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460 Recipient Committee Campaign Statement - Preelection 9-23-18 to 10-20-18 COVER PAGE ReCfpfe�t Comm)ttee DateStamp Campaign Statement ��r �_� � � � � � � �_ � ' • � Cover r�age �� � � � f ,� �f � of �`� Statement covers per9od Date of election if applici l��e 9 � iP G�� Sept.23,20'18 (Montn,Day,Year) j; � � ��� � � 2��� ��� ; For Official Use Only from !� SEE INSTRUCTIONS ON REVERSE thPough �Ct.2�, 2��8 Nov.6,2��8 a �.T• .� ����i���� s,� s f �=' ' 9. Type of ReCipietlt Committee: au committees—complete Parts 1,z,s,a�a a_ 2. Type of Statem . � Officeholder,Candidate Controlied Committee ❑ Primarily Formed Bailot Measure � Preelection Statement ❑ Quarterly Sfatemen# � State Candidate Election Committee �ommittee ❑ Semi-annual Statement ❑ Special Odd-Year Repor� � Recall � Controlled ❑ Termination Stafement (AlsroCompletePartS) � Sponsored (Also file a Form 490 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Oificeholder Committee � Political Pariy/Central Commiitee (asoCompletePart7J 3. Committee Information '.°."u"'BER Treasurer(s) COMMITTEE NAME(OR CANOtDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Hung Wei for Cupertino City Council 2018 Maria Lourdes Oppus-Moe MAILING ADDRESS MAILINGADDRCSS(IF DIFFEREN�ND.AND STREET OR P.O.BOX MAILINGADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZfP CODE AREA CO���PHONE OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. Verification i have used all reasonable diligence in preparing and reviewing this statemen#and to the best of my knowierlge the informafion conTained herein and in the attached schedules is true and complete. 1 certify under penalty of perjury under the taws of the State of Cali#ornia thaf the foregoing is true and ExecUted on Date BY Signature of Corrtrolling Officeholder,Candidate.State Measure Proponent Executed on gY Date Signature of Controlling Officeholder,Candidate,Sta#e Measure Proponent FPPL Form 46U(Jan/2016) FPPC Advice:advice@fppc.ca.gov{86b/�75-3772) www.fippc_ca.gov COVER PAGE-PART 2 Recipient C�mmittee Campaign Statement •� � • ' Cover Page — Part 2 Page � ofi jG 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Hung Wei OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) BALLOT NO.OR LElTER JURISDICTION ❑ SllPPORT Cupertino City Council 2018 ❑ oPPosE RESIDENTIAUBUSINESSADDRESS (NO.ANDSTREE� CITY STATE ZIP Identifiy the controlling ofFceholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Induded in this Statement: c;sta�ycommittees not inc/uded in this statement that are controlled by you or are pnma�i/y fo�med to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contribuSons or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NllMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• ��If171r1I)/FOI't11ECI Caf1LIlC�at@IO'Ffi1CeFlOICI@�COf17fTllttee Listnames of offceholder(s)or candida#e(sJ for which fhis committee is primari/y formed ❑ YES ❑ NO COMMITEE ADDRESS STREETaDDREss (No p.o.aox) NAME OF OFFI�EHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD n sc;PPORz ❑ oPPesE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HE!D ❑ SUPPORT ❑ op�os� COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OF�I�E SDUGHTOR HELD ❑ SUPDORT ❑ O?POSE NAME OF TREASURER CONTROLLED COMMITTEE? �AME OF OFFICEHOLDcR OR CANDIDATE OFFICE SOUGHT flR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rftach continuafion sheets ifnecessary FPPC Form A60(lan/2016) FPPC Adv�ce=advice@fppcca.gov(866/27�-3772) www.fppc.ca.gov Campaign Disclosure Statemenf Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period � _ Summary Page , � from Sept.23,2018 • - • SEE INSTRUCTIONS ON REVERSE � through �Ct.2�,2��$ page � of �p � NAME OF FILER ' I:D.NUMBED Hung Wei for Cupertino City Counci12018 1404247 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTMSPERIOD CAtENDARYEAR (fROMATTACHEDSCHEDULES) TOTAiTCDATE Running in Both the State Primary and 2798.00 38,139.00 General Elections 1. Monetary Contributions................................................... scnedu�ea,Line3 $ $ 2_ Loans Received.........--•---------------------------------------------------- s�hedr.ie a,Line 3 3000.00 3075.00 1/1 through 6/3C 7�� to Date 579$.00 41,214.Ofl 20_ Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Addlines 1+2 � � Received $ $ 900_00 1048.44 4. Nonmonetary Contributions............................................ scneduie C;tine s 21. Expenditures 5. TOTALCONTRIBUTIONS RECEIVED....................................Addl�nes3+4 � 6698_00 � 42,262.44 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. PaymentsMade................................................................ scneduieE,une4 � 19,332.85 g 31,926.92 Candidates 7. LOanS MaCle--------------------------------------•-•-•--••---------------.....---- Schedule H,Line 3 0 0 'i9,332_85 31,926.92 22- Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS.......................................... AddLinese+7 $ � (IfSubjeUtoVoluntary6cpenditurelamit) 9. Accrued Ex enses Un aid�ills Schsdu/e F,Line 3 0 0 P � P )�--��-----��--��--��---��--�--��---�-�-��� Date of Elec#ion Total Yo Date 10_NonmonetaryAdjustment.........................................................sct,eduieC,cfnes 900 1048_44 (mm/dd/yy) 19_ TOTAL EXPENDITURES MADE...................................._..Add unss 8+g+9p $ `��,232.85 � 32,975.3f � � � Current Cash Statement �� � . . 22,821_93 12. B2gltlflltl�CBSh B81aC1C2............................ Previous SummaryPage,Line 96 $ To calculate Column B, 13. Cash Receipts........................................................... Column A,�;ne s above 5798.00 add amounts in Column � Ato the co:responding �p,moun#s in this section may be di�rerent�om amounts 14_Misc�.11aneous Increases to Cash.................................. scneduie�,�ne 4 amounts fiom Column B reported in Column B_ 15.Cash Payments......................................................... co�umn a,c.ine s above 19,332.85 of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE ..................Add�ines 12+�s+�4,then subtract line�5 $ 9287-�8 be negative figures that should be subtracted from lf this is a termination sfafemant,Line 16 must be zero. previous period amounts. If this is fhe firsi report being 17. LOAN GUARANTEES RECEIVED................................ Schedulee,Pa,t2 $ 0 filedforthiscalendaryear, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if 18. Cash EqUlValents................................................ See instn�ciions on reverse $ � any). 19. OutstBnding Debts.............................. Add Line 2+Lina 9 in Column e above $ 3075.00 FPPC Farm 460�Jart/2036) FPPC Advice:advice@fppc.ca.gov(866/275-37�2) www.fppc.ca.gov SChedU�e A Amounts may be rounded SCHEDULE A Monetary Contributions Received towhoiedollars. Statementcoversperiod � _ trom Sept.23,20l$ � - � • 1 � #hrough OCt.20,2018 page � ofi �'`� SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER � ��� z�7 FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR I OFAN INDIVIDUAL,ENTER AMOUNT CUMULAi IVE TO DATE PER ELECTION DATE (IF COMMITTEE,ALSO EN7ER I.D.NUMBER) � OCCUPATION AND EMPLOYER � RECEIVED THIS CALENDAR YEAR TO DATc RECEfVED CODE* (IF SELF-EMPLOVEO,ENTER NAME I PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) �1ND 10/20/2018 W����am Byme ❑conn Director 100 ❑OTH NVIDIA ��� ❑PTY ❑SCC ❑IND � 10/15/2018 San Jose Water Company ❑conn �p� 110 W.Taylor St, San Jose,CA 95196 �OTH 500 ❑PlY ❑SCC ❑IND 10/15/2018 Sheet Metal Workers International Asso. ❑COM 2010 Crow Canyon Road, Ste 300, ❑OTH 500 .�d San Ramon, CA 94503 ❑PT' �scc Plumbers Steamfiiters& Refirigeration Fitters ��ND I 9/29/2018 555 Capitol Mall, Suite 1425, �p�H 1 500 �t� Sacramento, CA 95814 ❑Pn �scc Rodney Diridon Jr �'ND Mana sr � 9/28/2018 g22 Camino Drive, �❑o�H � Apple Computer 250 ot�� Santa Clara, CA 95050-5925 ❑pN ❑scc :�xw SUBTOTAL$ 1850 � Schedule A Summary *ContributorCodes 1. Amount received this period-itemized monetary contributions. ��y IND—lndividual (Indude all Schedule A subtotals.) � .2 5�� • - COM-Recipient Committee -------...•••••••-•--.........-•----------•••••••••••-----------------•---••-----------•-•.....•••••--•-- (other#han�i 1'or S�C) 2. Amount received this period-unitemized monetary contributions ofi less than$'100................ �'��> `'�' OTH-Other(e.g.,business entity) -...••••...$ ' P7Y—Political Party 3. Total monetary contributions received this period. �, scc-smau contributcr committee Add Lines '1 and 2. Enter here and on the Summa Fa e; Column A, Line 9. ......TOTAL $ `� ?��' � � ry � ) FPP�form 460(Jan/2036) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHECJLEA (CONT) Monetary Contributions Received to whole douars. statement covers period • - � ' from Sept.23,2018 • ' � through OC�.20, 201$ page � of I� NAME OF FILER I.D.N{JMBER /�a�2'�'� CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMllLATlVE TO DATE PER EL�TION DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR OCCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE RECEIVED QF COMMITTEE,ALSO ENTER 1.D.NUMBER) CODE "t (IF SELF-EMPLOYED,ENTER NAME i c OFBUSWESS) P��IOD (JAN.1-D�C.31) � (.F REQllIft�D) Santa Clara&San Benito Counties Bldg PAC ��ND 9/29/2D18 ❑COM 250 �✓�a ❑P7v �sCC Joe Simitian ��N� County Supervisor 9�27�2��8 ❑PN ❑SCC CA League of Conservation Voters ❑IND 9�25�2�18 ���M 100 �o 0 ❑OTH ❑PTY �SCC Connie Cunnngham ❑COM Retired � 10/5/2018 � ❑Pn � ❑scc ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ �o a�G 'Contributor Codes IND—)ndividual COM—Recipient Committee (other than P7Y or SCC) OTH—Other(e.g.,business entity) P7Y—Political Party FPPC form 450(Jan/2016) SCC—Small Contributor Committee FPPC Adv�ce:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDUL�B-PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received ' ' 1 from �ept.23,2098 • - � SEE INSTRUCTIONS ON REVERSE throUgh �Ct.2�,2��8 page � of t a NAME OF FILER I.D.NUMBEf2 Hung Wei for Cupertino City Council 2018 ��Q� 2 �� IFAN INDIVIDUAL,ENTER FULL NAME,STREETADDRESS AND ZiP CODE OUTSFANDING AMOUNT AMOUNT PAID aUTSTANDING �NTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATIOtv AND EMPLOYER gALANCE RECEIVED THIS BALANCE AT pAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IFSELF-EMPLOYED,ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THiS . NAME OF BtiSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN iO DATE Ping Lan Lee Retired �PA�D CALENDARYEAR ❑FORGIVEN �� PER ELPCTION"" S S `�000 t� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ S S DATE DUE DATE INCURRED ❑PAID CALEN{JAR YEAR � 5 % S S Ra.� ❑FORGIVEN PERFL�CTION"'t 3 $ g $ S 7❑ 1ND ❑ COM ❑ OTH � PTY � SCC DATE DUE DATE INGURRED �pq�p �ALENDAR YEAR 3 S % S S RATE ❑FORGIVEN PER ELECTION"� $ 5 5 5 S t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC �ATE DUE DATE WCURRED SUBTOTALS $ .�000 $ C� $ 3�'GC� $ Z? " � , (Enter(e)on Schedule B Summary ScheduleE,Line3) 1. Loans received this period--�---------------�-----��---....-----..........-----�--�------......................------�-------............-----� �nnn {Tota1 Column (b) plus unitemized loans of less than$100.) fiContributor�odes 2. Laans paid or fiorgiven this period....-•-••.......•••----------------•---....._.....---•---------------•--------......._......-••••••--....$ n IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipien#Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A_) GTH—Other{.g.,business entity) P7Y—Political Party 3. Ne#change this period. (Subtract Line 2#rom Line 9.)..............................................................NET $ �nnn SCC—Small Contributor�ommittee Enter the net here and on the Summary Page, Column A, LII�e G. IMaybeanegafivenumber) 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(JanJ201fi) *'If required. FPPC Advice:advice@fppc_ca.gov(866/275-3772) www.fppt.ea.gov SChedUle C Amounts may be rouncSed ��.�all�F C to whole dollars. Nonmonetar� Contributions Received Statement covers period � _ � ' from Sept.23,2018 • ' • 1 through OCt.20,201$ page / of (� SEE INSTRUCTIONS ON REVERSE I NAME OF FILER I.D.NUMB�R Hung Wei for Cupertino City Council 2018 1`��� y �� CUMULATIVF TO IFAN INDIVIDUAL,ENTER AMOUNT/ PER ELECTION DATE FULLNAME,STREETADDRESSAND CONTRIBUTOR DESCRIPTION OF DATE RECEIVED OCCUPATION AND EMPLOYER FAIR MARKET TO DATE ZIP CODE OF CONTRIBUTOR CODE" (IFSELF-EMPLOYED,ENTER GOODS OR SERVICES CALENDAR YEAR IF COMMITTEE,ALSO ENTER I.C.NUMBER) VALUE ({P R�QLiIREC�� � NAME OF BUSINESS) (JAN 1-DtC 31) �1ND 10/17/18 Hsing Kung ❑cOM Partner Paid for 900 900 �p-n � ❑scc ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM I ❑ozH � ❑PTY ❑SCC � Attach additional information on appropriately labeled continuation sheets_ SUBTOTAt$ � ' "� 900 =', � Schedule C Summary 'ContributorCodes 1. Amount received this period—itemize� nonmonetary contributions. �N�—�nd;viaua� (Include all Schedule C subtotais.)------••••-----••.............••••--------...-•-•-------...•••••-------•--.......--------.....-•••...----•......------$ 900 COM—RecipientCommittee {o#her than PTY or SC�) 2. Amount received this period-unitemized nonmonetary contnbutions of less than$100..................................$ O JTH—Other(e_g_,business enfity) P7Y—Politica(Party 3. Total nonmonetary contributions received this period. scc—smau contr�butar commit�ee (Add Lines 1 and 2. Enter here and an the Summary Page, Calumn A, Lines 4 and i 0.).....................TOTAL $ 900 FPPC form 460{Jan/2016) FPPC Advice:adv�ce@fppc.ca.gov(866/275-3772) www.fppc.ca.gov �CHEDUL�E SCfI@C�U�@ E Amounts may be rounded Statementcovers period � _ Pa ments Made to whole dollars. � � t �/ Se t.23,2098 • " from p Yhrough OCt_20,2018 page � of �� I SEE INSTRUCTIONS DN REVERSE NAME OF FILER I.D.NUMBER Hung Wei for Cupertino City Counci!2018 J�'�'��' 2 �� 1 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 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 fundr8ising events POL polling and survey research TRS staif/spouse travei,Iodging,and meais IND independent expenditure supporting/opposing others(explain)` POS postage,delivery and messenger services TSF transfier befween committees ofiYhe same candidate/sponsor LEG legal defense PRO professional services{legal,accounting) VOT voter registration LIT campaign Iiterature and mailings PRT print ads WE8 infiormation technology costs(intemeY,e-mai� NAMEANDADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Google Google Ads LIT 183.70 Facebook Facebook Ads ��T ��fl-�� Costco Business Printing �iT 30G_83 �Payments that are con#ributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ '�?r�. S3 Schedule E Summary 1_ Itemized paymer�ts made this period. (Include all Schedule E subtotals.).............................................................................................................$ t����� • �� 2_ Unitemized payments made this period of under$100.........•.----••••--•.............••--•........•••--------......••••-----........_.......-•--•-----•••••-••••......__......._...._...----� �-�. o� 3_ Total interest paid this period on loans. (Enter amount from Sche�lule B, Part 1, Column(e).).............................................................................$ `�` 4. Total a ments made this eriod_ Atld Lines 9,2, and 3. En#er here and on the Summa Pa e, Column A, Line 5_ TOTAL $ � �33 2' '�� P Y p ( rY 9 )........................... FPPC form 46fl(Jan/2016) FPPC Adv7ce:advice@fippc.ca.gov(8b6/275-3772) www.fppc.ca.gov SC�'1�C�U�e E Amounts may be rounded SCHEDUL��{CONT) (Continuation Sheet) towhole dollars. Statement covers period � _ � Payments Made from Sept.23,2018 • " � , through Oct.20,2018 pa e � of j� SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMBER Hung Wei for Cupertino City Council 2018 j!�o� 2 `�''� CODES: Ir one ofi the following codes accurately describes the payment, you may enter the code_ O#herwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communicatians 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 7EL t_v or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,Iodging,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 beiween committees of ths 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) NAMEANDADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,AL50 ENTER I.D.NUMBER) Cupertino Chamber of Commerce Booth at Diwali Festival MTG 350A0 Google Google Ads LIT 350.00 APEX Creative Designs Graphic Design � Kristen Johnson Chinese Mailer LIT 400.00 � Facebook Facebook Ads L1T 500.D0 i �Payments thaf are contributions or independen±expenditures must also be summarized on Schedule D. SUBTOTAL$ �t7C30, � FPPC Form 460�Jan/2016j FPPC Advice:advice@fppc.ca.gov{866/27�-3772) www.fppt.ca_gov SC�ieC�Ul@ � Amounts may be rounded SCHEDULE�(�ONT.) (Continuation Sheet) to whole dollars. Statement covers period � _ . ' I Payments Made f�fl,,, Sept.23,2098 • " SEE INSTRUCTIONS ON REVERSE through �Ct.2�,2��8 page �� of �� NAME OF FILER I.D_NUMBER Hung Wei for Cupertino City Council 2018 ��G C���7 I CODES: Ifi one ofi the following codes accurately describes #he payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications R.4D radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD retumed contributions CTB contribution(expiain nonmonetary)` OFC office expenses SA� campaign workars'salaries CVC civic donations PET petition circulating TEL t.v_or cable airtime and production costs FIL candidate filing/bailot fiees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS siaff/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 defiense PRO professional services(legal,accounting) VOT voter registration LIT campaign literature and mailings PRT prinf ads WEB information technology costs(internet,e-mai� NAMEANDADDRESS OF PAYEE CODE Oft DESCRIPTION OF PAYMENT AMOUN?PAID (IF COMMITTEE,AL50 ENTER I.D.NUMBER) Sing Tao Daily PRT 795_60 DemSign Company Yard Signs Papyrus I Mailer 1 � I Papyrus Mailer 2 � � � � �Payments that are contributions or independent axpenditures must also be summarized on Schedule D_ SUBTOTAL$ 165E926 FPPC Form 460(1anJ2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www_fppc.ca.gov