460 Recipient Committee Campaign Statement - Termination 7-1-17 to 12-05-17Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 7/1/2017
through 12/}/2017
1, Type of Recipient COmmlt W All Committees — Complete Parts 1, 2, 3, and 4,
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
0 Recall Q Controlled
(Also Complete Parts) O Sponsored
(AlsoCamplete%rf6)
® General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Pert 7)
3. Committee Information
I.D. NUMBER
1376003
Cupertino Residents for Sensible Zoning Action Committee
STREET ADDRESS (NO P.O. BOX)
Date of election if appli
(Month, Day, Year)
CITY
STATE
ZIP CODE AREA CDDE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
E C E 0 V E
Date Stamp
COVER PAGE
of 4
RTINO CITY CLE 11 j For Official Use Only
f
2. Type of Statement:
❑ Preelection Statement
❑ Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement -Attach Form 495
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 CODE/PHONE
OPTIONAL: FAX ! E-MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the
Executed on
Date
By
SignatureofControlling Officeholder, Cantlitlate, Siete Measure Proponent
Executed on By
Data SigratureofControlfing Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toff -Free Helpline: 8661ASK-FPPC (866/2753772)
Stage of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period -
Summary Page to whole dollars. [ '
from 7/1/2017 • -
SEE INSTRUCTIONS ON REVERSE
6. Payments Made .......................................................
through
12/92017
Page 2 of 4
NAME OF FILER
0
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7 $
14,223.86
I.D. NUMBER
Cupertino Residents for Sensible Zoning Action Committee
0
10. Nonmonetary Adjustment ...............................
. Schedule C, Line3
1376003
Contributions Received
Add Lines 8+9+10 $
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROMATTACHED SCHEDULES)
CALENDARYEAR
TOTALTO DATE
Running in Both the State Prima and
9 Primary
Genera[ Elections
1. Monetary Contributions ...........................................
Schedule A, Line
$ 0 $
3,954.00
0
0
1!1 through 6130 711 t0 Date
2. Loans Received......................................................
Schedule S, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS
add Lines 1 + 2
$ 0 $
3,954.00
20. Contributions
.........................
Received $ $
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ................. ___
... Add Lines 3+4
$ 0 $
3,954.00
Made $ $
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4 $
14,223.86
7. Loans Made.............................................................
Schedule H, Line 3
0
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7 $
14,223.86
9. Accrued Expenses (Unpaid Bills) .......................... .....
Schedule FLine 3
0
10. Nonmonetary Adjustment ...............................
. Schedule C, Line3
0
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8+9+10 $
14,223.86
Current Cash Statement
12_ Beginning Cash Balance ....................... PrevioussummaryPage, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3above
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.
14,223.86
14,223.86
0
17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part 2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0
19. Outstanding Debts ......................... AddLine2+Lrne9inColumn Sabove $ 0
15, 632.22
0
$ 15,632.22
0
0
$ 15,632.22
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*
(ItSubjectto Volurdary Expenditure Limit)
Date of Election Total to Date
(mm/ddfyy)
$
l $
Amounts in this section may be different from amounts
reported in Column B_
FPPC Form 460 (.lanuary105)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule D
SC HF11111 Fr)
bummary or txpenanures Type or print in ink.
Statement covers period
Supporting/OpposingOther Amounts may be rounded
,
to whole dollars.
7/1/2017
• -
Candidates, Measures and Committees
from
12/;/2017
3 4
SEE INSTRUCTIONS ON REVERSE
through
page of
NAME OF FILER
I.D. NUMBER
Cupertino Residents for Sensible Zoning Action Committee
1376003
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
R A
MEASURE NUMBER OR LETTERFICE AND JURISDICTION,
{IF REQUIRED)
PERIOD
(JAN. 9 - OEC. 31)
(IF REQUIRED)
OR
Better Cupertino Action Committee
Monetary
11/712017
#1395411
Contribution
14223.86
14223.86
Contribution
❑ Independent
® Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ 14223.86
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $
2. Unitemized contributions and independent expenditures made this period of under $100..................................................................................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
14223.86
V
14223.86
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (86612753772)
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 7/1/2017
through 12/2017
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E
Page 4 of 4
I.D. NUMBER
1376003
CNP
campaign paraphemalialmisc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTS
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 filinglballot 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 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
(]F COMM]TfEE,ALSO ENTER LID, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
Better Cupertino Action Committee #1395411
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 14223-86
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ................ $ 14223.86
2. Unitemized payments made this period of under $100.......................................................................................................................................... $
0
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 $ 14223.86
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)