Date of election if app cable P�9e � of 9 10/28/2018 (Montn,oay,Yea For Official Use Only from tr� �� t�3 ! � �� SEE INSTRUCTIONS ON REVERSE through 12/23/2018 11/06/2018 1. Type of ReCipient Corvimittee: a��committees-Comp�ete�arts 7,s,s,and 4. 2. Type Of S$�tement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement � Quarterly Statement � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled ❑ Termination Statement (AfsoCompfeteParf� � Sponsored (Also file a Form 410 Termination) (Also Complete Part 6J � General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Smali Contributor Committee Officeholder Committee � Political Party/Central Committee (a��mplefePart7J 3. Committee Information �-D.NUMBER Treasurer(s) 1414447 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTE� NAME OF TREASURER Cupertino Political Reforms PAC Xiaragchen Xu MAILlNG ADDRESS MAILINGADDRESS(IF DIFFEREN�NO.AND STREET OR P.O.BOX MAILINGADDRESS CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIPCODE AREACODE/PHONE OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. Uerification 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 Califomia that the foregoing is true Executed on By Date � Signature of Controlling Officeholder,Candidate,SNate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,Shate Measure Proponent Executed on Date � Signature of Controlling Officeholder,Candidate,S(ate Measure Proponent . FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement �ounts may be rounded SUMMARY PAGE �Ummary Page to�nrhole dollars. Sfiatement covers period • - , from 10/28/2018 . - • � throu h 12/23/2018 page 2 of 9 SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMBER Cupertino Political Reforms PAC 1414447 Contributions Received To�TM�s Pn oo CALENDARYEAR Calendar Year Surnmary for Candidates (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Confibutions___________________________________________________ scnedu�ea,Line 3 $ 3250 � 3250 �/� through 6/30 7/1 to Date 2. Loans Received....••••-•••••••--...••••.....•••••.....••••••.....-•-•-........ scnedu�e e,Line 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add[.ines 1+2 $ 3250 $ 3250 Received $ $ 4. Nonmonetary Contributions............................................ soneduie c,une s 301 301 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED...................................AddC.ines3+4 $ 3551 $ 3551 Made $ $ E�Cpenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scnedu�e E une a $ 3550.71 $ 3550.71 Candidates 7. LOanS M2d2..••••••••••••••••••••••••••-•••-••--•-•••.................•--•-••••••. Schedule H,Line 3 22. Cumulative Expenditures Made* 8. SUBTOTALCASHPAYMENTS.......................................... AddLines6+7 $ $ (IfSubjecttoVoluMaryExpenditureLimit) 9. Accrued Expenses(Unpaid Bills)..........................................scneduie F une a Date of Election Total to Date 10.Nonmonetary Adjustment.........................................................schedu�e c,Une s 301 301 (mm/dd/yy) 11. TOTALEXPENDITURES MADE........................................AddCines8+g+�o $ 3249.71 � 3249.71 �� Current Cash Statement �� $ 12.Beginning Cash Balance............................ Pre�ious summaryPaye,Line 96 $ � To calculate Column B, 13.Cash Receipts........................................................... ColumnA,Line 3 above add amounts in Column Ato the corresponding *qmounts in this section may be different from amounts 14.Miscellaneous Increases to Cash.................................. Schedule 1 Une 4 amounts from Column B reported in Column B. 15.Cash Payments......................................................... Column A,Cine s above of your last report. Some amounts in Column A may 16.ENDIIdG CASH BALANCE ..................Add Lines 12+13+14,fhen subtract Line 15 $ � be negative figures 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 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if 0 a�Y) 18. CBSh EqUiVal2ntS................................................ See instructions on reverse $ 19. OUtstafldlftg Debts.............................. Add Line 2+Line 9 in Column B above $ � FPPC For'm 460(Jan/2016) FPPC Adence:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCIIeCIUIe A Amounts may be rounded SCHEDULE A Monetary Contributions Received $��hole dollars. Statement covers period . _ , 10/28/2018 • ' from • � through 12/23/2018 Page 3 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Cupertino Political Reforms PAC 1414447 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �F AN INDNIDUAL,ENTER AMOUNT CUMULATNE TO DATE PER ELECTION RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Pin Gao 01ND 10/29/2018 ❑OTH ❑Pn ❑scc Sonali Padgaonkar ��ND Mana er 10/29/2018 ❑OTH Google Inc ❑P-rr ❑scc Muni Madhdhipatla �1ND VP Mitel 10/29/2018 ❑OTH ❑PTY ❑SCC Venkatesh Nayak ��N� FAE, Broadcom 10/29/2018 ❑OTH ❑PTY ❑SCC Dongming Yao ��N� Engineer, Intel 10/29/2018 ❑OTH ❑PTY ❑SCC SUB70TAL$ 650 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. trv�-tndividuat (Include all Schedule A subtotals.) .........................................� 3250 � COM—Recipient Committee ...................................••••••-•..................... (other than P"fY or SCC) • • OTH—Other(e.g.,business entity) 2. Amount received this period-unitem�zed monetary contnbutions of less than$100...........................$ PTY-Political Party 3. Total monetary contributions received this period. scc-smau contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line 1.)......................TOTAL $ 3250 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov Schedule A(Continuatiort Sheet� Arrtounts may be roaartded SCHEDULEA {C01VT} MOCI��aI",/ Ci�lltl`IbUtIOt1S �e�L'IVe� to whole dollars. Statement covers periad , �: , � � froen 10/28/2Q1$ �" • #hro�ugh ��Q�$ Rage � af g NAME OF FILER t:D.NUMBER Cupertino Politica( Re#orms PAC 1414�47 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CQNTRIBUTOR CQ�ITR�BUTQK �FAN TND1tIIDUAL,ENTER RMOUNT CUMULATNE Td DATE PER ELEGTIOIV RECENED pF con�murre�,a�so��R�D.r�UMBEt�) �ap�� CCUPPSION AND EMPLOYER REGEIVED THiS CALENDAft 1`EAR TO DATE {tPSE1.F-EMaLOYED:ENTERNAwtE PERiOD {JAN.i-DEC.31} (1F REQUIRED) OF BUSINESS) Naidu BoEtineni ��N� fVlanager 10/29/2018 �P�, ❑scc Vinod Batakrishnan m��Q Scienfist 10/3fl120i 8 ��TH ❑PTY ❑SCC Dualboot Inc_ ❑iND 10/30I2018 ��H ❑PTY ❑SCC Mei Chen Cl�IND Engineer 10/3Q/2018 ❑CJTH ❑�-nr ❑scc Diyan Liu m iND Qq 10/31 i2018 �P�, ❑scc SUBTOTAL� 5pp �Coniribufor Godes IND—Individual GOM—Recipient Committee (other than FTY or SCC} OTH—Oifier(e.g.,business entity) PTY—Political Parly SGC—Small Gonfributor Committee �PPC 6orm 460(1an/2U15} FPPG Advice:advice@fppc.ca.go�{866f275-3772j wvvw.fppc.ca.gov �C�'IeC�Ufe��E+Otl�ItlU�'�1011 S�'lEet} Amounts may be raunded SGHEDULEA (GONT.) Monetary Contributions Received to wthole dollars. Statement covers period , �. , ` from 1012$/201$ • " , • through �y231241$ Page 5 ot 9 NAME OF FILER I.Q.NUMBER Cupertino Political Rafarms PAC � 1414447 DATE FULL IVAME,STREETADDRESSAND ZIP CODE OF CQNTRIBUTC3R CONTRfBUTOR �Ff4N INDIVIDUAL,ENTER AMOUPIT CUMUIRTIVETO DATE RER ELECTION RECENED (IFCOMMITTEE,ALSOENfERID_NUMBEft) CODE� flCCUFATIdI�fANDEMPLOYER REGEIVEDTHIS CALENDARYEAR TODATE {t�s�F-EMa�ovEo,EnireR NaMe pERtOD (JAN_i-DEC.31) {1F REQUIREQ) OF BUSINESS� Li Xu ��D Project leader 10/29/2018 ❑a�rH ❑�N ❑scc Jin Yu 0�Na Ops director 10/29/2018 ❑OTH ❑��v � ❑scc Yue Wang ��N� Manager,ASI 10/29/2018 ❑flTH ❑PTY ❑SCC Saravanafcumar V Tiruthani �I IND Direcfor,8x8 10/2912018 ��, ❑scc Yanping Zhao �� Seif-emptoyed i 0/30I2018 �a�H ❑PTY ❑SGG SUBTOTAL$ 7p� *Contributor Codes IND—lndividual COM—Recipient Gommittee (ofher than P7Y or SCC} OTH—4ther(e.g.,business entify) PN—Politicai Party SCC—Smal(Gontributor Committee FPPC form 4�60(Jan/2016} FPPC Advice:advice@fppc.ca.gov{866J275-3772) www fppc.ce.gov Schedule A (Continua#ion Sheet) Amouests may be rounded SCHEDULEA (CONT.) Monetary Contribution� Received to whole doilars. Statement covers period • - • 1 frorn 10/28/2018 • - s through 12/23/2018 page 6 of g NAME OF FILER I.D.NUMBER Cupertino Political Reforms PAC 1414447 �A� FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �FAN INDNIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED {IF CAMMITTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTERNAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Tina Wu ��ND Engineer, Nest 10/30/2018 ❑OTH ❑PTY ❑SCC Alan Penn ��N� Retired 10/30/2018 ❑OTH ❑Pn ❑scc Fan Peng Kong ��ND Engineer,Apple 10/30/2018 ❑OTH ❑PTY ❑SCC Ignatius Ding ��N� Retired 10/30/2018 ❑OTH ❑P�rY ❑scc Yu-wen Su ��ND Engineer,Amazon 10/30/2018 ❑OTH ❑PrY ❑scc SUBTOTAL$ 1400 'Contributor Codes IND—Individual COM—Recipient Committee (other than P7Y or SCC) OTH—Other(e.g.,business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded to whole dollars. SCHEDULE C NO�1tYlOi1@taP� �i011tt'IbUt10f1S �@C@IV@� Statement covers period � _ � from 10/28/2018 • - s , SEE INSTRUCTIONS ON REVERSE through 12/23/2018 page 7 of 9 NAME OF FILER I.D.NUMBER Cupertino Political Reforms PAC 1414447 IFAN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO pER ELECTION DATE FULLNAME,STREETADDRESSAND CONTRIBUTOR DESCRIPTION OF pq-� RECEIVED ZIP CODE OF CONTRIBUTOR CODE* �CCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARI�T TO DATE � (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IFSELFEMPLOYED,ENTER VALUE CALENDAR YEAR ��F REQUIRED) NAME OF BUSINESS) (JAN 1-DEC 31) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ $Cf'teC�U�� : �UP'Y117181',/ *ContributorCodes 1. Amount received this period-itemized nonrnonetary contributions. irv�-individuai (Include all Schedule C subtotals.)......................................................................................................................$ O COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100..................................$ 301 oTH-otner(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. scc-smau contributor committee �Add Lines 1 and 2_ Enter here and on the Summa Pa e, Column A, Lines 4 and 10. TOTAL � 301 rY 9 )..................... FPPC Form 460(Jan/2016) FPPC Advice:adv6ce@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D Summa of Ex enditures Amounts may be rounded SCHEDULE D �/ � Statement covers period . Supporting/Opposing Other to who[e do[�ars. 10/28/2018 . � � ' e 1 Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 12/23/2018 page 8 of 9 NAME OF FILER I.D.NUMBER Cupertino Political Reforms PAC 1414447 pA-� NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR 7ypE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTERAND JURISDICTION, pF REGIUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REc1UIRED) Hung We[ � Monetary 10/31/2018 Contribution 581.75 581.75 ❑ Nonmonetary Contribution ❑ Independent ❑ Support � Oppose Expenditure Savita Vaidhyanathan � Monetary 10/31/2018 Contribution ❑ Nonmonetary 581.75 581.75 Cantribution ❑ Independent ❑ Support � Oppose �cpenditure Orrin Mahoney � Monetary 10/3112018 Contribution 581.75 581.75 ❑ Nonmonetary Contribution ❑ Independent ❑ Support � Oppose Expenditure SUBTOTAL $ 1745.26 Schedule D Sumrr�ary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.).......................................................$ 1745.26 2. Unitemized contributions and independent expenditures made this period of under$100....................................................................................$ � 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)..........TOTAL..$ 1745.26 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E �Cf'1@C�U�@ E .Amounts may be rouasded Statement covers period � . to whole dollars. I . ' Payments Made 10/28/2018 • � from SEE INSTRUCTIONS ON REVERSE through 12/23/2018 page 9 of 9 NAME OF FILER I.D.NUMBER Cupertino Pofitical Reforms PAC 1414447 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 retumed 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 senrices TSF transfer befinreen 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(intemet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Papyrus Printing Mailer '�Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3490.52 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................$ 3490.52 2. Unitemized payments made this period of under$100.......................................................................•--................................................................$ 60.19 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)....................:........................................................$ 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6.)...........................TOTAL $ 3550.71 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov