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460 Pre-election #2 COVER PAGE wæ ~ teæ in ink. Date of election If apl (Month, Day, Yea or print Statement covers period September 25, 2005 Type Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 2005 OCT 2 7 l<õl°;' from ERTINO CITY CLEFaK October 22, 2005 through SEE INSTRUCTIONS ON REVERSE o Quarterty Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 2. Type of Statement: ~ Preelection Statemen1 o Semi-annual Statement D 2, 3, and 4. Measure Committees - Comptete Parts 1, o Primarily Formed Ballot Committee o Controlled o Sponsored (Also CúmpletePalt6) Committee: í2I Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) AI Recipient Type of 1 Termination statemenl (Also file a Form 410 Termination) Amendment (Explain below~ D Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) D o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee Treasurer1s) .0. NUMBER 1237120 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) nformation Committee 3. NAME OF TREASURER Claudia Chang AREA CODE/PHONE ZIP CODE 95014 STATE Ca MAILING ADDRESS 10222 Carmen Road CITY Cupertino NAME OF ASSISTANT TREASURER, IF ANY Mayor Patrick Kwok STREET ADDRESS (NO P.O. BOX) 10222 Carment Road CITY Re-Elect AREA CODE/PHONE (408) 257-4934 STATE ZIP CODE Cupertino Ca 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND S"T"RËET OR P.O. BOX MAILING ADDRESS AREA CODE/PHONE ZIP CODE STATE CITY AREA CODE/PHONE ZIP CODE STATE CITY 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. under penalty of perjury under the taws of the State of California that the foregoing is true and correct. 1 012512005 """ 012512005 õãii" certify ADDRESS E-MAIL FAX OPTIONAL. E·MAIL ADDRESS FAX OPTIONAL: 4. By Executed on By Executed on Sig:¡atureofControlling Officeholder, Ca1didate, State Measure Proponent Signature ofControllingOfliœholder, Candidate, Slate Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) State of California By By """ """ Executed on Executed on Type or print in ink. COVER PAGE-PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 ~ - - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Patrick Kwok OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION o SUPPORT City of Cupertino Councilmember o OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY OFFICE SOUGHT OR HELD 7. Primarily Formed CandidatelOfficeholder Committee List names of offlceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE if necessary Attach continuation sheets 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 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNa COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE FPPC Fonn 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) State of California SUMMARY PAGE covers period 25,2005 Statement September Type or print In ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page from --H- of :; .0 NUMBER 1237120 Page October 22, 2005 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Mayor Patrick Kwok Calendar Year Summary for Candidates Running in Both the State Primary and General Elections Column B CAlENDAR YEAR TOTAL TODATE Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Contributions Received o Date 711 through 6/30 1 49732 $ 3792 $ Schedule A, Line 3 Schedule B, Line 3 $ $ $ 20. Contributions Received Expenditures Made 21 49732 $ 3792 $ +2 Schedule C. Line 3 Add Lines Monetary eontributions Loans Received . ....... SU8TOTALeASH eONTRIBUTIONS Nonmonetary Contributions ....... . TOTALeONTRI8UTIONS REeEIVEO 2. 3 4. 5. State $ Expenditure Limit Summary for Candidates 49732 $ 3792 $ Add Lines 3 + 4 Expenditures Made 6. Made 22. Cumulative Expenditures Made' {If SubJect to Voluntary Expenditure Llmlt 35558.33 $ 12294.93 $ Schedule E, Line 4 Schedule H, Line 3 Payments Loans Made SUBTOTALeASHPAYMENTS 7 35558.33 $ 12294.93 $ Add Lines 6 + 7 8 Total to Date Date of Election (mm/dd/yy) 35558.33 Schedule F. Line 3 Schedule C, Line 3 (Unpaid 8ills) Nonmonetary Adjustment... TOTAL EXPENDITURES MADE Accrued Expenses 9 o. $ $ ~~- . Amounts in this section may be different from amounts reported in Column 8. To calculate Column S, add amounts in Column A to the corresponding amounts from Column 8 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). $ 12294,93 $ AddLinesB+9+1O 26725.53 3792 86.34 12294.93 8308.94 $ Previous Summary Page, Line 16 Column A, Lme 3 above Current Cash Statement 12. 8eginning eash Balance eash Receipts Miscellaneous 11 3. Une4 Schedule to eash ncreases 4. Column A, Line 8 above eash 6. ENDING CASH BALANCE Payments 15. $ Add Lines 12 + 13 + 14, then subtract Une 15 f this is a termination statement, Line 16 must be zero. $ Schedule B, Part 2 17. LOAN GUARANTEES REeEIVEO FPPC Form 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) $ $ Add Lme 2 + Lme 9 in Column B above Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. See instructions on reverse Outstanding Debts 9 SCHEDULE A covers period 2005 Statement September 25, Type or print in ink. Amounts may be rounded to whole dollars. Schedule A Monetary Contributions Received from .JL ~Of D. NUMBER 237120 Page October 22, 2005 through SEE INSTRUCTIONS ON REVERSE NAME OF FilER Re-Elect PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF~EMPLOYED, ENTER NAME OF BUSINESS) Mayor Patrick Kwok FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE * DATE RECEIVED OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY osec See FPPC-approved attachment OIND OCOM OOTH OPTY osec OIND oeOM OOTH OPTY OSCC ·Contributor Codes INO -Individual COM - Recipient Committee (other Ihan PTY or SCC) QTH - Other (e.g., business entity) PTY - Political Party see - Small Contributor Committee SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all ScheduieA subtotals.) 2998 794 3792 $ $ 2. Amount received this period - unitemized monetary contributions of iess than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) TOTAL $ 1 0/22105 1 of 1 Statement covers period 9/25 to Ca. Form 460 Schedule A (Attachment Sheet) Monetary Contributions Received I ~of Re-Elect Mayor Patrick Kwok Id Number 1237120 Amount Per Rec'd Cum electi This to on to Period Date date ()cclIpation ElT1ploler Cntrbtr Code Zip Cil}' Address Company Name (if committee, also Date rec'd ~nter idnumber) -..- - - Mountain View Mountain View Last Name First Name 100 250 homemaker ~- --- --- VTBS architect Architects .-- -- - ----- ind 94041 679 Church Street - - ---- - --- Abe-K.oga ~ar9!lreL 1015105 250 300 100 ------ retired - ---- self DP Dental employed __Lab_ 94043 ind -- --- _~Sar1jos~ 95109..fom __ Cu~rtinJJ_ 95014Jnd 309 Woodland Park Ln. - --- PO Box 2079 - ---- -- PO Box 1149 --- -- -- 18470 Farmingham Way _ Yee CA. League of Conservation Voters SCC !0151ºªChapt¡¡r id #95.134L _ 10/15105 Bernice Jones ------ - -- -- - James 1015105 250 95014 ind 90020 com CU1'ertil1() LA 52ª S.\firgil£.ve __ 980 9th Steet, Suite 2150 _ Masunag~ Michael 10115105 Ca. Real Estate PACIBORPAC 10115105 #890106 . -- CAA-tri-Colmty 10115105 #745208 --- - 250 __m ____ environment _al r1!gr Sacramento 95814 com -- -- 300 federalJvt. 94949 ind Novato _36 VVhite _Oak Way Eklund Patricia 10122105_ Cupertino 10122105 Properties 198 oth 95014 Cupertino 22028Lindy Lane _ 25 N. 14th Street, Suite 880 John e. Peggy Dozier 750 500 500 2,998 2,998 - Subtotal $ Total Itemized oth 90020 com 95112 SJ LA Ave i 525 S. Virg 10122105 Lee Inc. Ca. Real Estate PACIBORPAC 10122105 #890106 Schedule D Summary of Expenditures Type or print in Ink. Statement covers period Supporting/Opposing Other Amounts may be rounded to whole dollars. from September 25, 2005 Candidates, Measures and Committees th h October 22, 2005 Page ~ of -"-- see INSTRUCTIONS ON REVERSE roug NAME OF FILER 1.0. NUMBER Re-Elect Mayor Patrick Kwok 1237120 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN1-DEC.31) (IF REQUIRED) OR COMMITTEE Re-Elect Paul Fong Ii1I Monetary 10114105 Foothill-De Anza Community College Board Contribution 500 500 o Nonmonetary Contribution o Independent Ii1I Support o Oppose Expenditure League of Califomia Cities CITIPAC i2I Monetary 9129105 Contribution o Nonmonetary 500 500 Contribution o Independent o Support o Oppose Expenditure o Monetary Contribution o Nonmonetary Contribution o Independent o Support o Oppose Expenditure SUBTOTAL $ 500 I Schedule D Summary 1. Itemized corttributions and independent expenditures made this period. (Include all Schedule D subtotals.).. ............ .......... ....... .......... ........ .. $ 1000 2. Unitemized contributions and independent expenditures made this period of under $1 00 ........ ..... ........ ........... .......................... ..... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enteron the Summary Page.) . ....... .. TOTAL $ 1000 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) covers period September 25, 2005 Statement Type or print In Ink. Amounts may be rounded to whole dollars. Schedule E Payments Made from 1L- of Page ~ .0. NUMBER 237120 October 22, 2005 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration \1\€B infonnation technology costs (internet, Otherwise, the payment, you may enter MBR member communications MTG meetings and appearances OFC office expenses ÆT petition circulating AiO phone banks PO... polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads the code. Mayor Patrick Kwok the following codes accurately describes (explain)* CODES: If one of campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)· civic donations candidate filing/ballot fees fund raising events independent expenditure supporting/opposing others legal defense campaign literature and mailings eM' eNS eTB eve FIL FND KJ LEG UT e~mai NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID League of Califomia Cities CITIPAC id # 1254399: 1400 K. St., 4th Fir, Sacramento, 95814 ctb 500 The Press: 76 Notre Dame Ave, SJ 95113 lit 999.15 Kwik Kopy: 10675 S. De Anza Blvd #1, Cupertino 95014 lit 1325 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 2824.15 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)... ............. ............. ........ ........$- 12294.93 2. Unitemized payments made this period ofunder$100 . ................. ........... ............ ..................... ..........$- 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 2, and 3. Enter here and on the Summary Page, Column A, Line 6., ... TOTAL $ _ 12294.93 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) SCHEDULE E Statement covers period . f September 25, 2005 rom th h October 22, 2005 page~ of1L- roug - I.D. NUMBER 1237120 Type or print in ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Mayor Patrick Kwok describe the payment. 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 candidalefsponsor yoter registration information technology costs (internet Otherwise, RAD RFD SAL TEL TRC TRS TSF VOT V'ÆB the payment, you may enter MBR member communications MTG meetings and appearances OFC office expenses ÆT petition circulating A-tO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads the code. the following codes accurately describes (explain) If one of campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filinglbaUot fees fund raising events independent expenditure supporting/opposing others legal defense campaign literature and maitings CODES eM' CNS cm CVC FIL FND NJ LEG UT NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) The Press: 76 Notre Dame Ave, SJ 95113 lit 3164.15 Silicon Valley Community Newspapers: 1095 The Alameda, SJ 95126 440 lit US Post Office: 95014 lit 2148.20 Roberts Press: 1231 Kentwood Ave, SJ 95129 lit 915.34 US Post Office: 95014 lit 459.84 e-mai SUBTOTAL $ 7127.53 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SeHEDULEE Statement covers period . f September 25, 2005 ~ - rom th h October 22, 2005 ~ f II roug _ Page 0 _ .D. NUMBER 237120 Type or print In ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER describe the payment. 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 Otherwise, RAD RFD SAL TEL me lRS TSF VOT VIlES the payment, you may enter MBR member communications MTG meetings and appearances QFC office expenses ÆT petition circulating p-() phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads the code. Re-Elect Mayor Patrick Kwok the following codes accurately describes CODES: If one of campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)· civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others legal defense campaign literature and mailings eM' CNS C113 cvc FIL FND NJ LEG LIT (explain)* NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D_ NUMBER) Re-Elect Paul Fong id #931502: 465 North Wolfe Road, Sunnyale 94086 500 ctb The Press: 76 Notre Dame Ave, SJ 95113 lit 1843.25 SUBTOTAL $ 2343.25 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (86~275-3772) 2343.25 SUBTOTAL $ Payments that are contributions or Independent expendttures must also be summarized on Schedule D. Schedule Type or print in ink. SCHEDULE Miscellaneous Increases to Cash Amounts may be rounded Statement covers period Ii to whole doltars. f September 25, 2005 rom see INSTRUCTIONS ON REVERSE through October 22, 2005 pag.~ of~ NAME OF FILER 1.0. NUMBER Re-Elect Mayor Patrick Kwok 1237120 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) INCREASE TO CASH Attach additional information on approprialely labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period. ............. .......................... ........... .................. ............ $ 2. Unitemized increases to cash of under $100 this period. .... .. ....... ........... .$ 86.34 .... ....... ................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ... ........... ..$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 86.34 Summary Page, Line 14.) TOTAL $ FPPC Fonn 460 (January/OS) FPPC Toll-Free Helpline: 886/ASK-FPPC (866/275-3772) ~ Rene Robertson Office Technician Technical Assistance Division ~~ '-tok:l~ Sincerely, If you have any questions. please call me at (916) 324-3722. On or before January 31, 2006, you should contact the Commission to ensure that the statþnents listed above comply with changea that may ~ incorporated to the Political Reform Ac~ or Commission regulations during 2005. The Fair Political Practices Commission has reviewed the computer-generated statement, Fo¡þ1 460, Schedule A., Attachment Sheet, and has dete.nnined that the format complies with the req~irements of the Political Reform Act. RE: Computer Generated Approval CIE'a Chang Tr w-er for Re-Elect Mayor Patrick Kwok 74 7 FallenkafLane C . 0, CA 95014 F AIR POLITICAL PRACTICES COMMISSION 428 1 51_ . Suilt 620 . s.aamenlO, CA 95814-2329 (916) 322·5560 . F.. (916) 322-0886 October 24, 2005 P.02/0' II c.f II OCT 24 2Ø05 21:47 FR FAIR POL PRAC COMM 916 322 0683 TO 84089207007