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460 Recipient Committee Campaign Statement – 07-01-15 to 12-31-15 Recipient Committee T COVER PAGE Campaign Statement Type or print in Ink. '' = _ L;FORNIA Cover Page MW = FORM 460 (Government Code Sections 84200-84216.5) 1 3 Statement covers period Date of election If applicab : 1 PI: of 07/01/2015 (Month, Day, Year) FEB 1 2016 'or Official Use Only from SEE INSTRUCTIONS ON REVERSE through 12/31/2015 CUPERTINO CITY CLERK 1. Type of Recipient Committee: All committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: 9 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee 2 Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled ❑ Termination 0 Supplemental Preelection(N Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part SJ Amendment(Explain ❑ General Purpose Committee ❑ ( P below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Conbibutor Committee Officeholder Committee -- - - - Q Political Party/Central Committee (Also Complete Ped? 3. Committee Information I.D. NUMBER Treasurer(s) 1368800 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Dr. Huang for Ciy Council 2016 Isabel Rodriguez MAILING ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL' FAX/E-MAIL ADDRESS 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 certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct, 01/31/2016 (` Executed on By Dale & Officer of Sponsor Executed on By Dale Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Canddate,Stale Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(666/275-3772) State of California Type or print In Ink. COVER PAGE-PART2 Recipient Committee Cam ai nStatement CALIFORNIA 460 P 9 FORM Cover Page—Part 2 Page 2 of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Andy Huang OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council ❑ 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 Related Committees Not Included In this Statement: List eny committees 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 behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee Is primarily formed. ❑ YES 0 NO COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 YES ❑ NO ❑ SUPPORT 0 OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) State of California Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. 07/01/2015 FORM from SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 3 of 3 NAME OF FILER I.D. NUMBER Dr. Huang for City Council 2016 1368800 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Runningin Both the State Primaryand (FROM ATTACHED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0 $ 0 6773 111 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines l+2 $ 0 $ 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Lino 4 $ 0 $ Candidates 7. Loans Made Schedule H,Line 3 0 0 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0 $ (f Su Most to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 0 0 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+19 $ 0 $ —J___/ $ Current Cash Statement 1 $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 0 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 0 amounts In Column A to the 0 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,Line 8 above 0 repoSome amoIn Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any)Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 6773 FPPC Form 460(January/05) FPPC Toll-Free Helpline: 8661A5K-FPPC(8661275.3772)