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460 Recipient Committee Campaign Statement - Preelection 1-1-18 to 9-22-18 Amendment Recipient Committee p� .. P _ covER Pa�E Campaign Statement �� `� �' ' � • 1 Cover Page Statement covers period Date of election if appli e� ifL� � L11� j� t � of� from 01/01/2018 (Month,Day,Year) 3 �or ofcicia�use on�y SEE INSTRUCTIONS ON REVERSE throU h 09/22/2018 11/06/2018 � �j ��'�j j��j� �� F„s� �al 9 . 1. Type of Recipient Committee: ai comm��s-comPiete Pa��,z,s,a�a a_ 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement ❑ QuarEerly Statement � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall � Controlled ❑ Termination Statement (wsocomp�etePart� � Sponsored (Also file a Form 410 Terminafion) (Also Complete Part 6) ❑ General Purpose Committee �Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ _D n p r�� p� — Y�#��Ge �,t7Yt Q,�'� Q �[ � Small ConVibutor Committee Officeholder Committee (Afso Comp/efe Parf7J . � .� �' ('( � Polfical Party/Central Committee ..r 3. Committee Information I.D_NUMBER Treasurer(s) 1408452 COMMfiTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME�FTREASUR�R Jon Willey for Cupertino Council 2018 Joan tawler Chin MAILING ADDRESS Eric Shaefer MAILING ADDRESS(IF DIFFEREN"�NO.AND STREEi OR P.O.BOX MAPLINGADDRESS OP710NAL: FAX/E-MAILADDRESS OPTIONAL• FAX/E-MAILADDRESS 4. Verification 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 Responsible Officer of Sponsor EXeCUted on Date By Signature of Contrnlling Officeholder,Candidate,Slate Measure Proponent Executed on By . Date � Signature of Controlling Officeholder,Candidffie,Shate Measure Proponefrt FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppcp_gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period . _ Summary Page 01/01/2018 . - ' • 1 from SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 3 af 11 NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTO DATE Running in Both the State Primary and 10,550.00 10,550.00 General Elections 1_ Monetary Contributions................................................... s�nedr.�ea,�r,es $ $ �/� through 6/30 7/'I to Dafe 2. Loans Received.......................................•--••-•--•----...-------- scnedu�e a,Line 3 0 0 10,550.00 10,550.00 20. Contributions 3_ SUBTOTAL CASH CONTRIBUTIONS.............................. add�ines�+2 $ $ Received $ $ 4. Nonmonetary Contributions............................................ soneduie c,l�ne s � � 2�. Expenditures 5. TOTALCONTRIBUTIONS RECEIVED.....................................4dd�iness+4 $ 10,550.00 $ 10,550.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scneduie E,Line 4 � 7817.58 $ 7817.58 Candidates 7. Loans Made............................•-----------��--------�-------------------- scneduie H,Line 3 0 0 7817.58 7817.c�g 22. Cumulafive Eupenditures Made" 8. SUBTOTALCASH PAYMENTS.......................................... Add�iness+� g $ (IfSubjedtoVoluntaryExpenditnreLimit) 9. Accrued Expenses(Unpaid Bills)..........................................s�neduie F��e s � � Date of Election Totai to oate 10. Nonmonetary Adjustment.........................................................scnedu�e c,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE........................................AddCiness+s+�o $ 7877.58 � 7817.58 �� Current Cash Statement �� 12. Beginning Cash Balance............................ Pre,�oussuromaryPa9e,Line 16 $ � To calculate Column B, 13.Cash ReCeipts........................................................... Column A,Cine s above 10,550.00 add amounts in Column 10,550.00 Ato the corresponding �Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scheduie i,Une 4 amounts from Column B reported in Column B_ 15. Cash Payments......................................................... Column A,�ine a above 7817•5$ of your last report_ Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add�ines 1z+13+14,then subtract Line 15 $ 2732.42 be negative figures that should be subtracted from If this is a termina6on statement,Line 16 must be zero. previous period amounts. If this is the first report being 17_ LOANGUARANTEESRECEIVED................................ scheduleB,Partz $ filedforthiscalendaryear, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(f any). 18. Cash Equivalents................................................ Seernstructionsonreverse $ 19. Outst2rtding DebtS.............................. Add Line 2+(_ine 9 in Column e above $ FPPC Form 460(Jan/2016j FPPC Advice:advice@fppc.ca.gov(866/275-3772) � www.fppc.ca.gov Schedule A .4mounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received . - . , ' 01/01/2018 • from • � through 09/22/2018 page 4 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �FAN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE� (IFSELFEMPLOYED,ENTER NAME PERIOD (JAN.'I-DEC.31) (IF REQUIRED) OF BUSINESS) Ignatius and Josephine Ding ��N� Retired 8/2/2018 ❑OTH ❑PTY ❑SCC Catherine and John Moore 0 IND 8/612018 ❑OTH Retired ❑PTY ❑SCC Wayne and Joan Chin �IND Retired 8/6/2018 �P�, ❑scc Lisa and Michael Warren ��N� Real Estate Contractor, 8/8/201 S ❑OTH p Y ❑PTY ❑SCC Tessa Parish ��N� Realtor, RHM Realty 8/8/2018 ❑OTH ❑PTY ❑SCC SUBTOTAL$ 2600.00 h le A Summa $C @dU �I onributorCodes � C t 1. Amount received this period-itemized monetary contributions. iN�-ind��iduai (Include all ScheduleAsubtotals.)..........................................:..............................................................$ 10,550.00 COM-RecipientCommittee (other than PN or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100...........................$ 0 OTH—Other(e.g.,business entity) PTY—Political Party 3_ Total monetary contributions received this period. scc-smaii contributorcommittee Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ 10,550�00 � rY 9 )...................... FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period � _ from 01/01/2018 s - � • 1 through 09/22/2018 page 9 of 11 NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE'� OCCUPATIONANDEMPLOYER RECEIVEDTHIS CALENDARYEAR TODATE (IFSELF-EMPLOYED,ENTER NAME pERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) . Herching Ku ��N� Retired 9/11/2018 ❑OTH ❑PlY ❑SCC Larry Russel 0�N� Reitired 9/17/2018 ❑OTH ❑PTY ❑SCC Suzanne Keehn ��N� None 9/23l2018 ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 700.00 P''��j��'�� '� �' �� "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