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460 Recipient Committee Campaign Statement - Semi Annual 1-1-17 to 6-30-17Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2017 through 06/30/2017 Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4. Q Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (A1soCompletePef5) 0 Sponsored (AJso Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information Dr. Huang for Ciy Council 2018 ❑ Primarily Formed Candidatel Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1368800 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODFIPHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIPCODE AREACODEIPHONE OPTIONAL: FAX I E-MAILADDRESS Date of election if appli (Month, Day, Year) Dr p v Iq JUL 2 4 2017 CUPERTINO C1 TY CL COVER PAGE �i of For Official Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Isabel Rodriguez MAI LING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODWPHONE OPTIONAL: FAX IE -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. certify under penalty of perjury under the laws of the State of California that the foregoing is Executed on 7/23/2017 Date Executed on 7/23/2017 Date Executed on Date Executed an Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 ()an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwrfppc.ca.gov Recipient Committee Campaign Statement Cover Page—'Part 2 ,. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Andy Huang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council RES IDENTIAUBUS[N ESS ADDRESS (NO.ANDSTREET) CITY STATE 26 — 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) COVER PAGE - PART 2 Page 2– of 5 6. Primarily Formed Ballot Measure Committee 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 SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.ippc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON NAME OF FILER Dr. Huang for City Council 2018 Statement covers period from 01/01/2017 through 06/30/2017 Expenditures Made Column a 6. Payments Made................................................................ Column B Contributions Received T Loans Made....................................................................... TGTALTHIS PERIOD 0 0 CALENDAR YEAR Add Lines, 6+7 $ 50 $ (FRCMATTACHED SCHEDULE$) 1, Line 3 TOTAL TO DATE 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 50 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 $ 1. Monetary Contributions................................................... Schedule Line 3 $ $ 0 6773 2. Loans Received... ............................................................. Schedule B, Line 3 50 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ 0 4. Nonmonetary Contributions ............................................ schedule C, Line 3 50 5. TOTAL CONTRIBUTIONS RECEIVED.. .................................. Add Lines 3+4 $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 50 $ T Loans Made....................................................................... schedule x, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines, 6+7 $ 50 $ 9. Accrued Expenses (Unpaid Bills) ..........................................schedule 1, Line 3 0 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 $ 50 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line,? above 14. Miscellaneous Increases to Cash .................................. schedule 1, 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 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line gin Column a above $ A 50 0 50 0 0 0 6773 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). SUMMARY PAGE Page 3 of S 1368800 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 119 through 6130 711 to Date 20. Contributions Received $ $ 21. F-cpenditures 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) 1 1 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Crncimrli a9n A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period _ I 01/01/2017 from • • F through 06/30/2017 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Dr. Huang for City Council 2018 1368800 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR D C CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pr CAMMITrEE, ALSO NUMBER) CODE * jIFSELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OFBUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SGC SUBTOTAL$ 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 $ 0 50 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 464 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period • . SCHEDULE Er Payments Made to whole dollars. / r Y 01/01/2017• from SEE INSTRUCTIONS ON REVERSE Dr. Huang for City Council 2018 through 06/30/2017 l Page S of 5 1368800 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 PET 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 supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1_ Itemized payments made this period. (Include all Schedule E subtotals.)...................................................................... 2. Unitemized payments made this period of under $100................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, 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.). ....................................... $ 0 50 ....................................... $ 0 TOTAL $ 50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc-ca.gov