460 Recipient Committee Campaign Statement - Preelection Statement 09-25-16 - 10-22-16 Reci ient Committee S V COVER PAGE
Campaign Stater�ent � D � � � �� � .� ` • �
Cover Page
Statement covers period Date of election if appli I • O CT 2 6 ZO 16 � � of 6
from
9/25/2016 (Month,�ay,Year) For Official Use Only
SEE INSTRUCTIONS ON REVERSE 10/22/2016 11/08/2016 CU ERTiNO CITY CLE�K
through
) I
i. Type of Recipient Committee: A��cornmittees-�omP�ete Parts�,s,s,a�d a. 2. Type of Statement:
� O`f�.;�i,,:;IJer,Canui�:::�Coniroll2d Comi��iitze ❑ Primarily Fonned Ballot Measure � Preelection Statement ❑ Quarterly Statement
� State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
� Recall � Controlled ❑ Termination Statement
(AlsoCompletePartSJ � Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6J
❑ General Purpose Committee ❑ Amendment(Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
� Small Contributor Committee Officeholder Committee
� Political Party/Central Committee (�soCompletePert7)
3. Committee Information I.D.NUMBER Treasurer(s)
I 1390787
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Kris Wang for City Council 2016 Angela Tsai
MAILING ADDRESS
STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREACODE/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
OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS
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 pery'ury under the laws of the State of California that the foregoing
Measure Proponent
Executed on B"
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
C�►11(J�iryn Di��lo��rre Statemert Amountsmayberounded SUMMARYPAGE
- -, to wnole cc:�c.�,:. �
,� �.atament covers period � - 0 �
5ummary rage ___ _ _ _.��
from g��5/2016 � - � '=
through 10/22/2016 page 2 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Kris Wang for City Council 2016 1390787
Column A Column B Calendar Year Summary for Candidates
Contributions Received -_- ���� � � ��ARY=,R
- -_.___ _-�_, - Running in Both the State Primary and
i66G 4676 General Elections
1. Monetary Contributions................................................... scneduiea,�ine s $ � �/1 through 6/30 7/1 to Date
2. Loans Received................................................................ scneduie a,�ine s
0 0
1660 4676 20. Contributions
3. SUSTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 S S Received a $
4. Nonmonetary Contributions............................................ scned�ie c,Line 3 � � 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED....................................Add�ines3+4 $ 1660 $ 4676 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ scneduie E,�rne a $ 4548 g 4548 Candidates
7. Loans Made....................................................................... scnedu�e H,Line 3 � 0
22. Cumulative Expenditures Made*
8. SU BTOTAL CASH PAYM ENTS.......................................... Add�ines s+� $ 4548 $ 4548 (If Subject to Voluntary Expenditure Limit)
9. Accrued Ex enses Un aid Bills Schedule F,Line 3 1430 1430
P � P )�������������������������������������•� Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................scned��e c,Line 3 0 0 (mm/dd/yy)
11. TOTALEXPENDITURESMADE........................................Add�ines8+g+�o $ 5978 $ 5978 �_� �
Current Cash Statement �� $
� � 3016
12. Beginning Cash Balance............................ Pre�ro�s sUmmary Pa9e,Line 16 � To calculate Column B,
13. CaSh ReCelptS........................................................... Column A,Line 3 above 1660 add amounts in Column
� A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. scneduie�,Line 4 amounts from Column B reported in Column B.
15. Cash P2yments......................................................... Column A,Line s above 4548 of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ...................4dd�ines�2+�3+�4,then subtract Line 15 $ �28 be negative figures that
should be subtracted from
lf this is a termination statement, Line 16 must be zero. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED................................ Schedule B,Part 2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if
18. Cash Equivalents................................................ See instruc6ons on�everse $
0 a�y��
19. OUtSt8f1d111g D2btS.............................. Add Line 2+Line 9 in Column 8 above $ FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
r-� 1 •r • � to tv�•olo a,.�i-„� ; � ..i� ��r,� c,�c. � ciicc
:!:C%�tl,toy.s� . _f!t�ll.lt.l1;(�Il� �`eEC���rFli � �'�m�-r�f2�`ir� -� ���
I from ���. _� , ` = p v
�;�+��,.:�
i���� � ���� ��
through 10/22/2016 page 3 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Kris Wang for City Council 2016 1390787
I �U!L NAME,STP.==T?.C�RESS AN�`ZIP CODE OF CONTRIBUTOR , IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
� -- CO�TRI_UTOR
� = _ � .; _-, CCCUPP.TION F.ND E��oi nvco RECEIVED THIS CP.LENDAR YEAR TO DATE
�I ':`1.J'- �..:. -.._.. .,. _ ,
R�Gti!_� i •.•,•,� pFSELF-EMPLOYc.; '. �nn,;u�� PERIOD (,,,;;�,1-D�C.31) (iF R�CUIi=c��)
OF BUSINESS)
Gordon Lu ��N�
10/11/16
❑PTY
❑scc
Janice Ishii m IND
❑COM house wife
10/11/16
�P�,
❑scc
Phyllis Dickstein �IND Retired
10/11/16
❑Pn
❑scc
Lorra Yang �IND house wife
10/11/16
❑OTH
❑PTY
❑SCC
Amy Yang �IND Retired
10/11/16
❑OTH
❑PlY
❑SCC
SUBTOTAL$ 780 I �
Schedule A Summary •ContributorCodes �
1. Amount received this period-itemized monetary contributions. irvo-�ndividua�
(Include all Schedule A subtotals.) � 1660 COM—Recipient Committee
......................................................................................................... (other than PTY or SCC)
2. Amount received this period-unitemized monetary contributions of less than $100...........................$ 0 OTH—Other(e.g.,business entity)
PTY—Political Party
3. Total monetary contributions received this period. scc-sman contributor comminee
Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ 1660
( rY 9 )......................
FPPC Form 460(1an/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
��!������� n !Continuation Shpetl �u�Fa CONT.
- , Amounts may be rc•�nded SCHF ( )
IIi.C�.}Il�l�.�..1��� �'..,hli Il.i�.11i�i�'t� �E�.C��i�l:la *. ..'!;c�.. dC','2•_. � �:�;Crl�r;iCC`i:tS r�r;.`G i eR���e���t}�� '� � �y
�, � �
9/2�/2016 - o ' ' - -- --.=Ft>�
from -�-.: -
through 10/22/2016 page 4 of 6
NAME OF FILER I.D.NUMBER
Kris Wang for City Council 2016 1390787
ir nG c � i CONTRIoJ�OR IF P ';`:�IVIDUP,L,E':T=R PN;�;;�VT CU,`.4ULATIVE TO DAT� PER ELECTION
Chi E r�_��� �._,�T ,AGDRESS AND ZI .. �OF CCA:�RIoUTOR _ * OC UrATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
,._ _ ._.. (Ir C✓��,�;7 =E F_SC= _�_vJUiB�R) i.,.__ QP� L E':<�LOY D.ENSER NF.VE
cr ausi`tss; PERIOD (JAN.1-DEC.31) QF REQUIRED)
Stanley Lee DDS ❑IND
10,'21/16
�OTH
❑PTY
❑SCC
The Phi Grp LLC ❑IND
10/21/16
�orH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 880 I
`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
C�-hp�i�1� � Amounts may be rounded I � SCHEDULE E
: a±ement covers period �
!r Yt�1Cln�CIIcfS. -�J L__�- L
i'��itliC:C'ii..� i�iaGt:. ' ��L_ _ � _�`_•; _� �
��`��-,
frcm ` ` -
SEE INSTRUCTIONS ON REVERSE
through �0/22/2016 page 5 of 6
NAME OF FILER I.D.NUMBER
Kris Wang for City Council 2016 1390787
C^D��: IF cne of tf,,e fcllew^rg cedes 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(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 czr�idate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
�,lC `�_:^�•ei�!ro e,:er_s POL pclling and survey r�search TRS staff/spouse travel,lodging,and meais
,.� .�..;;� .:.�.�� : �,�,cr.i�;� .:r;,� , .,;r,�rs��,�•,;IUin)' �:3 r�s:;:ye,delivery and messenger ser✓ices TSF transfer beteveen committees ofthe 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 COMMITfEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SCC Voters Registrar Voters' list
San Jose, CA FIL $102
Quick Data Compaign literature mailing
LIT 4446
"Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4548
Schedule E Summary
1. Itemized a ments made this eriod. Include all Schedule E subtotals. 4548
p Y p � )............................................................................................................. $
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 a ments made this eriod. Add Lines 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. TOTAL $ 4548
p Y p � rY 9 )...........................
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULEF
Sch„�„r., r �,. ,., �� ��� � � - t .;;;, ,. , �-',��•�
: :�,� _, � ? _ �� � � ; ,
. , ;
, .
...__
�... .----- —-- :_-_..__.�.�z_..�� ._,.._.._,:. _;
through 10/22/2016 6 6
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D.NUMBER
Kris Wang for City Council 2016 I 1390787
. � v rG} �y,V __ _^y - __ _ _ _ _. _ _ _ _ _
� _ �.i . �c ,� ,,... �.,.,.,_ . ,,,�(21�� Cc:�rlLc�� i ic. '( �'l�, U ITia E1 .:.( i(lE CCCi.. Gi(IEfWIS2, C�2SC(ID2 tr12 (�8�/1112t1t.
�i�iP ca^�paigr pzrzphemalia;r�isc. MBR member commur�ic4;iors RAD radio airtime and production costs
CNS cam,pai�r,�onsu!`arts PI�TG me�`inr.s and ar,�::arances RFD returned contributions
C-3 cor;ribu5on(expla�n ronmonetary)' CFC c°`�ce aY.,�nses SAL campaign workers'salaries
CVC civic deo,_: ,cs PET pe,itioi�circulating TEL t.v.or cable airtime and production costs
FIL ca��didat����ling/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraisirc events PCL pollina and survey r��=-��h TRS st�ff/spouse travel,lodging,and meals
"��' in�����e, . -: , � , _,. �- � ;;��,, c T�� � �„�ees of; �.. �...,� c, ...'�� � ��or
�_� �P' . . -._ � .� , `^{e5S10fldl SU...-_a(. 'cl, 6 �., _ �.�� �/l�T V::18f f2�.,,fcu�fl
LiT carnpaign li�erature and mailings PRT print ads WEB information 4echnology costs(intemet,e-mail)
NAMEANDADDRESS OF CREDITOR CODE OR (a� (b) (c) (d)
OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT gALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
Kris Wang FIL
0 1920 0 1920
Kris Wang FIL
0 50 0 50
Quick Data LIT
�Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1970 $ $ $
summarized on Schedule D.
Schedute F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 3400
accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)..............................................INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on �
accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.)...................................PAID TOTALS$
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summa Pa e, Column A, Line 9. NET$ 3400
rY9 )...................................................................................................................................................................................
May be a negative number
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov