450 Recipient Committee Campaign Statement - Semi Annual 1-1-21 to 6-30-21Recipient Committee SHORT FORM
Campaign Statement - Short Form Date Stamp CALIFORNIA&R1,11
SEE INSTRUCTIONS ON REVERSE
Flied Date:
1 4
Statement covers period
Date of election if applicable:
page of
For use b recipient committees that have not received a
Y p
from 01 /01 /2021
(Month, Day, Year)
07/09/2021 11:02
For Official Use Only
contribution or other receipt that must be itemized, have not
PM
received or made loans, and have no outstanding accrued
expenses.
through 06/30/2021
1. Type of Recipient Committee:
2. Type of Statement:
❑ Ballot Measure Committee ❑� General Purpose Committee
❑ Preelection Statement ❑ Quarterly Statement
Q Primarily Formed p Sponsored
./❑ Semi-annual Statement ❑ Special Odd -Year Report
Q Controlled p Small Contributor Committee
❑ Termination Statement
Q Sponsored
❑ Amendment (Explain)
(Also check type of statement you are amending)
❑ Primarily Formed Candidate/
Officeholder Committee
3. Committee Information I.D. NUMBER 1395411
Treasurer(s)
COMMITTEE NAME
NAME OF TREASURER
Better Cupertino Action Committee
Yuwen Su
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Cupertino CA 95014
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95015
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
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 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.
Executed on 07/09/2021 By
DATE
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on By
DATE SIGNATURE OF CONTROLLING
OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 450 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Summary Page
NAME OF COMMITTEE
Better Cupertino Action Committee
Amounts may be rounded
to whole dollars.
SHORTFORM
Statement covers period CALIFORNIA I !,
from 01 /01 /2021 •
through
06/30/2021 Page 2 of 4
I.D. NUMBER
1395411
Expenditures Made
1. Expenditures of $100 or more made this period.................................................................................................................................
$
2,016.00
2. Expenditures under $100 made this period (Not itemized.)................................................................................................................
50.00
3. SUBTOTAL EXPENDITURES MADE THIS PERIOD...........................................................................................................Add
Lines 1 + 2
$
2,066.00
4. Nonmonetary Adjustment .........................................................................................................................................From
Line 8 Below
0.00
5. Total expenditures made from previous statement.................................................................................Previous
Summary Page, Line 6
$
0.00
(If this is the first statement for the calendar year, enter zero.)
6. TOTAL EXPENDITURES MADE TO DATE..................................................................................................................Add
Lines 3 + 4 + 5
$
2,066.00
Contributions Received
7. Monetary contributions received this period ...........................
8. Non -monetary contributions received this period ...................
9. Total contributions received from previous statement ................
(If this is the first statement for the calendar year, enter zero.)
10. TOTAL CONTRIBUTIONS RECEIVED TO DATE .......................
Current Cash Statement
11. Beginning cash balance ..........................
12. Cash receipts this period .........................
13. Miscellaneous increases to cash .............
14. Cash expenditures this period .................
15. ENDING CASH BALANCE THIS PERIOD
....................................................... $
0.00
......................................................
0.00
Previous Summary Page, Line 10 $
0.00
..................... Add Lines 7 + 8 + 9 $
0.00
Previous Summary Page, Line 15
.................................Line 7 above
$ 25,269.00
0.00
$ 0.00
...................................................Line 3 above 2,066.00
Add Lines 11 + 12 + 13, then subtract Line 14 $ 23,203.00
FPPC Form 450 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SHORT FORM
Recipient Committee Amounts may be rounded Statement covers period _
Campaign Statement — Short Form to whole dollars. • _ '
from 01 /01 /2021
through 06/30/2021 Page 3 of 4
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE I.D. NUMBER
Better Cupertino Action Committee 1395411
55. Payments Made (if more space is needed, use additional copies of this page for continuation sheets.)
NAME OF CANDIDATE AND OFFICE OR
DATE W
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
NAME OF BALLOT MEASURE AND
BALLOT NUMBER OR LETTER
AND JURISDICTION
AMOUNT
THIS PERIOD
CUMULATIVE
AMOUNTS TO DATE W
Calendar Year
Bern Steves
$
06/14/2021
Legal consultant
1536.00
Other
Cupertino CA 950142358
❑ Support ❑ Oppose
$
❑ Contribution ❑ Ind. Exp.
Calendar Year
SG Hostin Inc.
$
06/18/2021
eb hosting service
480.00
Other
Alexandria VA 22314
❑ Support ❑ Oppose
$
❑ Contribution ❑ Ind. Exp.
Calendar Year
Other
0
❑ Support ❑ Oppose
$
❑ Contribution ❑ Ind. Exp.
SUBTOTAL $ 2,016.00
FPPC Form 450 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee Campaign Statement —
Short Form (Continuation Sheet)
NOTES
CALIFORNIA
.-
'
Page 4 of 4
NAME OF FILER I.D. NUMBER
Better Cupertino Action Committee 1395411
6/18/2021 - SG Hosting Inc. - 480.00 - Reimburse to Xiangchen Xu