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460 Recipient Committee Campaign Statement - Preelection 9-23-18 to 10-20-18 Recipient Committee St covER Pa�E Campaign Statement � � � � � � « � � • 1 Cover Page Statement covers period Date of election if applicable. ttPT � � �� P � 1 of 6 (Month,Day,Year) v t'� + or Official Use Oniy trom 9�23/2018 ` SEE INSTRUCTIONS ON REVERSE 10/20/2018 11/06/20�8 (�p�pT1�� CITY L�� through 1. Type of Recipient Committee: an comm�tcees-compiece Pa��,z,3,a�a a. 2. Type of Statement: � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement ❑ Quarterly Statement � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report � Recali � Controlled ❑ Termination Statement (AlsoCompletePartS7 � Sponsored (Aiso file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ � Small Gontributor Committee ot�cenoider committee � Political Par1y/Central Committee ��mpletePart7J 3. Committee Information I.D.NUMBER Treasurer(s) 1408452 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Jon Willey for Cupertino Council 2018 Joan Lawler MAILING ADDRESS Eric Schafer MAILINGADDRESS(IF DIFFEREN'n NO.AND STREEf OR P.O.BOX MAILINGADDRESS OPTIONAL- FAX/E-MAILADDRESS OPTIONA�_ 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 is true and correct. ,� Executed on 10/25/2018 Proponent or Responsible Officer of Sponsor EXecuted on Date By Signature of Controlfing Officeholder,Candidate,State Measure Proponent Executed on BY Date � Signature of Controlling Offceholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period � _ Summary Page si23i2o18 .- ' e � from SEE INSTRUCTIONS ON REVERSE through �0/20/2018 page 2 of 6 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 (FROMATfACHEDSCHEDULES) TOTALTODA7E Running in Both the State Primary and 11,424 24,313 General Elections 1. Monetary Contributions................................................... schedu�ea,�ne s $ $ 1/1 through 6/30 7!1 to Date 2. Loans Received................................................................ scneauie e,cine s $ 11,424 $ 24,313 20. Contribu#ions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add[ines�+Z Received $ $ 100 100 4. Nonmonetary Contributions............................................ scnedu�e c,�ne s 2�. F�cpenditures 5. TOTALCONTRIBUTIONS RECEIVED...................................Add�iness+4 $ 11,524 $ 24,413 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scneauie E une 4 $ 2,808 $ 10,622 Candidates 7. Loans Made.............................................•---...-�---•------------- Schedule H�ne 3 2,808 10,622 22• Cumulative Expenditures Made` 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines s+� $ $ (If Subjectto Voluntary 6cpenditure Limit) 9. Accrued Expenses(Unpaid Bills)..........................................scnedu�e F�ne 3 Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scheduie c,Line 3 (mm/dd/yy) 11. TOTALEXPENDITURESMADE........................................AddCiness+s+�o $ 2,808 $ 10,622 _J_� � Current Cash Statement �� - - 5075 12. Beginrnng Cash Balance............................ Pre�ious summaryPa9e,Line 16 $ To calculate Column B, 13.Cash Receipts........................................................... Column A,line s a6ove 11,424 add amounts in Column A to the corcesponding •Amounts in this section may be different from amounts 14.Miscellaneous Increases fo Cash.................................. scnedute�,[�ne 4 amounts from Column B reported in Column B. 15.Cash Payments......................................................... caumr,a,Line S above 2,808 of your last report_ Some 13,691 amounts in Column A may 16.ENDING CASH BALANCE ._......__._.....Add�ines�2+�s+�4,then subt2ct Line 95 $ be negative figures that should be subfracted from If this is a termination statement,Line 96 must be zero. previous period amounts. If this is the first report being 17_ LOAfV GUARANTEES RECEIVED................................ Schedu�e e,Part 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if any). 18. Cash Equlvalents................................................ See instructions on reverse $ 19. OutStanding Debts.............................. Add Line 2+Line 9 in Column e above $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received .- . , � � from 9�23/2018 � _ SEE INSTRUCTIONS ON REVERSE through 10/20/2018 page 3 of 6 NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �F AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITfEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE'E pFSELFEMPLOYED,ENTER NAME PERIOD OFBUSINESS) (.1p.N.1-DEC.3'I) (IF REQU(RED) Jitendra Pongurlekar ��N� Service 25 Sep 2018 ❑OTH Intuitive Surgical Inc ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑scc Isabel Hua Yeu Tserng ��N� Homemaker 25 Sep 2018 �P-� ❑SCC ❑IND 28 Sep 2018 Better Cupertino Action Committee �COM 6500 6500 ❑OTH ❑PTY ❑scc Gregory Schaffer ��N� Retired 28 Sep 2018 ❑OTH ❑PTY ❑SCC SUBTOTAL$ g,7QQ "�Il�i'�'' Schedule A Summary � �ContributorCodes 1. Amount received this period-itemized monetary contributions. IND-Individuai � 11,099 COM—Recipient Committee (Include all Schedule A subtotals.)..................................................................................•--- (other than PTY or SCC) 2. Amount received this period-uni�emized monetary contributions of less than$100...........................$ 295 OTH—Other(e.g_,business entity) P7Y—Political Party 3. Total monetary contributions received this period. SCC-Sman Contributor Committee Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. 11,424 � rY 9 )-•--•--•..............TOTAL $ 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 •- • 1 from 9/23/2018 • - • through j 0/20/2018 page 4 of 6 NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 DATE CONTRIBUTOR �FAN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER f.D.NUMBEF2) CODE* (IF SELFEMPLOYED,ENTER NAME pERIOD (JAN.'I-DEC.3'I) (IF REQUIRED) OF BUSINESS) Xiangchen Xu �IND Engineer 30 Sep 20'I 8 ❑OTH ❑PTY ❑SCC Qin Pan ��N� Statistician 30 Sep 20'18 ❑OTH ❑PTY ❑SCC John McCrory ��N� Software Engineer, 4 Oct 2018 ❑OTH ❑PTY ❑SCC Dennis S. Whittaker ��N� Requesting 11 Oct 2018 ❑OTH ❑PlY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,399 'hi�'�� ',I "Confibutor Codes IND—Individual COM—Recipient Committee (other than P7Y or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(Jan/2016j SCC—Small Contribufor Committee FPPC Advice:advite@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded to whole dollars. SCHEDULE C Nonmonetary Contributions Received Statementcovers period �_ from 9�23/2018 •- � • 1 SEE INSTRUCTIONS ON REVERSE through 10/20/2018 page 5 of 6 NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 DATE FULL NAME,STREETADDRESS AND CONTRI6UTOR �F AN INDIVIDUAL,ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO pER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKEf DATE TO DATE (IFSELF-EMPLOYED,ENTER CALENDAR YEAR (IF COMMITTEE,ALSO ENTER 1.D.NUMBER) NqME OF BUSINESS) VALUE ��AN 1-DEC 31) (IF REQUIRED) Xiaowen Wang �IND Engineer, Donation of 26 Sep'78 ��n eCanvasser ❑scc ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑conn ❑OTH ❑PTY ❑SCC Aftach additional information on appropriately labe%d continuation sheets. SUBTOTAL$ 100 ��',i;i � u�'� Schedule C Summa � 'Contnbutor Codes 1. Amount received this period-itemized nonmonetary contributions. itv�-individuai (Include all Schedule C subtotals.)...............................••-................••-•-••-......................--••••...................-••..........$ 100 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100..................................$ orH-other(e_g.,business enfity) PTY-Political Parly 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 $ 100 rY 9 )...............�---�- FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period s . t Payments Made 9/23/2078 � � from • through 70/20/2018 pa e 6 of 6 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Jon Willey for Cupertino Council 2018 1408452 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 candidafe filing/ballot fees PHO phone banks TRC candidate travel,Iodging,and meals FND fundraising events POL poiling and survey research TRS staff/spouse travei,lodging,and meais INo independent expenditure supporting/opposing others(explain)' POS postage,delivery and messenger services TSF transfer beiween committees of the same candidatelsponsor 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 COMMIITEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Papyrus Printing eBay BuildaSign FedEx Office �Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,808 Schedule E Summary . 2,808 1_ Itemized payments made this penod_ (Include all Schedule E subtotals_).............................................................................................................$ 2. Unitemized payments made this period of under$100--•-----•-•----•-•-•--------•...................................•••....-••-••--••--••-•-•.._.._...---...._....--•----.........•-•--••-••••$ 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$ 2,808 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www fppc.ca.gov