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460 Recipient Committee Campaign Statement 10-22-11Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 9/25/2011 through 10/22/2011 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee O Recall Q Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1337603 MITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Chris Zhang for Council 2011 STREET ADDRESS (NO P.O. BOX) 10943 Northfield Sq CITY STATE ZIP CODE AREA CODE /PHONE Cupertino CA 95014 (408) 890 -7925 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp c� u v Date of election if apg li (Month, Day, Yea III 2 7 Nov 8, 2011 OCT V 2. Type of State Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of I For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Daisy Lu Li MAILING ADDRESS 762 Borregas Ave CITY STATE ZIP CODE AREA CODE /PHONE Sunnyvale CA 94085 408 - 802 -9058 NAME OF ASSISTANT TREASURER, IF ANY 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 perjury under the laws of the State of California that the foregoing is true and correct. Executed on 10/26/2011 Date Executed on 10/26/2011 Date Executed on Date By By Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California By Signature of Controlling Officeholder, Candidate, State Measure Proponent Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Chris Zh Type or print in ink. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C C ity Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 10943 Northfield Sq Cupertino CA 95014 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 ❑ NO COMM ITTEE 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 ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 2 of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ 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 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 ❑ 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 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 9/25/2011 SUMMARY PAGE Expenditures Made To calculate Column B, add 6. Payments Made ........................ ............................... 10/22/2011 6 SEE INSTRUCTIONS ON REVERSE 7. Loans Made .............................. ............................... Schedule H, Line 3 0 through 8. SUBTOTAL CASH PAYMENTS ..... ............................... Page of 4 7 62.86 62.86 $ NAME OF FILER 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 0 I.D. NUMBER Chris Zhang 185.00 185.00 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 6 + 9 + 10 $ 1337603 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running In Both the State Prima and g a � r General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0 $ 2,500 2. Loans Received ....................... ............................... Schedule 8, Line 3 0 20,000 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 0 $ 22,500 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C Line 3 185.00 185.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 185.00 $ 22685.00 Made $ $ Expenditures Made To calculate Column B, add 6. Payments Made ........................ ............................... Schedule e, Line 4 $ 4762.86 $ 14122.52 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 4 7 62.86 62.86 $ 14 1 22.52 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 185.00 185.00 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 6 + 9 + 10 $ 4947.86 $ 14307.52 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 1, Line 4 15. Cash Payments ................... ............................... Column A, Line s 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 $ 13140.34 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 0 4762.86 report. Some amounts in Column A may be negative 8377.48 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I 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) If $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule C Type or print in ink. SCHEDULE C M11MUI w may ue ruunueu Nonmonetary Contributions Received to whole dollars. Statement covers period p . - ' from 9/25/2011 • - • 10/22/2011 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Chris Zhang 1337603 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ®I S M Chris Zhang City council campaign Mailing Supplies 10/14/11 10943 Northfield Sq, Cupertino, CA BOTH 185.00 185.0 95014 ❑ pN ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑ INu ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 185.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................... ............................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ _ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ 'Contributor Codes IND— Individual 185.00 COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 185.00 SCC — Small Contributor Committee FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Chris Zhang Statement covers period from 9/25/2011 through 10/22/2011 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page S of I.D. NUMBER 1337603 Clue 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 PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Sound of Hope Radio Advertising 1010 Corporation Way, Palo Alto, CA 94303 RAD 1099.00 KRTY Radio Advertising 750 Story Rd, San Jose, CA 95122 RAD 2200.00 Sing Tao Chinese Radio Advertising 5000 Marina Blvd, Suite #338, Brisbane, CA 94005 RAD 1152.00 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4762.86 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. .................................................................. ............................... $ 4762.86 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 4762.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Chris Zhang Statement covers period from 9/25/2011 through 10/22/2011 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page of I.D. NUMBER 1337603 CMP campaign paraphemalia /misc. MBR member communications RAID 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 PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Facebook.com Web Advertising 1601 S California Ave, Palo Alto, CA 94304 WEB 311.86 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4762.86 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ............. ..... $ 4762.86 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 4762.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)