460 Recipient Committee Campaign Statement - Semi Annual 7-1-21 to 12-31-21Recipient Committee
COVER PAGE
Date Stamp
CALIFORNIA
I
60
Campaign Statement
Cover Page
' RM
Statement covers period
Date of election if applicable:
Flied Date-
Page 1 of 3
For Official Use Only
(Month, Day, Year)
01 /30/2022 08:35
from 07/01/2021
PM
SEE INSTRUCTIONS ON REVERSE
through 12/31/2021
1. Type of Recipient Committee: All Committees— Complete Parts 1, 29 3, and 4.
2. Type of Statement:
Officeholder, Candidate Controlled Committee ❑
Primarily Formed Ballot Measure
❑ Preelection Statement ❑ Quarterly Statement
3 State Candidate Election Committee
Committee
Semi-annual Statement ❑ Special Odd -Year Report
3 Recall
0 Controlled
❑ Termination Statement
(Also Complete Part 5)
O Sponsored
(Also file a Form 410 Termination)
❑ General Purpose Committee
(Also Complete Part 6)
❑Amendment (Explain below)
3 Sponsored ❑
Primarily Formed Candidate/
3 Small Contributor Committee
Officeholder Committee
3 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER 1408452
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Jon Willey for Cupertino Council 2018
Joan Lawler Chin
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 95014
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
Cupertino CA 95015-1241
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 and in the attached schedules 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.
01 /29/2022
Executed on
By
Date
Signature of Treasurer or Assistant Treasurer
01 /30/2022
Executed on
By
Date
Signature of Controlling
Officeholder, Candidate, State Measure Proponent or Responsible Officerof 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 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jon Willey
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑YES ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑YES ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 3
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2021
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE
through
12/31/2021
Page 3 of 3
NAME OF FILER
I.D. NUMBER
Jon Willey for Cupertino Council 2018
1408452
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
CALENDAR YEAR
Running in Both the State Prima and
g Primary
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions ................................................
Schedule A, Line 3
$
0.00
$
0.00
1/1 through 6/30 7/1 to Date
2. Loans Received............................................................
Schedule a, Line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .............................
Add Lines 1 +2
$
0.00
$
0.00
20. ContributionsReceived $ $
4. Nonmonetary Contributions .........................................
Schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ............................
Add Lines 3+4
$
0.00
$
0.00
Made $ $
Expenditures Made
6. Payments Made..............................................................
Schedule e, Line 4 $
7. Loans Made......................................................................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ........................................
Add Lines 6+7 $
9. Accrued Expenses (Unpaid Bills) ................................
Schedule F, Line 3
10. Nonmonetary Adjustment .............................................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ...............................
Add Lines 8 + 9 + 10 $
current casn Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $
13. Cash Receipts.......................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ................................ Schedule 1, Line 4
15. Cash Payments........................................................ Column A, Line 8 above
16. ENDING CASH BALANCE ...... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................. See instructions on reverse $
19. Outstanding Debts ............................... Add Line 2 +Line 9 in Column B above $
0.00 $
50.00
0.00
0.00
0.00 $
50.00
0.00
0.00
0.00
0.00
0.00 $ 50.00
684.00
To calculate Column B,
0.00
add amounts in Column
A to the corresponding
0.00
amounts from Column B
of your last report. Some
amounts in Column A may
0.00
684.00
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
0.00
any).
0.00
In
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov