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460 Recipient Committee Campaign Statement - Semi Annual 7-1-17 to 12-31-17Recipient Committee sta COVER PAGE Campaign Statement U W' • Cover Page R Statement covers period from 07101/2017 I r H � An P4411 � of 3 Date of election if applicable: Lh�W ' 'Ld f II (Month, Day, Year) € 6-OK64011ficial Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/2017 4� 1NO CIS ILERK 1. Type of Recipient Committee: All Committees -Complete Parrs 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also ComplsrePart 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part6) ❑ General Purpose Committee ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee Aso ComoletePug 7) 3. Committee Information I.D. NUMBER 1368800 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Dr. Huang for City Council 2018 STREETADDRESS (NO P.O. BOX) 10502 Peralta Ct. CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 4'08-489-8989 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAILADDRESS 267-501-18181 DrAndyHuang@gmaii.com 4. Verification Treasurer(s) NAME OF TREASURER Isabel Rodriguez MAILING ADDRESS 10502 Peralta Ct. CITY STATE ZIP CODE AREACODEIPHONE Cupertino CA 95014 408-482-8282 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 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 ssistantTreasurer Executed on 1/12/2018 Date Executed on Executed on Date By or By Signature of Controlling Officeholder, Candidate, State Measure Proponent BY Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice. advice@fppc.ca.gov Q866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. 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 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 10502 Peraita Ct. Cupertino CA 95014 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 (NO P.O_ BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.P. NUMBFR NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NU P.O. i3UX) CITY STATE ZIP CODE AREA CODEIPHCNE COVER PAGE - PART 2 Page 2 of 3 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeho[derComMittee 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 SUMMARY PAGE Expenditures Made 6. Payments Made................................................................ schedule E Line 4 $ through 12/31/2017 Page 3 of 3 SEE INSTRUCTIONS ON REVERSE 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+g+10 $ NAME OF FILER I.D. NUMBER Dr. Huang for City Council 2018 1368800 Coluimn AD B Calendar Year Summary for Candidates Contributions Received T oColumn NDARYEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) 707AL TO DATE and General Elections 0 1. Monetary Contributions................................................... SchaduieA, Line 3 S $ 0 6773 111 through 6130 711 to Date 2. Loans Received ................................................................ schedule a, Line 3 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS... ........................... Add Lines 1 + 2 S S Received $ $ 0 4. Nonmonetary Contributions ........................................... schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................... ................. Add Lines 3+4 $ 0 $ Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E Line 4 $ 7. Loans Made....................................................................... 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 3 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+g+10 $ 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 r, 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 tennination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule 5, 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 $ 0 0 $ 0 0 0 $ 0 0 0 0 0 0 0 6773 0 0 To calculate Column B, add amounts in Column Ato 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) - Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Of Subi®et to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ �JJ $ Amounts in this section may be different from amounts reported in Column B, FPPC Form 460 (!an/2016) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppc.ca'gov