460 Semi-Annual 2nd ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEEINSTRUCTIONS ON REVERSE
Statement covers period Date of election if ap
from July 1,2002 (Month, Day, Yea
through December 31, 2002 / CUr
[] Ballot Measure Committee (~) Primarily Formed
(~) Controlled
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
[] Officeholder, Candidate Controlled Committee
(~ State Candidate Election Committee
(~ Recall
(Also Complete PaR 5)
[] General Purpose Committee O Sponsored
(~ Small Contributor Committee
(~) Political Party/Central Committee
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
:RTINO CITY CLEI
[] Quarterly Statement
[] Special Odd*Year Report
[] Supplemental Preelection
COVER PAGE
0 Sponsored
[] Primarily Formed Candidate/
Officeholder Committee
[] Amendment (Explain below)
Statement - Attach Form 495
3. Committee Information
Jl.o. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Elect Patrick Kwok for City Council
STREET ADDRESS (NO PO BOX)
10222 Carmen Road
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 (408) 777-0809
Treasurer(s)
NAME OF TREASURER
Claudia Chang
MAILING ADDRESS
2313 Samaritan Drive #3
CITY STATE ZIP CODE AREA CODE/PHONE
San Jose CA 95124 (408) 371-3108
NAME OF ASSISTANT TREASURER, IF ANY
Patti Nakamura
MAILING ADDRESS
3447 Cadillac Drive
CiTY STATE ZIP CODE AREA CODE/PHONE
San Jose CA 95117
OPTIONAL FAX / E-MAIL ADDRESS
4. 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
true an correct.
certify under penalty of perjury under the laws of the State of Cafifornia that the foregoing is/n, 20, 2003 { ~ ¢~,.~t~ ?'~'~
Executed on ,~anua,), By ·
Ex~cuted on Janua_ By
Executed on. By
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
ecipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Patrick Kwok
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City of Cupertino Council Member
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STALE ZIP
10222 Carmen Road, Cupertino, Ca., 95014
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME ID. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMI~FEE ADDRESS STREET ADDRESS (NO P.O BOX)
CITY STA';~ ZIP CODE AREA CODE/PHONE
COMMI~i-EE NAME LD NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO BOX}
CITY STATE ZIP CODE AREA CODE/PHONE
COVE R PAGE- PART 2
6. Ballot Measure Committee
Page__2 of 4
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION [] SUPPORT
[] OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO IF ANY
7. Primarily Formed Committee List names of offTceholder(s) or candidate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE FFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE ,FFICE 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
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from July 1,2002
SUMMARY PAGE
through December 31, 2002 Page ~3 of 4~
NAME OF FILER
Claudia Chang/Elect Patrick Kwok for City Council
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTALCASHCONTRIBUTIONS ......................... Add Lines I +2
4. Nonmonetary Contributions .................................... Schedule C, Li~e 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... AddLinese+7
9. Accrued Expenses (Unpaid Bills) ............................... Schedu/eEUne3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + lO
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summao~ Page, Line 16
13. Cash Receipts ................................................... CelumnA, Dne3above
14. Miscellaneous Increases to Cash ........................... Schedule/, Line4
15. Cash Payments .................................................. ColumnA, Lineaabove
16. ENDINGCASH 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 ~nstructions on reverse $
19, Outstanding Debts ...................... AddLine2+LmeginColumnBabove $
ColumnA
TOTAL THIS PERI~
(FROM ATTACHED SCHEDULES)
0
$
0
$ 0 $
0
$ 0 $
$ 0 $
0
$ 0 $
0
0
$ 0
3862.06
0
15.17
0
$ 3877.23
Column B
C^LENOARy*F~AR
TOTALTODATE
$
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 repor[ being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
I.D. NUMBER
1237120
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20, Contdbutions
Received
21. Expenditures
Made
1/1 through 6/30 711 to Date
$
$ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Date of Election Total to Date
(mm/dd/yy)
__J.__J___
· ~__ $
/ /___ $
__J.__J___ $
~__l___ $
__J.__J___ $
*Since January 1. 2001. Amounts in this section may be
different from amounts repoded in Column B
FPPC Form 460 {Junel01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to whole dollars.
from July 1,2002
through 3ecember 31,200~
SCHEDULE I
4 4
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER
Claudia Chang/Elect Patrick Kwok for City Council 1237120
DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF
RECEIVED (~F COMMITTEE, ALSO ENTER ID NUMBER) INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0
Schedule I Summary
1. Increases to cash of $100 or more this period ........................................................................................................... $ 0
2. Unitemized increases to cash under $100 this period ............................................................................................... $ 15.17
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $
15.17
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC