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460 Semi-Annual O)JIE ~ '! 1m\,! IE Type or print in Ink. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 3XJ5 1 AUG Date of election if appl (Month, Day, Year' Statement covers period 01/01/2005 Official Use Only Fa, from 06/30/2005 CUPERTINO CITY CLERK Quarterly statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o o o 2. Type of Statement: o Preelection statement ~ Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below~ 3, and 4. Measure o Primarily Formed Candidate! Officeholder Committee (Also CompleteParl 7) through Commtttees - Complete P.rta 1. 2, o Primarily Formed Ballot Committee o ContJ"olled o Sponso,ed (AIsoCornpletePart6) SEE INSTRUCTIONS ON REVERSE Committee: All ill Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee Recipient Type of 1 AREA CODE/PHONE ZIP CODE STATE NAME OF TREASURER Claudia Chang MAILING ADDRESS 10222 Carmen Road CITY Cupertino, Ca., 95014 NAME OF ASSISTANT TREASURER, IF ANY Treasurer(s) .0. NUMBER .1237120 NAME IF NO COMMITTEE) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S Mayor Patrick Kwok STREET ADDRESS (NO P.O. BOX) 10222 Carmen Road CITY Re-Elect AREA CODE/PHONE 408257-4934 ZI P CODE Cupertino, Ca., 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE MAILING ADDRESS AREA CODE/PHONE ZIP CODE STATE CITY AREA CODE/PHONE ZIP CODE STATE CITY certify E-MAIL ADDRESS Verification J 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 laws of the State of California that the foregoing is true and correct. 7/23/2005 """ 7/23/2005 ¡;;;¡; FAX OPTIONAL: By E-MAIL ADDRESS FAX Executed on Executed on OPTIONAL: 4. Signature of COOlrolling oñícel101der, Signature ofconlrolling ðftíœholder, Candidate, state Measure Proponent Signature of ControlHng OfficehoJder, Candidate, State Measure Proponent By By """ Executed on FPPC Fonn 460 (JanuaryI06) FPPC Toll-Free Helpline: 866JASK-FPPC (866/275-3772) State of California By """ 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 - BALLOT NO. OR LETTER I JURISDICTION OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o SUPPORT City of Cupertino Council Member o OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate. or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: Ustsnycomml_s not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HelD DISTRICT NO. IF ANY contributions or make expenditures on bella" of your candidacy. COMMITTEE NAME .D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee List nsmes 01 offlcellolder(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 Attach continuation sheets if necessary NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNa COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE liP CODE AREA CODE/PHONE COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNa COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE liP CODE AREA CODE/PHONE FPPC Fonn 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/276-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period - Summary Page to whole dollars. from 01/01/2005 through 06/30/2005 Page ø of !r SEE INSTRUCTIONS ON REVERSE - - NAME OF FILER I.D. NUMBER Re-Elect Mayor Patrick Kwok 1237120 - - Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PeRIOD CALENDAR YEAR Running in Both the State Primary and (fROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions .......... .... ............ . Schedule A, Line 3 $ $ 1/1 through 6/30 7/110 Date 2. Loans Received ................. ..... ...... ........ Schedule S, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS. $ 0 $ 20. Contributions AddUnes 1 +2 Received $ $ 4. Nonmonetary Contributions ........ Schedule C, Une"3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED. ...AddUnes3+4 $ 0 $ Made $ $ - Expenditures Made Expenditure Limit Summary for State 6. Payments Made ............ .............. ...... Schedule E, Une 4 $ 78.92 $ 78.92 Candidates 7. Loans Made ..................... .......................... Schedule H, Line 3 22. Cumulative Expenditures Made· 8. SUBTOTAL CASH PAYMENTS .......... Add Lines 6 + 7 $ 78.92 $ 78.92 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bilis) . . Schedule F, Line 3 Date of Election Total to Date 10. Nonmonetary AdjustJ"nent .......... Schedule C, Line 3 (mmlddlyy) 11. TOTAL EXPENDITURES MADE. ................ AddUnes8+9+ 10 $ $ ---.l---.l_ $ - Current Cash Statement ---.l---.l_ $ 12. Beginning Cash Balance ........... Previous Summary Page, Line 16 $ 3907.06 To calculate Column B, add 13. Cash Receipts ......................................... Column A, Line 3 above amounts in Column A to the 8.14 corresponding amounts . Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ..... Schedule I, Line 4 from Column B of your last reported in Column B. 15. Cash Payments.. Column A, Une 8 above 78.92 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... AddUnes 12 + 13 + 14, thensubtractUne 15 $ 3836.28 figures that should be subtracted from previous If this is a termination statement, Une 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED. Schedule e, Part 2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if any). 18. Cash Equivalents. See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ FPPC Fom 460 (January/OS) FPPC TolI-Fn>e Helpline: 866/ASK-FPPC (866/276-3772) covers period 01/01/2005 Statement Type or print in ink. Amounts may be rounded to whole dollars. Schedule E Payments Made ~ of Page -----'L 1.0. NUMBER 1237120 06/30/2005 from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-Elect Otherwise, describe the payment. RAD radio airtime and production RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs 1RC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration V\IE8 information technology costs (internet, costs the payment, you may enter MBR member communications MTG meetings and appearances OFC office expenses Ær 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. Mayor Patrick Kwok one of the following codes accurately describes (explain)· CODES: If campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)· civic donations candidate flUng/ballot fees fundraising events independent expenditure supporting/opposing others legal defense campaign literature and mailings eM' CNS ClB CVC Fll FNJ NJ LEG UT e-mai NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 = Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).. .................................. ..........$- 2. Unitemized payments made this period of under $100 ........................................ ........................... .........$- 78.92 - 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).) ......... ..........$- - 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6., . TOTAL $_ 78.92 - FPPC Fonm 460 (January/Os) FPPC TolI-F," Helpline: 8661ASK-FPPC (8661275-3772) Schedule Type or print in Ink. SCHEDULE Miscellaneous Increases to Cash Amounts may be rounded Statement covers period œ to whole dollars. 01/0112005 from through 06/30/2005 page~ ofL- see INSTRUCTIONS ON REVERSE NAME OF FILER .D. NUMBER Re-Elect Mayor Patrick Kwok 1237120 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule I Summary 1. Itemized increases to cash this period. ........ ............................... ....................... ...... ....... ...$ 2. Unitemized increases to cash of under $1 00 this period. ......... .........$ 8.14 ............................... .... 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 8.14 Summary Page. Line 14.) TOTAL $ FPPC Fa,," 460 (Janua')'/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/215-3772)