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460 Semi-Annual Jan-June Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5} Type or print in ink. Statement covers period from --J /J. VI. '-, 'hs01 SEE INSTRUCTIONS ON REVERSE through -J VY\- ~O / 1001 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3. and 4. ~ Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re-Elect Mayor Patrick Kwok STREET ADDRESS (NO P.O. BOX) 10222 Carmen Road CITY STATE ZIP CODE Cupertino Ca 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 408777-3191 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX 1 E-MAIL ADDRESS COVER PAGE Date of election if appli (Month, Day, Year} 2. Type of Statement: o Preelection Statement ~ Semi-annual Statement o Termination Statement (Also file a Form 410 Termination} o Amendment (Explain below} o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Claudia Chang MAILING ADDRESS 10222 Carmen Road CITY STATE Cupertino CA NAME OF ASSISTANT TREASURER, IF ANY ZIP CODE 95014 AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX 1 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. Executed on 7/28/07 Date Executed on 7/28/07 Date Executed on Date Executed on Date By By By By Signature of Controlling Officeholder, Candidate. State Measure Proponent Signature of Controlling Officeholder. Candidate. State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Patrick Kwok OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City of Cupertino Councilmember RESIDENTIAUBUSINESS 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? DYES D NO 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? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION o SUPPORT D 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 List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Mayor Patrick Kwok Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM from J (}.11 ~ through 1 Contributions Received Column B CALENDAR YEAR TOTAL TO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ o $ ; $ o $ of B Page $ o $ I.D. NUMBER o /2.P1/U> Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date o 20. Contributions Received $ 21. Expenditures Made $ $ o $ 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) ...............................ScheduleF, Line 3 10. Nonmonetary Adjustment ...................... ................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 8288 8288 8288 $ 8288 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy} Total to Date $ 8288 --1--1_ $ $ 8288 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /, 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. 21896.50 o 214.92 8288 13,823.42 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}. 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 $ --1--1_ $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27S-3772) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE D Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Mayor Patrick Kwok from --:f'v-. , J ~ '1 through -J 111'\ ?jO J ~1 page~ of~ I.D. NUMBER 11?11 ,~O D Support D Oppose TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure SUBTOTAL $ AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1- DEC. 31) PER ELECTION TO DATE (IF REQUIRED) DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE See attachment (approved FPPC computer generated form) D Support D Oppose D Support o Oppose 2600 I Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $ 2600 99 2. Unitemized contributions and independent expenditures made this period of under $1 00 ..................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ 2,699 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SCHEDULE E Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from -----.d c;\Y1 I) ?,o<1 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Mayor Patrick Kwok through page~ of~ I.D. NUMBER 11.'11 ~'D CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CI'vP campaign paraphernalia/misc. MBR 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 FIL candidate filinglballot fees A-lO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals INO independent expenditure supporting/opposing others (explain}" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting} VOT voter registration LIT campaign literature and mailings PRT print ads V\lEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID See Attachment (FPPC approved computer generated form) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).) ............................................................................... $ 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) ............................. TOTAL $ 8050 238 8288 FPPC Form 460 (January/05} FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE I Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER from --d A V\ 'J ln1 through JIlt""', 111111 Page ----'la- of L- I.D. NUMBER Re-Elect Mayor Patrick Kwok 11-1111(7 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period. ....................................................................................................................... $ 2. Unitemized increases to cash of under $1 00 this period. ............................................................................................ $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 214.92 214.92 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Form 460 Schedule D (Attachment Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Statement Covers Period 1-1-07 to 06-30-07 Page ;rof 6 Re-Elect Mayor Patrick Kwok ID #1237120 [;umUlative To Date Name of Candidate, Office, Calendar and District, or Measure Year (Jan1st Per Election to Number or Letter and Support or Type of Description (If Amount This through Dec Date (If Date Jurisdiction, or Committee Oppose Payment Required) Period 31st) Required) 2/9/07 and Monetary 5/16/07 Kansen Chu FPPC#1293089 Support Contribution 500 500 Paul Fong for State Assembly Monetary 3/22/2007 FPPC#1296165 Support Contribution 500 500 5/15/07 and Liz Kniss for County Board of Monetary 5/23/07 Supervisors FPPC #1297001 Support Contribution 500 500 Re-Elect Kris Wang for City Monetary 4/18/2007 Council FPPC#1257379 Support Contribution 1000 1000 Dean Chu for City Council Monetary 4/30/2007 FPPC#1253414 Support Contribution 100 100 Subtotal $ 2600 Form 460 Schedule E (Attachment Sheet) Payments Made Statement Covers Period 1-1-07 to 06-30-07 Page B> of ~ Re-Elect Mayor Patrick Kwok 10 #1237120 Name (If committee, also Code or Description of enter id#) Address Payment Amount Paid Kansen Chu FPPC#1293089 2539 Berryessa Road, SJ 95132 250 Paul Fong for State Assembly 465 North Wolfe Road, Sunnyvale, 94086 FPPC#1296165 500 Chinese Environmental Protection Association Foundation 1004 Rudgear Road, Walnut Creek 94596 500 Liz Kniss for County Board of Supervisors FPPC #1297001 PO Box 61149, SF 94160 400 Re-Elect Kris Wang for City Council FPPC#1257379 21701 Stevens Creek Blvd. #188, Cupertino 95014 1,000 YMCA Community Support Campaign 20803 Alves Drive, Cupertino 95014 2,000 Catholic Foundation of Santa Clara County 1150 N First St, SJ 95113 2,500 Dean Chu for City Council FPPC#1253414 1278 Mandarin Drive, Sunnyvale 94087 100 Cupertino Historical Society 10185 N. Stelling Rd, Cupertino 95014 100 Liz Kniss for County Board of Supervisors FPPC #1297001 PO Box 61149, PA 94306 100 Kansen Chu FPPC#1293089 2539 Berryessa Road, SJ 95132 250 Self Help for the Elderly 1818 Scott Blvd, SC 95050 350 Subtotal $ 8,050