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460 Recipient Committee Campaign Statement - Preelection 01-01-18 to 04-21-18Recipient Committee COVER PAGE Campaign Statement• - • , t Cover Page D • (Government Code Sections 84200-84216.5) 1R SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2018 through 04/21/2018 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 O Controlled (Also Complete Part 5) Q Sponsored /Also Como/ete Part RI Q General Purpose Committee ® Sponsored Q Small Contributor Committee Q Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 1299673 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) CUPERTINO CHAMBER OF COMMERCE PAC 9 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if appli (Month, Day, Year) APR 13 U 2'R!R 1 of 10 Official Use Only 06/05/2018 i�PERTINO CITY CL RK 2. Type of Statement: ❑x 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 ANDREW WALTERS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY JAMES SUTTON MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best Executed on t/ g t Date y Executed on Date Executed on Date Executed on Date www.neffile.com By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppe.ca.gov Recipient Committee Statement Cover er Page — Part 2 COVERPAGE-PART2 CALIFORNIAFORM 460 - 60CovCampaign Page 2 of io 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE ❑ OPPOSE RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. ❑ SUPPORT NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees ❑ OPPOSE not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee Listnamesof ❑ SUPPORT officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES F-1 NO ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) 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 www.netfile.com FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARYPAGE Summa Pae Statement covers periodCALIFORNIA Summary g to whole dollars. 460 from 01/01/2018 FORM SEE INSTRUCTIONS ON REVERSE 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. through 04/21/2018 Page 3 of 10 NAME OF FILER Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE ... ............................. Add Lines 8+9+10 $ I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 Contributions Received olumn AioD Column B Calendar Year Summary for Candidates To (FROM ATTACHED SCHEDULES) TOTALTO DATE g I . Running Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, Line $ 2,750.00 $ 2,750.00 2. Loans Received...................................................... Schedule s, Line 3 0.00 0.0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 2,750.00 $ 2,750.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule c, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add cines 3+4 $ 2,750.00 $ 2,750.00 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE ... ............................. Add Lines 8+9+10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 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 S above $ www.neffile.com 8,228.45 0.00 8,228.45 300.00 0.00 $ 8,228.45 0.00 $ 8,228.45 15,389.61 0.00 8,528.45 $ 23,618.06 7,320.84 2,750.00 60.00 8,228.45 1,902.39 0.00 0.00 5,389.61 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). 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) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A SCHFr)lll F A ^111VUIIL� 1110yuC ivuuuru MonetaryContributions Received Statement covers eriod p to whole dollars. CALIF• RNIAA 1 from 01/01/2018 . FORM SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 4 of 10 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE,ALSAND ZIPDEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (EET IT .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 02/19/2018 PACIFIC WORKPLACES ❑IND 50.00 100.00 ❑x OTH ❑ PTY ❑ SCC 02/19/2018 PACIFIC WORKPLACES ❑IND 50.00 100.00 ❑x OTH ❑ PTY ❑ SCC 03/02/2018 SUTTON SWIM SCHOOL ❑IND 100.00 100.00 Z OTH ❑ PTY ❑ SCC 03/07/2018 CHRISTOPHER MOYLAN ❑X IND CHIEF OF STAFF 50-00 100.00 ❑ OTH KHANNA ❑ PTY ❑ SCC 03/09/2018 DONNA AUSTIN [g]IND RETIRED 50.00 100-00 ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 300.00 . g Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 2,360.00 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 390.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, e, Column A, Line 1. ) ....................... TOTAL $ 2,750.00 www.netfile.com '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) 1►e_ _J._..-- o+--i__I--- - r _ SCHEDULE A (CONT.) 1V1V"WLa1vv11L11UUL1 ins Meceivea -kmoum;5 may Derounaea Statement covers period to whole dollars. • from 01/01/2018•through FI_ 04/21/2018 Page 5 of NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF 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 (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 03/09/2018 DONNA AUSTIN x❑IND RETIRED 50.00 100.00 ❑COM ❑ OTH ❑ PTY ❑ SCC 03/12/2018 RIMCO REALTY CORPORATION ❑IND 50.00 100.00 ❑COM K] OTH ❑ PTY ❑ SCC 03/12/2018 FQMCO REALTY CORPORATION ❑IND 50.00 100.00 ❑COM KI OTH ❑ PTY ❑ SCC 03/20/2018 SAN JOSE WATER COMPANY 1,000.00 1,000.00 _]IND ❑COM x❑ OTH ❑ PTY --U-3/21/2018 ❑SCC CHRISTOPHER MOYLAN RIND CHIEF OF STAFF 5U. 0-0 100.00 KHANNA ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,200.00 I r � a iii i114 hlil d�y 1,x14 F - � � 5' Y `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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) IYW11C11.d1 %+V114f1UUlIVIIS McGelVeU KMQUMSMay Derounaeq Statement covers period to whole dollars. � � - , from 01/01/2018 . FORM through 04/21/2018 Page 6 of 10 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF 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 (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 03/22/2018 DAMS IND DIRECTOR 100.00 100.00 PERFORMING ARTS ❑ OTH ❑ PTY ❑ SCC 03/22/2018 DRYCLEAN PRO ❑IND 160.00 160.00 ❑Com -1 OTH ❑ PTY ❑ SCC 03/22/2018 RICHARD LOWENTHAL x❑IND ECHN CHIEF TECHNICAL CHICAL OFFICER 500.00 500.00 ❑COM ❑ OTH ❑ PTY ❑ SCC 03/22/2018 OREN'S HUMMUS SHOP ❑IND 50.00 100.00 ❑COM x❑ OTH ❑ PTY ❑ SCC 03/22/2018 OPEN'S HUMMUS SHOP FIND 50.00 100.00 El COM x❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 860.00 I�,q��d vmgg n✓ ftw'5 h r T 8 F ilk` *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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule D SCHF:nt II F n �•.•■ ■ ■. ■.�.. y .+■ �..�.,c� �aa��u� ca Statement covers period Supporting/Opposing Other Amounts may rounded • - to whole dollars. . " Candidates, Measures and Committees from 01/01/2018 • SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 7 Of 10 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN. 1 - DEC. 3'I) (IF REQUIRED) 03/09/2018 EVAN LOW State Assembly Person x ❑ Monetary 1,250.00 1,250.00 District: 28 Contribution ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1,250.00' �� d�6"gtjs"-rgeff'0 WE, � rx Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100...... .............. $ 1,250.00 .. $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ 1,250.00 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC Amounts may be rounded to whole dollars. Statement covers period from 01/01/2018 through 04/21/2018 I Page 8 of 10 I.D. NUMBER 1299673 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 (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 candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND IND fundraising events independent expenditure supporting/opposing others (explain)* POL POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID EVAN LOW FOR ASSEMBLY 2018 (ID# 1392357) CTB ANJALI KAUSAR SUTTON LAW FIRM PRO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8,168.45 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 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 payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ www.netfile.com 8,168.45 60.00 0.00 8,228.45 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule F SCHEDULEF Statement covers eriodCALIFORNIAAmounts may be rounded pA ' Accrued Expenses (Unpaid Bills) towholedollars. from 01/01/2018 FORM • 04/21/2018 h SEE INSTRUCTIONS ON REVERSE through Page 9 0¢ 10 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and surrey 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 ads WEB information technoloov costs (internet. e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD TERRIS BARNES WALTERS (TBW) IND 11,422.30 0.00 0.00 11,422.30 TERRIS BARNES WALTERS (TBW) IND 3,667.31 0.00 0.00 3,667.31 SUTTON LAW FIRM PRO 0.00 300.00 0.00 300.00 - vayments tnat are contributions or independent expenditures must also be SUBTOTALS $ 15, 089.61 summarized on Schedule D. $ 300.00$ 0.00$ 15, 389.61 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ...................... 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.) ...................... INCURRED TOTALS $ 300.00 ......................... PAID TOTALS $ 0.0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................ NET $ MaybeanegaEve.00 00 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule 1 Gr.HFr1I II F I Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2018 through 04/21/2018 CALIFORNIA_ 466 Page 10 of 10 NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC I.D. NUMBER 1299673 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE OF COMMITTEE, ALSO ENTER I.D. NUMBER � DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period........................................................................................................................ $ 0.00 2. Unitemized increases to cash of under $100 this period............................................................................................. $ 60.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................................................................... TOTAL $ www.netfile.com 60.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov