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2nd 460 Semi-Annual . .,,~~ ,. ""'r'!< " ~ff"'" ....'~' Type or print in ink. . - Recipient Committee Campaign Statement Cover Page (Government Code Sections 8420()"'84216.5) Date of election if appl (Month. Day, Year' Statement covers period '/1 ¿Cf) Ý- Official Use Only Foe from CUPERTINO CITY CLaRK Quarterly Statement Special Odd~Year Report Supplemental Preelection Statement· Attach Form 495 n ~ o LJ Preelection Statement Semi·annual Statemen' Termination Statement (Explain below) 2. Type of Statement: 11/04/2003 o iii o o Amendmen 12/31/2004 1,2,3, and 4. o Ballot Measure Committee o Primarily Formed o Controlled o Sponsored (A/soComp!etePart6) through Type of Recipient Committee: All Corrrnltt... - Co...,,,." Parts [ij Officeholder, Candidate Controlled Committee o state Candidate Election Committee o Recall (AfwCompk!tePart5j SEE INSTRUCTiONS ON REVERSE 1. o Primarily Formed Candidate! Officeholder Committee (AlooComplelBPett7) U General Purpose Committee o Sponsored o Small Conbibutor Committee o Political Party/Central Committee Treasurer(s) iiŒÃŠURER NAME OF Amy Yang MAILING ADDRESS Committee Information 1257379 COMMITTEE NAME (OR CANDID,A.TE'S NAME IF NO COMMITTEE) Kris Wang for 3. AREA CODE/PHON E 408-257-7516 ZIP CODe 95014 STATE CA 7645 Dumas Dr CITY City Co unci STREET AODRESS (NO P.O. BOX) 7645 Dumas Dr. CITY IF ANY Cupertino NAME OF ASSISTANr--TREASURER, AREA CODE/PHONE 408-257-7516 liP CODE Cupertino 95014 MAiLING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE CA ADDRESS MAILIN( AREA CODE/PHONE ZIP CODE STATE CITY AREA CODE/PHONE ZIP CODE -STATE CITY true and complete 0; E-MAIL ADDRESS 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 certify under penalty of perjulY, under th,;)ws of the State of California that the foregoing is true ancYcouect. Executed on 'AX OPTIONAL: By By ADDRESS [·MAI Executed on FAX. OPTIONAL. 4. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of Callfomla caner_ staœ MeaslR Proponert SigrøhJredCo!"!iJollngal!œholder, Candidate, St3tiMetil.l'e P~neri '. Signabxe dco¡.¡¡n:¡iii1gaTíõefÐl By 8y ðii! "''' Executed on on Executed ~, -1II!f'f'¡ " :IIi """,'~ 1;;;~'1"IIœJ'I' , '" ",;¡.,tI~Jr ~~ Type or print in ink, COVER PAGE - PART 2 Recipient Committee J IRNIA 460 Campaign Statement RM Cover Page - Part 2 2 of 4 - - - - - - - 5, Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee - - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Kris Wang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER jF APPLICABLE) - BALLOT NO. OR LETTER JURISDICTION D SUPPORT City Council, City of Cupertino o OPPOSE RES;DENTlAlJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 7645 Dumas Dr., Cupertino, CA 95014 Identify the controlling officeholder, candidate, or state measure proponent. if any. NAME OF OFFICEHOLŒ.R, CA.NDIDATE, OR PROPONENT IF ANY DISTRICT NO OFFICE SOUGHT OR HELD 7. Primarily Formed Committee Ust names of offlceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFiCEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFiCEHOLDER OR CANDiDATE OFFICE SOUGHT OR HELD o suPPORT o OPPOSE NAME OF OFFiCEHOLDER OR CANDiDATE OFFICE SOUGHT OR HELD o SUPPORT o oppoSE NAME OF OFFiCEHOLDER OR CANDiDATE OFFICE SOUGHT OR HELD o SUPPORT o oppoSE Attach continuation sheets If necessary Related Committees Not Included in this Statement: UstanycommltIB.. not Included In this statement that are controlled by you or are primarily formed to receive contributions or mske expenditures on belts" of your candidacy. COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o NO COMMITTEEAOORESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE .----------------------. -- - -- - - --. ----------- CQMMITTEENAME LD. NUMBER NAME OF TREASURER CONTROLLED OOMMITT EE? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY SlATE ZIP CODE AREA CODEIPHONE FPPC Form 460 (JuneJ01) FPPC TolI~Free Helpline: 8661ASK--FPPC State. of California ...... f'_~I"~ SUMMARY PAGE I ""I -. Statement covers period from (11/ Ã)"'\L e, . "';1 Type or print in ink. Amounts may be rounded to whole dollars. .. -. Htl1' Campaign Disclosure Statement Summary Page " III~" , 'fl' 4 - of 3 Page _ - - 1.0. NUMBER 1257379 through____~2!.31/200~____ SEE INSTRUCT IONS ON REVERSE NAME OF FILER Kris Wang for Calendar Year SummafY for Candidates Running in Both the State Primary and General Elections Column B CAlENDAR YEAA TOTALTOO'lTE Date to 7 6130 through o o o o $ $ -------- $ ---------------- 20. Contributions Received Expenditures Made 21 $ Column A TOTAl. THlSPERIOO (FRONIATTACHEDSCHEDULES) o o o o City Co unci Contributions Received $ Line 3 Une3 Schedule A. Schedule B. $ Add Lines 1 + 2 Schedule C, Lme 3 Monetary Contributions 2. Loans Received ."....... 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions... 5. TOTAL CONTRIBUTIONS RECEIVED s Expenditure Limit Summary for State Candidates $ o ----------- 4149.15 o 4149.15 $ $ o ----------- 22. Cumulative Expenditures Made· If Subjectto VoIUnbll)' Expenditure LImit) Total to Date Date of Election (mmlddlyy) o o 4149.15 s 2014.25 o 2014.25 o o 2134.90 $ $ Add Lines 3+ 4 Schedule E, Una 4 Schedule H, Line 3 Add Lines 6 + 7 $ Line 3 Line 3 . Schedule F, Schedule C, 6_ Paymen1s Made 7. Loans Made ...... 8. SUBTOTAL CASH PAYMENTS 9_ Accrued Expenses (Unpaid Bills) 10_ Nonmonetary Adjustment ...._ 11. TOTAL EXPENDITURES MADE Expenditures Made $------------- $ $ $ $ ________..J___..J_________ --.---1--.---1_ --.---1--.---1_ --.---1--.---1_ --.---1--.---1_ $ ·Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. 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 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 any). $ 2014.25 ------------- o o ----------------. o ----------- 2014.25 $ $ $ Add Lines 8 + 9 + 10 Previous Summary Page. Line Column A, Line 3 above Schedule 12+ 13+ 14. Coiumn A, Line 8 abv...e 15 16 Line 4 then subfract Line I. Add Lines Current Cash Statement 12. Beginning Cash Balance ....... 13. Cash Receipts __........... _ 14. Miscellaneous Increases to Cash 15. Cash Payments .............. 16_ ENDING CASH BALANCE ....- termination statement. o $ Scheduíe B, Part 2 must be zero. 16 Line 17. LOAN GUARANTEES RECEIVED this is s If Cash Equivalents and Outstanding Debts 8. Cash Equivalents.. Sæ ifistrodions on reverse Outstanding Deb1s FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 86S/ASK-FPPC o o --------------- $ $ Column B above AddLme2+ Lme 9in 9. ,,- SCHE[)l.ILEE ".w -. covers period I......... Statement 7 "!.f '- , Type or print in ink. Amounts may be rounded to whole dollars. '- .' fIWtoô' T"~ Schedule E Payments Made .'-¡ fWi' 4 4 Page _ of LD. NUMBER 1257379 ~"\L 12/31/2004 from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Otherwise, describe the payment RAD radio airtime and production RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs the payment, you may enter the code, fIreR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads City Counci CODES: If one of the following codes accurately describes OIP campaign paraphernalia/misc. CNS campaign consuttants CTB contribution (explain nonmonetaryt eve civic donations AL candidate filingíballot fees FND fund raising events ND independent expenditure supporting/opposing others (explain' LEG legal defense LIT campaign literature and Kris Wang for , , ! CODE 1--- I , ¡ CVC ; I I ____________-1..______ _____. I non-profit civic event ; CVC ; I ; _m__m_'___'__-+-mm_______"_m__'_'_'____mm_'_'_'__, ; , ; ; ; , ! ---------.---------------------.-----.-.------.--------. also be summarized on Schedule D. SUBTOTAL $ 2000.00 e-mai (internet, cosls mailings AMOUNT PAID 1000.00 OF PAYMENT DESCRIPTION non-profit OR NAME AND AOORESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NU/'.tBc.tìJ Cupertino Library Foundation 1000.00 The Lunar New Year Unity Parade -. . Payments that are contributions or must expenditures independent $ $ $ __m_,__.__,_9._ TOTAL $ 201425 (Include al Unitemized payments made this period of under $100 interest paid this period on loans, payments made Schedule E Summary 2000,00 Schedule E subtotals, more, period 01$100 or Payments made this 1 1425 2, (e) Enter here and on the Summary Page, Column 1 Enter amount from Schedule S, Part Total 3, FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Column A, Line 6, 2, and 3, 1 (Add Lines this period, 4, Totai