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460 Recipient Committee Campaign Statement – First Preelection Statement 01-01-16 to 09-24-16 Recipient Committee oate stamp COVER PAGE Campaign Statement � , � ' � � � � • � Cover Page � . � 1 9 Statement covers perio � Date of election if applicable: Page of �6 '� ��-Z�� (Month,Day,Year) SEP 3 Q 2016 For official Use Only from i e SEE INSTRUCTIONS ON REVERSE 9/24/2016 Nov 8 2016 (,; �-j'-�'r i �``; ,� ': �'� through 1. Type of Recipient Committee: au comm�rcees-compiete PartS�,z,s,and a. 2. Typ of Statement: (� O�ceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure �p �r�election Statement ;� D� �� quarterly Statement � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled (AlsoCompletePartS) ❑ Termination Statement � Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Officehoider Committee � Political Party/Central Committee (AlsoCompletePart7) 3. Committee Information I D NUMBER Treasurer(s) I 1389099 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Scharf for Cupertino City Council 2016 Yanping Zhao MAILING ADDRESS STREETA�DRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Cupertino CA 95014 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE CUPERTINO, CA 95015-0467 OPTIONAL: FAXlE-MAILADDRESS OPTiQiJAL: FAX/E-MAfLADDRESS 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. 29 SEP 2016 ��' � " � Dat� Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Offceholdec Candidate.State Measure Proponent Executed on By Date Signature of Controlling OKceholder.Candidate,State Measure Proponent FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772� www.fnoc.ca.eov COVER PAGE-PART 2 Recipient Committee � . , Campaign Statement � . . ' • 1 Cover Page — Part 2 2 9 Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven M. Scharf OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABIE) BALLOT NO.OR LETTER ( JURISDICTION I ❑ SUPPORT Cupertino City Council Member ❑ oPPosE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: c;sranycommrnees nof inc/uded in this sfatement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELQ DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee List names of o�ceho/der(s)or candidate{sJ for which this commitiee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFiCE SOUGHTOR HELd ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuafion sheets if necessary FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gav Campaign Disclosure Statement Amounts may be rounded �� SUMMARY PAGE to whole dollars. Statement covers peri� Summary Page ) j • - � , frorr�.��6 �/�!�'�� • � . • � SEE INSTRUCTIONS ON REVERSE throuyh 9�25/2016 page 3 of 9 NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTAITODATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... scneduiea,Line 3 $ 2804.94 $ 2804.94 2. Loans Received................................................................ s�neduie s,Line 3 2�� 2000 1/1 through 6/30 7/1 to Date 4704.94 4704.94 20. �ontributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ $ Received $ $ 4. Nonmonetary Contributions............................................ scneduie c,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Addlines3+4 $ 4804.94 $ 4804.94 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scnedu�e E,cine a $ 3035.42 � 3035.42 Candidates 7. Loans Made....................................................................... s�ned�ie H,L/ne 3 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines s+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills)..........................................scneduie F�ine 3 Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scnedu�e c,Line 3 (mm/ddlyy) 3035.42 3035.42 11. TOTAL EXPENDITURES MADE........................................Add lines 8+s+10 $ $ _�� $ Current Cash Statement O �� 12. B@glnlllllg C8SI1 B8I8f1C8............................ Previous SummaryPage.Line 16 � To calculate Column B, 13. Cash Receipts........................................................... Co�umn,4,�ine 3 above 4804.94 add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scned��e i,�ine 4 amounts from Column B reported in Column B. 15. Cash Payments............................. ............................ Column A,Line 8 above 3035.42 of your last report. Some 1769.52 amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lrnes 12+13+14,then subtract Line 15 $ be negative figures that should be subtracted from !f this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED................................ scnedu�e e,Pan z $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if any). 18. CaSh EqUIV818f1tS................................................ See instructions on reverse $ 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column e above $ 200� FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded �� SCHEDULE A to whole dollars. Statement covers pe�� d Monetary Contributions Received '�L�- �l��Z"�� ' � � " ' � � � from 9/24/2016 through Page 4 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (�F COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) QF REQUIRED) OF BUSINESS) Ignatius Ding �1ND Retired 500 500 8/26/16 ❑Pn ❑scc Jon Willey �coM Engineer 8/10/16 ❑Pn' ❑scc Dennis Whittaker �coM Insurance Agent 8/26/16 �Pn Farm Insurance ❑scc Govind Tatachari C��ND ❑coM Software Engineer 8/10/16 ❑PrY ❑scc Fen Ye ��ND g ❑coM Engineer 100 100 8/10/16 �PTY ❑scc SUBTOTAL$ I 1305 � Schedule A Summary •Contributor Codes 1. Amount received this period—itemized monetary contributions. 2804.94 IND—Individual (Include all Schedule A subtotals.)........................ � COM—Recipient Committee ............................................................................ (other than PTY or SCC) . . . . OTH—Other(e.g.,business entity) 2. Amount received this period—unitemized monetary contributions of less than $100 ...........................$ PTY—Political Party 3. Total monetary contributions received this period. 2804.94 scc-smau contr�butor committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded J� SCHEDULEA (CONT.) Monetary Contributions Received to who�e do��ars. ! Statement covers perio � o _ �6 ��Z ic, � , _ � � . � from , 9/24/2016 5 g through Page of NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ,, �F AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QF COMMITTEE,ALSO ENTER LD.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) , OF BUSINESS) Alan Penn �1ND 8/10/16 ❑Pn ❑scc Josephine Ding �1ND ' ' ' ' 8/10/16 ❑Pn ❑scc , Xiangchen Xu �IND Engineer 8/10/16 ❑P-r� Technologies ', ❑scc Wendy Lang C�IND 8/10/16 ❑Pn �scc Marie Wilson �IND COM 8/10/16 �Pn" ❑scc SUBTOTAL$ I 8gg.g7 "Contributor Codes � IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460 Jan 2 SCC—Small Contributor Committee ( / 016) � - FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded �� SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers peri d � . from <�/'fi12�'1'$� ��(�?_ra�� _ � � � � � , 9/24/2016 through Page 6 of 9 NAME OF FILER � I.D.NUMBER Steven M. Scharf 1389099 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �F AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Wenguang Wang �conn 8/10/16 �Pn ❑scc Yue Wang G�wo , ' ❑coM 99.99 99.99 8/10/16 ❑Pn ' , ❑scc Weilin Ding �IND Engineer � 8110/16 ❑Pn � ❑scc Danessa Techmanski �coM Homemaker, 100 8/10/16 ❑PTY ❑scc IND 8/10/16 Yanping Zhao coM 99 99 �P'Y ❑scc SUBTOTAL$ I 499,g7 `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(1an/2016) � FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded �/► SCHEDULEA (CONT.) to whole doilars. S� Monetary Contributions Received statement covers pe iqd � . ��-�8'tf"" i�/a�)� � • � from � throuyh 9�24/2016 page 7 ot 9 NAME OF FILER I.D.NUMBER Steven M. ScharF 1389099 CONTRIBUTOR �FAN INDIVIDUAL,ENTER AMOUNT ' CUMULATIVE TO DATE PER ELECTION DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED QF COMMITrEE.ALSO ENTER LD.NUMBER) CODE (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) Phyllis Dickstein ��N� �I 10-Aug-16 � �P�, Retired 100 100 ❑scc [�IND ' ' ❑COM I ❑OTH I ❑Pn' ❑SCC � �IND i ❑COM � ❑OTH , ❑Pn' ❑SCC �IND ❑COM ❑OTH ❑PTY ❑SCC �IND COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ ( �OO "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460 Jan 2016 SCC—Small Contributor Committee � � ) � FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded /�,/� SCHEDULE B-PART 1 Schedule B — Part 1 to whote dollars. Statement covers perio Loans Received l��e'1'^ � � � � ' � � from SEE INSTRUCTIONS ON REVERSE through 9�24/2016 page $ of 9 I NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 IFAN INDIVIDUAL,ENTER �a� �b) ��) ' (d) �e) �t� " �g) • FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPE�FOMP oD�EMPTOYER gALANCE RECEIVED THIS pR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,AlSO ENTER I.D.NUMBER) NAME Of BUSINESS) BEGINNING THIS pERIOD THIS PERIOD' CLOSE OF THIS pERIOD LOAN TO DATE PERIOD PERIOD 5`teVen M. S'Chal l EC�IgIC�Ieer ❑ PAID CALENDARYEAR ❑ FORGIVEN RaTE PER ELECTION'" 5 900 � 900 � 12/1/2016 $ � 8/12/2016 5 900 t�(IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED �� Karen Chiu I I ❑ PAID �o0 0 900 ' CALENDARYEAR gpp ' 900 � 12/1/2016 p 8/12/2016 g00 t � I � i � DATE DUE $ DATE INCURRED � [�IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Rebekkah Scharf Camp Counselor � PA1D 2�p � �� CALENDOAROY�,R 200 200 � FORGIVEN 12/1/2016 � 8/12/2016 PERELECTION�' t � � 200 [*IND ❑ COM ❑ OTH ❑ PTY ❑ SCC � $ g DATE DUE DATE INCURRED SUBTOTALS $ 2000 $ Q $ 2000 $ Q Schedule B Summary Sch�dnule Ee)Li e 3) 1. Loans received this period....................................................................................................................$ 2000 (Total Co�umn (b) plus unitemized loans of less than $100.) tContributor Codes ' 2. Loans paid or forgiven this period..................... . .. .. .. . ......................................................................$ � IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee {other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) 200o PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)..............................................................NET $ SCC—Small Contributor Committee CIIICI LIIC II�L IICIC GIIU UII LIIC Jlallllllctl�i rc1l�"'C� CGlliitli�r�� Lil�e 2. (Maybeanegativenumber) Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(1an/2016� '*If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov �/��Z�( � SCHEDULE E Schedule E Amounts may be rounded State �it cbv�rs period to whole dollars. �� • � � • ' Payments Made �,�-� . - from SEE INSTRUCTIONS ON REVERSE through 9�24/2016 page 9 of 9 NAME OF FILER I.D.NUMBER Steven M. Scharf 1389099 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution(expiain 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 travei,lodging,and meais 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 I (IF COMMITfEE,ALSO ENTER I.O.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Registrar of Voters Santa Ciara County Bailot booklet statement 1555 Berger Dr, San Jose, CA 95112 FIL 1920 Buildasign Signs 670 11525a Stonehollow Dr #100, Austin, TX 78758 CMP Got Print Fliers 7651 N. San Fernando Rd. Burbank, CA 91505 CMP 445.42 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3035.42 Schedule E Summary 3035.42 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $ 4. Total a ments made this eriod. Add Lines 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. TOTAL $ 3035.42 p Y P � rY J )........................... FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov