460 Recipient Committee Campaign Statement – Termination Statement Amendment Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
III
Statement covers period Date of election if applica e: JAN 1 9 2017
from 10/23/2016 1 (Month, Day,Year) ti
SEE INSTRUCTIONS ON REVERSE
I through 12/21/2016
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
Q Recall
Q Controlled
(A/so Complete Part 5)
O Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
Q Sponsored ❑
Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1381645
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)
Yes on C for Citizens. No on D for Developer. -Committee supporting
Cupertino Citizens' Sensible Growth Initiative
STREET ADDRESS(NO P.O. BOX)
1111 r
STATE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
vC11111wauvn
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
Executed on By
Date
Executed on
Date
By
Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date 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
Recipient Committee Type or print in ink. COVERPAGE-PART2
Campaign Statement CALIFORNIA ,
Cover Page—Part 2 •
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (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 STREET ADDRESS (NO P.O.BOX)
Page 2 of 11
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
Measure C (Cupertino Citizens'Sensible Growth Initiative)
BALLOT NO.OR LETTER JURISDICTION SUPPORT
C City of Cupertino ❑ 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
❑ 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
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/23/2016
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE
through
12/21/2016
page 3 of 11
NAME OF FILER
Schedule H,Line 3
0
8. SUBTOTALCASH PAYMENTS ....................................
I.D. NUMBER
1381645
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
Contributions Received
Column
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
Column B
CALENDAR YEAR
TOTALTO DATE
Calendar Year Summary for Candidates
Running in Both the State Primary and
1. Monetary Contributions ......................................
A,Line 3 $ 4,594.94 $
76,686.11
General Elections
2. Loans Received ............................................
Schedule B Line 3 -10000.00
n
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $
4. Nonmonetary Contributions.................................... Schedule C,Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $
-5,405.06
21.00
-5,384.06
Expenditures Made
6. Payments Made.......................................................
schedule E,Line 4 $
7,199.30
7. Loans Made.............................................................
Schedule H,Line 3
0
8. SUBTOTALCASH PAYMENTS ....................................
Add Lines 6+7 $
7,199.30
9. Accrued Expenses (Unpaid Bills)...............................
Schedule F,Line 3
0
10. Nonmonetary Adjustment ..........................................
Schedule C,Line 3
21.00
11. TOTAL EXPENDITURES MADE................................
Add Lines 8+9+10 $
7,220.30
Current Cash Statement
12. Beginning Cash Balance....................... Previous summary Page,Line 16 $
13.Cash Receipts ................................................... Column A,Line 3above
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 $
12,604.35
-5,405.06
0.01
7,199.30
0
I
C
I
$ 76,686.11
17,177.38
$ 93,863.49
$ 76,686.16
0
$ 76,686.16
0
17,177.38
$ 93,863.54
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).
20. Contributions
Received $ $
21. Expenditures
Made $ $
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)
JJ $
$
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 A
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/23/2016
SEE INSTRUCTIONS ON REVERSE I through 12/21/2016 P 4
NAME OF FILER
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
DATE
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
(IF SELF-EMPLOYED,ENTER NAME
PERIOD
OF BUSINESS)
Tsung-Tien Liu
01ND
10/29/16
10438 Prune Tree Lane
❑coM
❑OTH
Software Engineer
$100.00
Cupertino, CA 95014
❑PTY
Pyramid Consulting Inc
❑SCC
11/1/16
Dennis/Elizabeth Whittaker
IND
❑coM
insurance agent
20622 Cheryl Dr
❑OTH
Whittaker Insurance
$200.00
Cupertino, CA 95014
❑PTY
❑SCC
Agency, Inc
10/29/16
Pamela Hershey
®IND
❑coM
teacher
19698 Wheaton Dr
❑OTH
CUSD
$100.00
Cupertino, CA 95014
❑PTY
❑SCC
Edwin Wong
01ND
11/1/16
10519 Phil Place
❑COM
❑OTH
engineer
$150.00
Cupertino, CA 95015
❑PTY
Gigamon Systems
❑SCC
weilin ding
®IND
10/29/16
11857 woodhill ct
❑OTH
THE
$100.00
Cupertino, CA 95014
❑PTY
aerohive networks
❑SCC
SUBTOTAL$ 650.00
Schedule A Summary
1. Amount received this period—itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................$
2. Amount received this period—unitemized monetary contributions of less than$100 ............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)....................... TOTAL $
4,150.00
444.94
age
I.D. NUMBER
1381645
SCHEDULE A
of 11
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN.1-DEC.31) (IF REQUIRED)
$100.00
$300.00
$100.00
$150.00
$100.00
'Contributor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Political Party
SCC—Small Contributor Committee
4,594.94
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers peri
from 10/23/2016
through
SCHEDULE A (CONT)
12/21/2016 5
Page
I .NUMBER
1381645
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1-DEC.31)
rvHIAM Ur rlLtK
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
DATE
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED
(IFCOMMITfEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
(IFSELF-EMPLOYED,ENTER NAME
PERIOD
OF BUSINESS)
11/18/16
Aravind Balakrishnan
RIND
❑COM
Student
10198 Toni Ct
❑OTH
self
$500.00
Cupertino, CA 95014
❑PTY
❑SCC
Yanping Zhao
RIND
11/18/16
3038 McKinley Dr.
❑COM
[_1 OTH
engineer
Self-employed
$500.00
Santa Clara, CA 95051
❑PTY
❑SCC
11/27/16
Gregory L. Schaffer
RIND
❑COM
Analog I.C. Designer
10190 Byerly Court
El OTH
Xcelsem, LLC.
$2000.00
Cupertino, CA 95014
❑PTY
❑SCC
11/28/16
Liana Crabtree
RIND
technical writer
20378 Clay St
opTH
not employed
$500.00
Cupertino, CA 95014
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
j 'Contributor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g., business entity)
PTY—Political Party
SCC—Small Contributor Committee
SUBTOTAL$ 3500.00
$1000.00
$1000.00
$2000.00
$1700.00
of 11
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule B—Part 1
Loans Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/23/2016
SEE INSTRUCTIONS ON REVERSE 1 12/21/2016
through
NAME OF FILER
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
FULL NAME,STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
(b)
PERIOD
LOAN
OF LENDER
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATIONANDEMPLOYER
(IFSELF-EMPLOYED,ENTER
BALANCE
BEGINNING THIS
AMOUNT
RECEIVED THIS
AMOUNTPAID
OR FORGIVEN
OUTSTANDING
BALANCEAT
$ 11,398
NAMEOFBUSINESS)
PERIOD
PERIOD
THIS PERIOD*
CLOSE OF THIS
PERIOD
Xiangchen Xu
engineer
PER ELECTION**
0 PAID
$
18691 Newsom Ave
Omnivision
$ 10,000
0
Cupertino, CA 95014
$
PER ELECTION**
❑FORGIVEN
$
tUZ IND
DATE INCURRED
$ 10,000
$ 0
$ 0
12/31/17 $
❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
❑PAID
❑FORGIVEN
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
DATE DUE
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑PAID
❑FORGIVEN
SUBTOTALS $ 0 $ 10,000 $
Schedule B Summary
1. Loans received this period.........................................................................
(Total Column(b)plus unitemized loans of less than$100.)
2. Loans paid or forgiven this period ..............................................................
(Total Column(c)plus loans under$100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.).............................
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
**If required.
.................................. $
........................................... $
SCHEDULEB-PART1
Page 6 of 11
I.D. NUMBER
1381645
INTEREST
ORIGINAL
CUMULATIVE
PAID THIS
AMOUNTOF
CONTRIBUTIONS
PERIOD
LOAN
TO DATE
CALENDAR YEAR
0
10,000
$ 11,398
%
$
RATE
PER ELECTION**
7/20/16
$
DATE INCURRED
CALENDARYEAR
RATE
PER ELECTION**
$
DATE INCURRED
CALENDARYEAR
RATE
PER ELECTION**
$ $
DATE DUE DATE INCURRED
0 $ 0
(Enter(e)on
Schedule E,Line 3)
0
10,000
............I................... NET $ -10,000
(May be a negative number)
tContributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other(e.g.,business entity)
PTY-Political Party
SCC-Small Contributor Committee
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule C
Nonmonetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/23/2016
Zr-INJ 1 nuc I IUNS VN KtVERSE through
WE OF FILER
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
FULL NAME STREET ADD IFAN INDIVIDUA
12/21/2016 7
DATE RESS AND CONTRIBUTOR L,ENTER AMOUNT/
RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE
NAME OF BUSINESS)
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
[]SCC
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL$
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 $
0
21.00
21.00
Page
I.D.NUMBER
1381645
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1-DEC 31)
of 11
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other(e.g.,business entity)
PTY-Political Party
SCC-Small Contributor Committee
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866 1ASK-FPPC(8661275-3772)
Schedule D
Summary of FYnanrli+l irnc
crucni u c n
Amounts may be rounded
Supporting/Opposing Other to whole dollars.
Candidates,Measures and Committees
Statement covers period
from 10/23/2016
CALIFORNIA ,
FORM
SEE INSTRUCTIONS ON REVERSE
through 12/21/2016
Page 8 of 11
NAME OF FILER
I.D. NUMBER
1381645
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
DATE
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNTTHIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1-DEC.31)
PER ELECTION
TO DATE
(IF REQUIRED)
12/17/2016
Cupertino Residents for Sensible Zoning
Action Committee#1376003
21701 Stevens Creek Blvd.,#1132
0 Monetary
Contribution
E] Nonmonetary
492.71
492.71
Cupertino, CA 95014
Contribution
❑ Independent
0 Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ 492.71
Schedule D Summary
Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)......................................................... $
2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
492.71
0
492.71
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.
E
Statement covers period
from 10/23/2016
through
IVAIVIt Ur rILtK
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
12/21/2016
Page 9 of 11
I.D. NUMBER
1381645
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
CNS
campaign paraphernalia/misc.
campaign consultants
MBR
member communications
RAD
radio airtime and production costs
CTB
contribution (explain nonmonetary)"
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
FIL
civic donations
candidate filing/ballot fees
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v.or cable airtime and production costs
FIND
fundraising events
PHO
POL
phone banks
polling and survey research
TRC
candidate travel, lodging,and meals
IND
LEG
independent expenditure supporting/opposing others (explain)`
legal defense
POS
TRS
postage, delivery and messenger services TSF
staff/spouse travel, lodging, and meals
lodging,
transfer between committees of the same candidate/sponsor
LIT
campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
print ads
VOT
voter registration
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
Bern Steves Professional Service Fee
Sound of Hope Radio Network Radio Ads
Xiangchen Xu flyers and signs
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5871.00
Schedule E Summary
1. Itemized payments made this period.(Include all Schedule E subtotals.) 7,179.38
2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 19.92
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).) 0
4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page,e, Column A, Line 6. 7,199.30
) ............................. TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866 1ASK-FPPC(8661275-3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/23/2016
SCHEDULE E(CONT)
12/21/2016 10 11
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER
I.D.NUMBER
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative 1381645
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CUP
CNS
campaign paraphernalia/misc.
campaign consultants
MBR
member communications
RAID
radio airtime and production costs
CTB
contribution (explain nonmonetary)"
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
FIL
civic donations
candidate filing/ballot fees
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v.or cable airtime and production costs
FIND
D
fundraising events
PHO
POL
phone banks
polling and survey research
candidate travel,lodging,and meals
IND
LEG
independent expenditure supporting/opposing others (explain)'
legal defense
POS
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
LIT
campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
VOT
voter registration
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 AMOUNT PAID
Sun Lee paper& printing
Liang-Fang Chao website fees
Cupertino Residents for Sensible Zoning Action Committee#1376003
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $1,308.38
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866 1ASK-FPPC(866/275-3772)
Schedule I Tvoe or nrint in ink cruGnl u IZ:I
miscellaneous Increases to Gash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 10/23/2016
through 12/21/2016
CALIFORNIA
1
FORM
Page 11 of 11
NAME OF FILER
Yes on C for Citizens. No on D for Developer. -Committee supporting Cupertino Citizens' Sensible Growth Initiative
I.D.NUMBER
1381645
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
DESCRIPTION OF RECEIPT
AMUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
1. Itemized increases to cash this period. .......................................................................................................................$
2. Unitemized increases to cash of under$100 this period.............................................................................................$
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
SummaryPage, Line 14.) ........................................................................................................................... TOTAL $
SUBTOTAL$
0
0.01
0
0.01
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)