460 Recipient Committee Campaign Statement - Termination I�@CIpL@Ilt COCYII'YII'�@� t COVER PAGE
Car�paign Statement � � �• � ' • '
Cover Page
�e: .���L� � � ��'�� � '� ot 2-
Statement covers psriod Date of eiection if applica =
from
12/23/2018 (Month,Day,Year) or otfciai use orny
12/28/2018 � �'ERT1N0 C��°Y GL RK
SEE INSTRUCTIONS ON REVERSE thTough
1. Type of ReCipierlt COmmittee: w�►Committees-comp�ete Parts 7,2,s,ana�.. 2. Type of Statemment:
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
� State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
� Recall � Controlled � Termination Statement
(AlsoCompfefePart5) � Sponsored {Also file a Form 410 Termination)
(AAso Complete Part 6J
� General Purpose Committee ❑ Amendment(Explain below)
� Sponsored ❑ Primarily Formed Candidate/
� Small Contributor Committee Officeholder Committee
� (Also Complete Parf� .
� Political Party/Central Committee
3. Committee Information ��D.NUMBER Trea�urer�s)
1414447
CAMMI7TEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) �dAME OF TREASURER
Cupertino Political Reforms PAC Xiangchen Xu
MAILING ADDRESS
MAILING ADDRESS(IF DIFFEREN�NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIPCODE AREACODElPHONE
OPTtONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS
Q�. �@PI�C�1tI017
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 Califomia that the foregoing is true and correct.
r
Executed an t�`/_;� — ��T gy ./---��---��.-'
Executed on By '
Date Signature of Corrtrolling Oificeholder,Candidate,Shate Measure Proponent or Responsible OfTicer of Sponsor
Executed on By
Date Signature of Corrtrolling Officeholder,Candidate,Siate�Measure Proponent .
Executed on By
Date SignaWre of Controlling Officeholder,Candidate,SFate Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www fppc.ca.gov
Campaign Disclosure Statement �ounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period � �
Summary Page � , � '
from 12/23/2018 e -
SEE INSTRUCTIONS ON REVERSE tnrouyn 12/28/2018 page �- of �
NAME OF FILER I.D.NUMBER
Cupertino Political Reforms PAC 1414447
Contributions Received T C,°lu,m oo �°No"�'�� Calendar Year Summary for Candidates
(FROMATfACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... scnedu�ea,Line 3 $ � $ 3250 1/1 through 6/30 7/1 to Date
2. Loans Received••••.....•••••......••••••••••••........-•----...•-••••••••••... scnedu�e e,Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add tines 9+2 $ 0 � 3250 Received ' $ $
4. Nonmonetary Contributions............................................ scnedu�e c,Line 3 301 21. F�cpenditures
5. TOTALCONTRIBUTIONSRECEIVED....................................Add�ines3+4 $ 0 $ 3551 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ scnedure E une a $ 0 g 3490.52 Candidates
7. LOa�S M2dE..•••••••••••••••••----•--•-••••-••••••••••••••••••••...••••••••....... Schedule H,Line 3
22. Cumulative Expenditures Made"
8. SUBTOTAL CASH PAYMENTS.......................................... .4dd Unes s+7 $ 0 $ 0 (If Subject to VoluMary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills)..........................................scheduie F cine s
Date of Election Total to Date
10.Nonmonetary Adjustment.........................................................schedu�e c,Line 3 0.29 60.48 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE........................................Add Lines 8+g+10 $ 0 � 3551 _�� �
Current Cash Statement _�� $
12.Beginning Cash Balance............................ PrevioussummaryPaye,Line 16 $ 0•29
To calculate Column B,
13.Cash Receipts........................................................... Column A,C.ine 3 above add amounts in Column
A to the corresponding *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash.................................. Schedule l,l.ine 4 amounts from Column B reported in Column B.
15.Cash Payments......................................................... Column A,tine 8 above 0.29 of your last report. Some
amounts in Column A may
16.ENDING CASH BALANCE ..................Add Cines 12+13+94,then subfract Line 15 $ � be negative figures that
should be subtracted from
If this is a terminaSon statement,line 16 must be zero. previous period amounts. If
this is the first report being
17.LOAN GUARANTEES RECEIVED................................ Schedule e,Part 2 $ filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from����2,�,and 9(if
any).
18. Cash Equiv2lents................................................ See insiructions on reverse $
19. OUtstanding D2btS.............................. Add Line 2+�ine 9 in Column e above $ FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/2753772)
www.fppc.ca.gov