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460 Recipient Committee Campaign Statement - Semi Annual 7-1-17 to 12-31-17115- Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 7/1/2017 through 12/31/2017 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (also Complete Part5) Q Sponsored ® General Purpose Committee fM-Compfete Part 6} Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political PartylCentral Committee (Also Complete Part ;j 3. Committee Information I.D. NUMBER 1395411 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Better Cupertino Action Committee STREET ADDRESS (NO P.O. BOX) CITY - STATE ZIP CODE AREA CODEIPHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS Date of election if applicable (Month, Day, Year) CUPERTINO CITY 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE of 5 Se Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 NAME OF TREASURER Xiaowen Wang MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX 1 E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the Resportsible Officer of Sponsor Executed on By Dale Signature ofControllingOfficehdder, Candidate, Slate Measure Proporsent Executed on By Date SignatureofContrallingOfficeholder,Candidate,StateManure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2017 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 12/3112017 Page 2 of 5 NAME OF FILER I.D. NUMBER Better Cupertino Action Committee 1395411 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running n Both the State Prima and g aPrimary General Elections 1. Monetary Contributions ........................................... schedule A, Line 3 $ 15260.86 $ 19,316.97 2. Loans Received...................................................... schedule s. Line 3 0 0 111 through 6130 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ................... . ..... Add Lines r +2 $ 15260.86 $ 19,316.97 20. Contributions - Received $ $ 4. Nonmonetary Contributions .................................... schedule c, Line 3 0 21. Expenditures - 5. TOTAL CONTRIBUTIONS RECEIVED _........................ Add Lines 3+4 $ 15260.86 $ 19,316.97 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line $ 318.79 $ 1,106.85 Candidates 7. Loans Made............................................................. Schedule H, Line 3 0 0 8- SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 31$.79 $ 1,106.85 22• Cumulative Expenditures Made' (tfSublecttoVoluntary Expenditure Limit) 9. Accrued Expenses (UnpaidBills)............................... schedule F, Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ......------------------------------------ schedule C, Line 3 0 0 (mmlddlyy) 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 +9 + 10 $ 318.79 $ 1,106.85 I � 1 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3above 14- Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 42 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 3,268.05 15,260.86 0 318.79 18,210.12 17- LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18- Cash Equivalents ........................................ See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B 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). 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 464 (January105) FPPC Toff -Free Helpline: 8661ASK-FPPC (8661275-3772) ScheduleA Type or print in ink. SCHEDULE Amounts may be rounded Monetary Contributions Received Statement covers period IN to whole dollars. 1101 7/1/2017 from • " through 12/31/2017 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER LD. NUMBER Better Cupertino Action Committee 1395411 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMfE,ALSND.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELAEMPLOYED,ENTER NAME PERIOD (JAN_ 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) MND 7/14/2017 .JOHN MCCRORY E]� ❑ SCC ®IND 7/26/2017 Vi-Nhuan Le ❑COM Education Researcher 50.00 225.00 ❑❑S C of Chicago ®IND 9/4/2017 Vi-Nhuan Le ❑COM Education Researcher 75.00 225.00 ❑ PTY of Chicago ❑ SCC ZIND Alan Penn ❑COM Retired, 10/11/2017 ❑ PTY ❑ SCC Neilson Buchanan ®IND ❑ICOM RetiNoned, 10/31/2017 ❑ PTY ❑ SCC SUBTOTAL$ 385.00 _. 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 $ 15,208.86 52.00 15,260.86 "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 -f=ree Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 6 from 7/1/2017 12/31/2017 4 5 through Page of NAME OF FILER I -D. NUMBER Better Cupertino Action Committee 1395411 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE,ALSANNTERI.D.NUMBER} CODE * (1F SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBVSINE%) Mony lorach EICOM none 12/6/2017 ❑ PTY ❑SCC Bei Yao ®IND ❑ Engineer 12/20/2017 ❑ PTY []SCG Tara Sreekrishnan pcoM Legislative Assistant 12/28/2017 El PTY ❑ SCC Andrea Lin MIND ❑COM Program Manager 12/31/2017 ❑ PTY ❑ SCC Cupertino Residents for Sensible Zoning Action ❑IND OM 11/712017 Committee (#1376003), OCOTTH 14223.86 14223.86 ❑ PTY ❑SCC SUBTOTAL $ 14823 86 `Contributor Cases IND — Individual COM — Recipient Committee (other than PTY or SGC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2017 SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 5 of 5 NAME OF FILER I.D. NUMBER Better Cupertino Action Committee 1395411 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CIVP campaign paraphemalia/mist. MSR member communications RAD radio airtime and production costs CNS campaign consultants kM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations FT -_T petition circulating TEL t_v. or cable airtime and production costs FIL candidate frling/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 (IFc4MMnrEE, AL56ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID JotForm Inc. WEB JotForm Silver Yearly 234.00 : Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ 234.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................. ................ $ 234.00 2. Unitemized payments made this period of under $100 ... $ 84-79 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 $ 318.79 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)