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460 Recipient Committee Campaign Statement 1-1-15 to 6-30-15Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) fro Type or print in ink. Statement covers period m 1/1/2015 SEE INSTRUCTIONS ON REVERSE through 6/30/2015 1. Type of Recipient Committee: All committees - complete Parts 1, 2, a, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Par( 5) Q Sponsored (AlsoCorndate Part iri ® General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (AWComplete Part 7) 3. Committee Information I I.D.. "UMBER Cupertino Residents for Sensible Zoning Action Committee STREET ADDRESS (NO P.O. BOX) 21701 Stevens Creek Blvd., #1132 CITY STATE ZIP CODE AREA CODEIPHONE Cupertino CA 95014 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 1132 CITY STATE ZIP CODE AREA CODE /PHONE Cupertino CA 95015 OPTIONAL: FAX / E -MAIL ADDRESS COVER PAGE p JUL 2 $ 201 P o le: f 9 Date of election i a (Month, Day r Iliad C ficial use Only 2. Type of S ❑ Preelection Statement ❑ Quarterly Statement ® Semiannual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Forth 410 Termination) Statement - Attach Forth 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Liang -Fang Chao MAILING ADDRESS 10175 McLaren PI CITY STATE ZIP CODE AREA CODE /PHONE Cupertino CA 95014 NAME OF ASSISTANT TREASURER, IF ANY ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE 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 Office, of sponsor Executed on By Date $gnaWre of ContrWing Officeholder, Candidate, State Measure Proponent Executed on D By ate SgnaWre ofContragirg Officeholder. Canddate, Slate Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement .. 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALIBUSINESS ADDRESS (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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 Page 2 of 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION F1 SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholderfs) or candidatels) 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 I ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Previous Summary Page, Line 16 $ SUMMARYPAGE Summary Page 14. Miscellaneous Increases to Cash ........................... Amounts may be rounded to whole dollars. 15. Cash Payments ................... ............................... Statement covers period - I t 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. Column A may be negative 8,577.53 figures that should be 1/1/2015 • - • period amounts. If this is the first report being filed from for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if through 6/30/2015 page 3 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 Contributions Received ColumnA TOTALTHISPERIOD Column B CALENDARVEAR Calendar Year Summary for Candidates (FROMATTACHEDSCHEWLES) TOTALTODATE Running Both the State Prima and 9 Primary General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 96 504. $ 11, $ 11,504.96 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... schedule e, tine 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 11,504.96 $ 11,504.96 20. Contributions ......................... 4. Nonmonetary Contributions ..... ............................... schedule C, Line 774.40 774.40 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 12,279.36 $ 12,279.36 Made $ $ Expenditures Made 6. Payments Made ........ ............................... 7. Loans Made .............. ............................... 8. SUBTOTAL CASH PAYMENTS ................ 9. Accrued Expenses (Unpaid Bills) ........... 10. Nonmonetary Adjustment ....................... 11. TOTAL EXPENDITURES MADE ............... .......... Schedule E, Line 4 $ 2,927.43 $ 2,927.43 .......... Schedule H, Line 3 0 0 .............. Add Lines 6 +7 $ 2,927.43 $ 2,927.43 ............. Schedule F, Line 3 0 0 ............ Schedule C, Line 3 0 0 .......... Add Lines 8 +g +10 $ 2,927.43 $ 2,927.43 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... schedule I, 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. 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 gin Column B above $ 0 To calculate Column B, add 11,504.96 amounts in Column A to the 0 corresponding amounts from Column B of your last 2,927.43 report. Some amounts in Column A may be negative 8,577.53 figures that should be subtracted from previous period amounts. If this is the first report being filed Q for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 0 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) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received minuu ts, may oe rounueu Statement covers period 2,639.00 Schedule A Summary CALIFORNIA 1/1/2015 fro m • • " 1. Amount received this period - itemized monetary contributions. 6/30/2015 4 9 SEE INSTRUCTIONS ON REVERSE h through Page Of NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS TO DATE PTY - Political Party 3. Total monetary contributions received this period. (IF SELF-EMPLOYED, ENTER NAME PERIOD (ALENDARYEAR (JAN.1 -DEC. 37) (IF REQUIRED) TOTAL $ 11,504.96 OF BUST OF BUSINESS) FPPC Form 460 (January/05) FPPC Toll -Free Helpline:866 /ASK -FPPC (866/275 -3772) 03/18/15 Virginia Tamblyn EICO MOTH Retired, $2030.00 $2030.00 19721 Bixby Dr. None Cupertino, CA 95014 ❑ PTY ❑ SCC OIND 04/20/15 Randall Shingai Retired, $103.00 $103.00 4824 Miramar Ave ❑OTH None San Jose, CA 95129 ❑ PTY ❑ SCC MIND 06/23/15 Xiaowen Wan g ❑ Engineer, $206.00 $206.00 20010 De Palma Ln MOTH Apple Cupertino, CA 95014 ❑ PTY ❑ SCC 06/23/15 6133 Prince Or S133 P inc MIND ❑COM nurse practitioner, $100.00 $100.00 ❑OTH VA palo alto health care San Jose, CA 95129 ❑ PTY system f-1 SCC Zhi Chen MIND MCOM Accountant, 06/24/15 10642 Farallone Dr rH MOTH Aviat Networks $200.00 $200.00 Cupertino, CA 95014 ❑ PTY ❑ SCC SUBTOTAL$ 2,639.00 Schedule A Summary Contributor Codes 1. Amount received this period - itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) .......................................................................... ..............................$ 7,658.91 COM - RecipientCommittee (other than PTY or SCC) 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3,846.05 OTH - Other (e.g., business entity) PTY - Political Party 3. Total monetary contributions received this period. SCC -Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa , Column A, Line 1. ( Summary Page, 9 ) ....................... TOTAL $ 11,504.96 FPPC Form 460 (January/05) FPPC Toll -Free Helpline:866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 1/1/2015 - 460 from through 6/30/2015 Page 5 of 9 NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER IONUMBER) 1.0- CODE • OCCUPATION AND EMPLOYER OF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) TO DATE OF REQUIRED) OF BUSINESS) Larry Tu ❑®COM Management, 06124/15 10552 John Way ❑OTH American Conexion $103.00 $103.00 Cupertino, CA 95014 El PTY ❑SCC Sam Li W]IND ❑ Engineer, 06/24/15 490 Holly Berry Ct ❑COM OTH Daps Ilc $101.97 $101.97 San Jose, CA 95129 ❑ PTY ❑ SOC Ling Zhang OIND ❑COM Engineer, 06/24/15 373 Cronin Dr ❑OTH Apple $101.97 $101.97 Santa Clara, CA 95051 ❑ PTY ❑SCC Fred Chao MIND ❑ Retired, 06/24/15 4829 Vanderbilt Dr TH ❑OTH None $101.97 $101.97 San Jose, CA 95130 ❑ PTY ❑SCC Xiangying Yang MIND DOOM En ineer, g 06/24/15 10744 Brookwell DR ❑OTH Apple $200.00 $200.00 Cupertino, CA 95014 ❑ PTY ❑scc SUBTOTALS 608.91 '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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary uontrinutionS Keceivea Amoumsmayberounded Statement covers period to whole dollars. 1/1/2015 • from FORM through 6/30/2015 Page 6 of 9 NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DAB FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMITEE,ALSOENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN.1 -DEC. 31) TO DATE (IF REQUIRED) OFBUSINESS) Concerned Citizens of Cupertino (ID# 1287471) ❑IND 04/29/15 21941 Columbus Ave E] O7H $1,000.00 $1000.00 Cupertino, CA 95014 ❑ PTY ❑SCC Cupertino Against Re- zoning (ID# 1287457) ❑IND VICOM 05/14/15 10423 Norwich Ave ❑OTH $1,000.00 $1,000.00 Cupertino, CA 95015 El PTY ❑SCC Liang -Fang Chao V]IND ❑ Engineer, 06/12/15 10175 McLaren PI ❑OTH Cadence $1,125.00 $1,125.00 Cupertino, CA 95014 ❑PTY ❑SCC Hang Chen VIIND Director, 06/24/15 7592 Kirwin Ln ❑OTH Maxim $101.50 $101.50 Cupertino, CA 95014 ❑PTY ❑SCC Amor Roldan OICAM School Secretary, 06/26/15 18870 Tilson Avenue ❑OTH Franklin McKinely School $500.00 $500.00 Cupertino, CA 95014 El Fry District ❑scc SUBTOTAL$ 3,726.50 `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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline:866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink SCHEDULEA (CONT.) monetary c;ontrinutions Keceivea Amounts may be rounded Statement covers period to whole dollars. 1/1/2015 CALIFORNIA , - • from • through 6/30/2015 Page 7 of NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF- EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Gtun Sun IND ❑DOOM Scientist, 06/28/15 5043 Rio Vista Av ❑OTH Amazon $100.00 $100.00 San Jose, CA 95129 ❑ PTY ❑SCC Margaret Griffin D❑ICAM Retired, 06/29/15 10727 Randy Lane ❑OTH None $150.75 $150.75 Cupertino, CA 95014 ❑ PTY ❑SCC Jerry Gao D❑ICAM Engineer, 06/29/15 19840 Oakhaven Drive ❑OTH Intel $200.00 $200.00 Saratoga, CA 95070 ❑ PTY ❑scc Yu Ying IND ❑DCDM software engineer, 06/21/15 833 Alderbrook Ln ❑OTH Ericsson $124.75 $124.75 Cupertino, CA 95014 ❑ PTY ❑SCC XinagChen Xu ❑DcoM Engineer, 06/21/15 18691 Newsom Ave ❑OTH Omnivision $109.00 $109.00 Cupertino, CA 95014 ❑ PTY ❑SCC SUBTOTAL$ $684.50 `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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule C Type or print in ink. SCHEDULEC Nonmoneta Contributions Received "" to o °' "" s. ry [owhole dollars. Statement covers period CALIFORNIA 1 from 1/1/2015 460 FORM • Page $ of 9 SEE INSTRUCTIONS ON REVERSE through 6/30/2015 NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 DATE FULL NAME, STREET ADDRESS AND CONTRIBUT O R I OCFAN INDIVIDUAL, ENTER CUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DAB PER ELECTION RECEIVED ZIP COD E OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE '�' (IF SELF -EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) ®COM 04/24/15 Yangping Zhao Software Engineer, yard signs $509.07 $509.07 3038 McKinley Or pOTH Self- employed Santa Clara, CA 95051 ❑PTY ❑SCC ®❑CNM 03/18/15 Linag -Fang Chao Engineer, PO Box fee, $101.78 $101.78 10175 McLaren PI ❑OTH Cadence order checks Cupertino, CA 95014 ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 610.85 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (include all Schedule C subtotals.) ...................................................................................... ............................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ Contributor Codes IND— Individual 610.85 COM— Recipient Committee (other than PTY or SCC) 163.55 OTH — Other (e.g., business entity) PTY — Political Party 774.40 SCC —Small Contributor Committee FPPC Form 460 (January 105) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. from 1/1/2015 6/30/2015 9 9 SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER Cupertino Residents for Sensible Zoning Action Committee 1376003 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O P campaign paraphemalia/misc. MBR 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 PEr petition circulating TB_ tm. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals MA 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 PRr print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Lisa Warren Paper + Printing 10279 Judy Ave LIT $1,149.86 Cupertino, CA 95014 Yangping Zhao T -shirts 3038 McKinley Dr CMP $1,496.00 Santa Clara, CA 95051 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,645.86 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2.645.86 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 281.57 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 $ 2,927.43 FPPC Form 460 (January/05) FPPC Toli -Free Helpline: 866 /ASK -FPPC (866/275 -3772)