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460 Recipient Committee Campaign Statement - Semi Annual 1-1-17 to 6-30-17Recipient Committee Campaign Statement Cover Page (Government Code Sections 84240-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period bate of election of apps from 1/1/2017 (Month, Day, Year) through 6/3012017 1. Type of Recipient COE79MI tee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee r-1 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also CompleteParf5) 0 Sponsored (Also Complete Part 6) j� General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Genual Committee (Also Complete Part 7) 2. Committee Information I.D. NUMBER 1376003 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Cupertino Residents for Sensible Zoning Action Committee STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS EC1E0V COVERPAGE of 8 JUL 2 4 2017 11 LkF Official Use Only ~�---- If ,EUPERTINO CITY CgERK I 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Xiaowen Wang MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX 1 E-MAIL ADDRESS 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 underthe laws of the State of Califomia that the foregoing istrue and Executed on /r Date Executed on Date By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By SignatureofControlUngOificeholder,Czndidate,State MeasurePropoaent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Clear haver Pg i'.V.Prlrnt4orm state of Callfornla Campaign Disclosure Statement $ Type or print in ink. SUMMARY PAGE Summary Page corresponding amounts Amounts may be rounded to whole dollars. from Column $ of your last reported in Column B. Statement covers period 0 - 01 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 (f any)- 1/1/2017 • - ITI FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) from Through 6/3012017 2 of S 71D.NUMBER SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cupertino Residents for Sensible Zoning Action Committee 11376003 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Runningin Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTODATE General Elections 1. Monetary Contributions ........................................... Schedule A, Lines $ 3,954.00 $ 3,954.00 0 111 through 6130 711 to Date ...................................................... 2. Loans Received0 Schedule B, Linea 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines l+2 $ 3,954.00 $ 3,954.00 20. Contributions Received $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ......... .................. AddLines3+4 $ 3,954.00 $ 3,954.00 Made $ $ Expenditures /made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line $ 1,408.36 $ 1,408.36 Candidates 7. Loans Made............................................................. Schedule x, line 3 0 0 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 1,408.36 $ 1,408.36 22. Cumulative Expenditures Made* (If Subject tovoluntaryExpenditreLimit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Lines 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ......................... ............. I... ScheaufeC, Linea 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ................. ............... Add Lines 6+9+10 $ 1,408.36 $ 1,408.36 1 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 15 $ 13. Cash Receipts ................................................... Column ALineSabove 14. Miscellaneous Increases to Cash ........................... Schedule 1,Line 4 15. Cash Payments .................................................. Column A, Line 6above 16, ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must ,be zero. 11, 678.22 3,954.00 0 1,408.36 14,223.86 17, LOAN GUARANTEES RECEIVED ........................... schedule s, Part $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......................... ..... See instructions onfeverse $ 0 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ 0 $ To calculate Column B, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column $ of your last reported in Column B. 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 (f any)- FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) Schedule A Type or print in ink. SCHEDULE A Amounts may oe rounaea Monetary Contributions Received to whole dollars. Statement corners period • - ` from 111/2017 , , s - through 6/30/2017 page 3 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 �� ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED {IF COMMITTEES SAND .�CODEER} CSE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND 2/27/2017 Bingxi Wood ❑COM Engineer, 200.00 200.00 ❑ PTY ❑ SCC ❑IND 1/30/2017 Caryl Gorska ❑COM graphic designer 200.00 300.00 ❑ PTY ❑ SCC []IND 3/11/2017 Caryl Gorska ❑COM graphic designer 100,00 300.00 ❑ PT' ❑ Scc ❑IND 2/8/2017 Don min Yao Dongming ❑COM Engineer, 200.00 200.00 ❑ PTY ❑ SCC Gregory Schaffer ❑IND El COM Analog I.C. Designer 3/12/2017 ❑ PTY ❑ ScC SUBTOTAL$ 900.00 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 lessthan $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 $ 3,650.00 304.00 3,954.00 *Contributor Codes IND— Individual COM — Recipient Committee (other than PT' or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 450 (JanuaWO5) FPPC Toll -Free Helpline: 86S/ASK-FPPC (866f275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 1/1 /2017 FO from through 6130/2017 Page 4 of $ NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMM177EE,ALSNDIPD.NUMBER) CODE* (IF SELF-EMPLCYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Ignatius Ding E]�OM Retired, 3/12/2017 El PTY ❑SCC James Moore ❑IND El COM Retired, 2/10/2017 ❑ PTY ❑ SCC 3/2/2017 James Moore ❑][NDL]COMRetired, 200.00 1,100.00 ❑ PTY ❑SCC 3/12/2017 James Moore ❑ PTY ❑ SCC 3/21/2017 James Moore ❑IND ❑�]OTH Retired, 300.00 1,100.00 ❑ PTY ❑ SCC SUBTOTAL$ 1,100.00 *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 FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 1/1/2017 FORM ' from through 6/30/2017 Page 5 of S NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER %D. NUMBER) CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (.IAN. 1 -QEC. 31) (IF REQUIRED) OF BU&NESS) ❑END James Moore ❑IND Retired, 2/1!2017 ❑ PTY ❑Scc []INEl 1/29/2017 John Moore ❑ PTY []SCC Liana Crabtree []INDtechnical writer 3/12/2017 ❑ PTY ❑SCC Phyllis Dickstein ❑❑conn retired librarian 3/12/2017 ❑ PTY ❑ SCC Ping Gao [] IND El COm system engineer 3/24/2017 El PTY ❑SCC SUBTOTAL$ 950.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (Januaryl0$; FPPC Toll -Free Helpline: 8661ASK-FPPC {866{275,3772/; Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period 6 to whole dollars. 1/1/2017 I 6 ' • from through 6/30/2017 Page 6 of 8 NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETODATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFXMMITTEE,ALSOENTERI.D.NUMBER) CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) OF REQUIRED) OF BUSINESS) Venkatesh Nayak OCOM Engineer 3/18/2017 ❑ PTY ❑Scc Wayne F and Joan Chin ❑IND ❑ COM retired 1 /27/2017 $ ❑ PTY []SCC Yuwen Su pcaM Engineer 3/12/2017 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL.$ 700.00 *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 FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cupertino Residents for Sensible Zoning Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2017 through 6/30/2017 CODES: If one of the following codes accurately describes the payment you may enter the code. Otherwise, describe the payment. Page 7 of 8 I.D. NUMBER 1376003 CMP campaign paraphernalia/mise. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)* OFC office expenses SAL campaign workers' salaries CVG civic donations PEr 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 candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print acts WEB information technology costs (internet, a -mail) NAME AND ADDRESS OF PAYEE (IrcOMMITTEE,ALSOENTERE.D.NUMBER} CODE OR DESCRIPTION AMOUNTPAID Traci Mar live stream broadcast Xiangchen Xu SVC -Cupertino Courier local bulletin ads for Better Xiangchen Xu SVC -Saratoga News/Sunnyvale Sun local bulletin * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 950.00 Schedule E Summary 1_ Itemized payments made this period. Include all Schedule E subtotals. $ 1,270.00 2. Unitemized payments made this period of under $100 ...................... $ 138.36 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, Column A, Line 6- ... TOTAL $ 1,408.36 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866fASK-FPPC (86612753772) Schedule ESCHEDULE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Xiangchen Xu MTG Cupertino Community Hall rental fee for Better Cupertino's first town hall meeting 320.00 *.Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL_ $ 320.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK*PPC (866/275-3772)