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460 Recipient Committee Campaign Statement - Semi Annual 7-1-22 to 12-31-22 Termination - AmendmentRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2022 through 12/31/2022 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Primarily Formed Ballot Measure Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored /A/so Complete Part 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Primarily Formed Candidate/ Officeholder Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jon Willey for Cupertino Council 2018 STREET ADDRESS (NO P.O. BOX) 18870 Tilson AV CITY Cupertino STATE ZIP CODE CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO BOX P.O. Box 1241 (Also Complete Part 7) 1.D NUMBER 1408452 AREA CODE/PHONE (408)883-0652 CITY Cupertino STATE CA ZIP CODE AREA CODE/PHONE OPTIONAL FAX/ E-MAIL ADDRESS JWilley@cupertino.org 4. Verification 95015-1241 Date of election if applicabl (Month, Day, Year) F~fi,P~t~: .,,1,1 stro2~Cf1: PM -----tjUPERTINO CITY CILERK 2. Type of Statement: 0 Preelection Statement ~ ~nnual Statement ~ermination Statement 0 Quarterly Statement 0 Special Odd-Year Report /-(Also file a Form 410 Termination) ~ jB_,,.Amendment (Explain below.) 'll N .QQ& :::ID , Y\cl( ca ;k;,,~M~cJY\ Treasurer(s) NAME OF TREASURER Joan Lawler Chin MAILING ADDRESS 10162 Bilich PL COVER PAGE of __ _ CITY Cupertino STATE ZIP CODE CA 95014 AREA CODE/PHONE (408)887-7435 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS joan.lawler@gmail.com STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained h and in the attached schedules is true and complete. certify under penalty of perjury under the laws of th Stat}! California that the foregoing is true and correct. E l d 01/18/2023 ~ , "'O" -:z. 8 Joan Lawler Chin xecu e on , eL el. .J y Date { · ' Executed on 0111::.~023 { -2,t,-l.07,) By Jo~ig~:~1r~~fControlling Offill:.":: .. ~--~•J. '::: .. :.!".':_v __ •·::·-:t ... ~.:!ea.~~-L,. ~-----•~---· · Executed on _______________ _ Date Executed on----------------Date By Signature of Controlling Officeholder. Candidate. State Measure Proponent By Signature of Controlling Officeholder. Candidate. Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from 0710112022 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jon Willey for Cupertino Council 2018 Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Non monetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Non monetary Adjustment 11. TOTAL EXPENDITURES MADE Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments Schedule A, Une 3 $ Schedule 8, Une 3 Add Lines 1 + 2 $ Schedule C, Line 3 Add Lines 3 + 4 $ Schedule E. Une 4 $ Schedule H, Line 3 Add Lines 6 + 7 $ Schedule F, Une 3 Schedule C, Line 3 Add Lines a +9+ 10 $ Previous Summary Page, Line 16 $ Column A, Line 3 above Schedule I, Line 4 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. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 000 000 0.00 000 0.00 684.00 0.00 684.00 0.00 0.00 684.00 684.00 0.00 0.00 684.00 0.00 through Column B CALENDAR YEAR TOTAL TO DATE $ 0.00 0.00 $ 0.00 0.00 $ 0.00 $ 684.00 0.00 $ 684.00 0.00 0.00 $ 684.00 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 --------------------------------------------1 this is the first report being filed for this calendar year, only carry over the amounts -----------------------------------------1 from Lines 2, 7, and 9 (if 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $ 0.00 12/3112022 Page __ 3__ of 6 I.D. NUMBER 1408452 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (II Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date $ ___ _ $ ___ _ $ ___ _ *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 D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jon Willey for Cupertino Council 2018 DATE 09/06/2022 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Govind Tatachari City Council Member City □support □support 0 Support Ooppose Ooppose Ooppose Schedule D Summary Amounts may be rounded to whole dollars. TYPE OF PAYMENT 0 Monetary Contribution O Nonmonetary Contribution O Independent Expenditure O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure ---O Monetary Contribution O Nonmonetary Contribution O Independent Expenditure SCHEDULED Statement covers period from 07/01/2022 CALIFORNIA 460 FORM DESCRIPTION (IF REQUIRED) I SUBTOTAL$ through 12/31/2022 Page __ 4 __ of 6 AMOUNT THIS PERIOD 100.001 100.ooj 1.0. NUMBER 1408452 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 100.00 PER ELECTION TO DATE (IF REQUIRED) 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 100.00 2. Unitemized contributions and independent expenditures made this period of under $1 $ 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 OO.OO 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 Jon Willey for Cupertino Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 12/31/2022 SCHEDULE E CALIFORNIA 460 FORM Page __ 5_ of I.D. NUMBER 1408452 6 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB eve FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Secretary of State Political Reform Division Suite 495 1500 11th Street FIL Campaign Committee Fee 150.00 Sacramento CA 95814 Prodigy Press 1136 W Evelyn Ave CMP 164.00 Sunnyvale CA 94086 Govind for Cupertino Council 2022 CTB Campaign Contribution 100.00 Jon Willey 18870 Tilson AV CMP Website fees were paid directly by candidate, so reimbursed to self 180.00 Cupertino CA 95014 • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 594.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................... . $ 594.00 2. Unitemized payments made this period of under$100 ........................... . $ 90.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .. ........... , ... , ................ $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .......................... TOTAL$ 684.00 ------FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Notes NAME OF FILER Jon Willey for Cupertino Council 2018 12/8/2022 -Willey Jon -180.00 -Issued by Wells Fargo to Close the Account NOTES CALIFORNIA 460 FORM Page __ 6_ of __ 6_ I.D NUMBER 1408452