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460 Recipient Committee Campaign Statement 10-1-14 to 10-18-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10/01/2014 through 10118/2014 I. Type of Recipient Committee: All Committees -- Complete Parts t, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5; O Sponsored ❑ General Purpose Committee (Also Complete part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (A(so complete Pail 7) 3. Committee Information I.D- NUMBER 1367806 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Hunsweck for City Council 2014 STREET ADDRESS (NO P.O. BOX) 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. - -- 0- i . . j- i Executed on 10/23/2014 Date Executed on 10/23/2014 Date Executed on Date Executed on By By of Treasurer e Signature of Controlling Officeholder, Candidate, State Measure umceroraponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January105) FPPC Toil -Free Helpline: 8661ASK -FPPC (8661275 -3772) State of California Type. or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Michael Hunsweck OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cupertino City Councilmember RESIDENTIAL/BUSINESSADDRESS (NO. AND STREET) CITY STATE ZIP 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 LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 . Page . 2 of 6 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 Candidate /Officeholder Committee Listnamesof officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Michael Hunsweck Contributions Received To calculate Column B, add Column Schedule F, Line 4 $ 7. Loans Made ............. .......................... TO7ALT}11S PERIOD 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ............................. .. Schedule A, Line 3 $ 5900.00 2. Loans Received ..................... ......... Schedule B, Line 3 5200.00 3. SUBTOTAL. CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 11100.00 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 11100.00 L-ANa11u1Lu1F95 nndae To calculate Column B, add B. Payments Made ........................ ............................... Schedule F, Line 4 $ 7. Loans Made ............. .......................... I ... .................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ........ .......................Schedule F, Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + fo $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 15 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule r, Line 4 15. Cash Payments ................... ............................... Column A, Line s 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. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line sin Column B above $ $ 15061.19 $ 0.00 15061.19 $ 0.00 0.00 15061.19 $ SUMMARY PAGE Statement covers period from 10/01/2014 through 10/18/2014 Page 3 of 6 Column B CALENDAR YEAR 70TAL70 DATE 14100.00 5900.00 20000.00 0.00 20000.00 19852.80 0.00 19852.80 0.00 0.00 19852.80 4358.39 To calculate Column B, add 11100.00 amounts in Column A to the corresponding amounts from Column B of your last 0.00 15061.19 report. Some amounts in Column A may be negative 397.20 figures that should be subtracted from previous period amounts. If this is the first report being filed 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any), 5900.00 I.D. NUMBER 1367806 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 711 to Date 20. Contributions Received $ $ _ 21. Expenditures Made $ $ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd /yy) J_J $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline; 866/ASK-FPPC (8661275 -3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period from _ 10/01/2014 through 10/18/2014 Page 4 of 6 SUBTOTAL$ 5900.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5900.00 ma 5900.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee I.D. NUMBER Michael Hunsweck 1367806 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( IFCCMMITrEE ,ALSOENTERI.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) 10/06/2014 Michael Hunsweck (Candidate) ;� IND F1 COM En gineer 10200 Miller Ave Apt 405 ❑ OTH Intel Corporation $5900.00 $19700.00 Cupertino, CA 95014 El PTY ❑ SCC ❑ IND ❑ COM ❑ OTH [] PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5900.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5900.00 ma 5900.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Michael Hunsweck FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I,n. NUMBER) Michael Hunsweck (Candidate) t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Michael Hunsweck (Candidate) tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULEB -PART1 Statement covers period from 10/01/2014 throueh 10/18/2014 Pa e 5 of 6 9 I.D. NUMBER 1367806 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (1F SELF - EMPLOYED, ENTER NAMEOFBUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIOD ��) AMOUNT RECEIVED THIS PERIOD (c) AMOUNTPAID OR FORGIVEN THIS PERIOD* (d) OUTSTANDING BALANCEAT CLOSE OF THIS PERJDD (e) INTEREST PAID THIS PERIOD If ORIGINAL AMOUNT OF LOAN (gJ CUMULATIVE CONTRIBUTIONS TO DATE Engineer ❑ PAID CALENDARYEAR Intel Corporation $ $ 700.00 0 ,, $ 700.00 19700.00 [] FORGIVEN RATE PER ELECTION'* $ 700.00 $ 0.00 NIA $ 0.00 06/16/14 $ DATE DUE DATE INCURRED Engineer ❑ PAID CALENDARYEAR Intel Corporation $ $ 5200.00 0 ,, $ 5200.00 $ 19700.00 ❑ FORGIVEN HATE PER ELECTION'* $ 0.00 $ 5200.00 5 NIA $ 0.00 10/15/14 $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR 5 $ % 5 $ ❑ FORGIVEN PER ELECTION`* RATE $ $ $ 5 $ DA7EDUE DATE INCURRED SUBTOTALS $ 5200.00$ 0.00 $ 5900 $ 0.00 Schedule B Summary 1. Loans received this period ................................................. ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ...................................... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ..... ............................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (Enter (e) on S&edule E. Line 3) $ 5200.00 ............ $ !II NET $ 5200.00 (May be a negative number) tContributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Michael Hunsweck Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 10118/2014 Page 6 of 6 I.D. NUMBER 1367806 E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MSR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PE" petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMr7E=E, ALSO ENTER ID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Vistaprint POS, LIT 95 Hayden Ave $15036.19 Lexington, MA 02421 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 15036.19 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 15036.19 2. Unitemized payments made this period of under $100 ............................. ..._.___........ $ 25.00 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 $ 15061.19 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866IASK -FPPC (8661275 -3772)