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460 Semi-Annual Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. COVER PAGE C.\LlFORNIA 460 2001102 FORM EC~V SEE INSTRUCTIONS ON REVERSE 12/31/03 11/04/03 Date of election If eppllcable: (Month, Day, Year) FEB - 2 2004 page~ Of~ from 10/31/03 Statement covers period through 1. Type of Recipient Committee: All Committee. - Complote Part. " 2, 3, and 4. IX] Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Completo Part 5) 0 Sponsored (Also CompielePartB) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political PartylCenual Committee 0 Primarily Formed Candidate! Officeholder Committee (AisoCompielePart~ 2. Type of Statement: 0 Preelection Statement ;tg' Semi-annual Statement 0 Termination Statement [3 Amendment (Explain below) 0 Quarteriy Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 3. Committee Information 1.0. NUMBER 1257379 Treasurer(s) COMMITTEE NAME (DR CANDIDATE'S NAME IF NO COMMITTEE) Kris Wang for City Council STREET ADDRESS (NO p,O, BOX) 7645 Dumas Dr CITY STATE ZIP CODE Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR p,O, BOX AREA CODE/PHONE 408-257-7516 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL, FAX / E-MAIL ADDRESS NAME OF TREASURER Amy Yang MAILING ADDRESS 7645 Dumas Dr. ~ Cupertino NAME OF ASSISTANT TREASURER. IF ANY STATE CA ZIP CODE 95014 AREA CODE/PHONE 408-257-7516 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 p,rjury under the laws of the State of California that the foregoing ~rue "",",correct. By Executed on By Executed on By Do" Executed on By Sig""'"œiifCO.ro""'~hok"'.Ca"'-.SIa1eMo""œp",riooo'" FPPC Form 460 (June/O') FPPC ToII"..e Holpllno, 8661ASK.FPPC Stete of Collfomla "'" Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kris Wang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Cupertino RESIOENTIAUBUSINESS ADORESS (NO. AND STREET) 7645 Dumas Drive, Cupertino, CA 95014 CITY STATE ZIP Related Committees Not Included in this Statement: Listanycommlttees not Includod In this .tatam8llt that alO controlled by you or alO primarily fonnod to IOcolvo contribution. or make expendltutes on behalf of your candidacy. COMMITTEE NAME I.D, NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNa COMMITTEE ADDRESS STREET ADDRESS (NO P,O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNO COMMITTEE ADDRESS STREET ADDRESS (NO P,O, BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE-PART 2 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Committee Ust names of offfceholder(s) or cand/date(.) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets If necessary FPPC Fo'm 4" (JuneIO1) FPPC TolI"..e Holpllne: 8661ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. SUMMARY PAGE 10/31/03 from through Statement covers period CALIFORNIA 460 FORM 12/31/03 i s i Page.- +---- I I.D. NUMBER I of ..r 1. Monetary Contributions """""""""""""".""""".". Schedule A, LIne 3 $ 2. Loans Received """.""""""""".""".""".".""",,'" Schedule 8. LIne 3 3. SUBTOTAL CASH CONTRIBUTIONS """"""".".""." Add LInes 1 + 2 4. Nonmonetary Contributions "."""""""""""""""". Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED "."""."" """"."" Add LInes 3 + 4 Expenditures Made 6. Payments Made """"""""".".".""".""""""""""". Schedule E. LIne 4 7. Loans Made ""."."""."."""""""""".".""" """""". Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS """""""".""""""""". AddUnes6+7 $ 9. Accrued Expenses (Unpaid Bills) "".".""""."""""""Sch8du/e~ Une 3 10. Nonmonetary Adjustment """ " " " " """"""".""".".". ScheduleC, Une3 11. TOTAL EXPENDITURES MADE ""."."""""""""".".AddUnes6+ 9 + 10 ColumnA ColumnB TOTAl THISPE""D CALENDAR YEAR (FROMATTACHEDSCHEOOlES) TOTAl TOD>\TE 0 $ -_.__.._.._.!.~!~.9. --.. 0 0 0 $ 19750 0 0 0 $ 19750 685.93 $ --_.__.!!J.9~!>~~ 0 0 685.93 $ 19910.51 Q... 0 0 0 685.93 . 19910.51 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Dole 20. Contributions Received 21. Expenditures Made $ -------.- $ .-----.--.-- Expenditure Limit Summary for State Candidates 22. Cumulstlve Expenditures Made' (H"'bo..toVol""""expsndltu..Llmlt) Date of Election Total to Date (mmldd/yy) ------' ------' - $ ------' ------' - $ ------' ------' - $ ------' ------' - $ ------' ------' - $ ------' ------' - $ Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts .""""""" 14. Miscellaneous Increases to Cash Previous Summary Page, Line 16 $ Column A. Line 3 above Schadu/e I. Line 4 15. Cash Payments "'"""'""""."."."",, " ".""" """ " ColumnA. Line 8 above 16. ENDING CASH BALANCE """"" AddUnes 12 + 13 + 14. thansubtrac1Une 15 $ If this is a tennination statement. Line 16 must be zero. 525.42 0 1335.41 685.93 1174.90 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subuacted 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 any). 17. LOAN GUARANTEES RECEIVED Schadule 8. Pari 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash EquivBlents"""".""""""""""""""", SeeinstroctkJnsonteverse $ 19. Outstanding Debts""""""."."""", AddUne2+Une9lnColumn8above $ 0 0 'Since January " 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form .60 (June/01) FPPC Toll-Free Helpline: B66/ASK-FPPC Schedule E Payments Made Type or print In Ink. Amounts may be rounded to whole dollsrs. ¡-Statement c-;;vers perloC¡- I I i from i J through 10/31/03 SEE INSTRUCTIONS ON REVERSE NAMEOF-"'LER---'----'-----'---'-------'-'---'--------- 12/31/03 P.ge~ of r I.D. NUMBER Kris Wang CODES: If one of the following codes accurateiy describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MJR 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 FEr petition circulating TEL t.v, or cable airtime and production costs AL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FIID fundraising events POL polling and sulVey research TRS staff/spouse travel, lodging, and meals I\D independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger selVices TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter regisuation ur campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mait) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. AlSO ENTER 'D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAIO Canton Delight Meals TRS 115.00 Denise Lu Office Supplies 7645 Dumas Dr. OFC 239.86 Cupertino, CA 95014 Gary Chien Office supplies 7645 Dumas Dr OFC 156.00 Cupertino, CA 95014 . Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) 2. Unitemlzed payments made this period ofunder$100 ""."""...".......".."""....... 3. Total interest paid this period on ioans. (Enter amount from Schedule B, Part 1, Column 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) $ $ $ TOTAL $ 510.86 175.07 0 685.93 FPPC Fonn 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash Typeorprtnt In Ink. Amounts may be rounded to whole dollars. 1- Statem-;;;;¡- covers portod ! from 10/31/03 I SCHEDULE I -- ¡:overs portod CALIFORNIA 460 10/31/03 FORM i 12/31/03 r .( ; ; I through Page of i "-~~NSTRUCl'."-~"--Q."!... REVERSE ----..-..---------------------- I NAME OF FILER 1.0, NUMBER J Kris Wang DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, AlSO E",ER 10 NUMBERI INCREASE TO CASH US Postal Service Refund the postage for failed to deliver the 12/10/03 campaign brochure 1335.41 ..-------------- -----------..-..------------------..------------..-..----------------- -------------------------------------- ----------..---- Attach additional Information on appropriately labeled contInuation sheets. SUBTOTAL $ 1335.41 ------------..-----------..----------------------------------..--------------..----------------..---------.------------------------.-.----------..-----------..---.----------..--------- Schedule I Summary 1. Increases to cash of $100 or more this period. 2. Unitemized increases to cash under $100 this period. 3. Total of all interest received this period on loans made to others. (Scheduie H, Coiumn (e).) 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) 1335.41 0 0 TOTAL $ 1335.41 FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC