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700 Statement of Economic Interest• - 1 1 STATEMENT OF ECONOMIC INTEREST �.. • • COVER PAGE DFAUG �yPlease type or print in ink. 1 1 2016 NAME OF FILER (LAST) (FIRST) (MIDDLE) Wang Kris ' l 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Cupertino Division, Board, Department, District, if applicable Your Position City Council candidate for City Council Member t If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of 0 City of Cupertino ❑ Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2015, through December 31, 2015. -o r - The period covered is — I through December 31, 2015. ❑ Assuming Office: Date assumed 0 Candidate: Election year 2016 ❑ Leaving Office: Date Left (Check one) O The period covered is January 1, 2015, through the date of leaving office. .or - 0 The period covered is I through the date of leaving office. and office sought, if different than Part 1: 5. Verification (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE Cupertino CA 95014 DAYTIME TELEPHONE NUMBER I E-MAIL ADDRESS ( I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed Signature (2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 2' SCHEDULE B - Interests in Real Property (Including Rental Income) ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Cupertino, CA 95014 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑✓ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs, remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 Q $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If, you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None I11� ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Cupertino, CA 95014 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 0 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑✓ Ownership/Deed of Trust IF APPLICABLE, LIST DATE: /_ / 15 --J-j_15 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 2$0-$499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None * You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* NAME OF LENDER`' Wells Fargo Bank ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER Bank INTEREST RATE TERM (Months/Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, If applicable Comments: INTEREST RATE 4 % ❑ None TERM (Months/Years) annual adjustment HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 $1,000 0 $1,001 - $10,000 ❑ $10,001 - $100,000 Q OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2015/2016) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov