460 Recipient Committee Campaign Statement - Preelection 1-1-22 to 9-24-22 Amendment (2)Recipient Committee
COVER PAGE
Date Stamp
CALIFORNIA
I
60
Campaign Statement
Cover Page
' RM
Statement covers period
Date of election if applicable:
Flied Date-
Page 1 of 8
For Official Use Only
01 /01 /2022
(Month, Day, Year)
10/24/2022 12:37
from
PM
SEE INSTRUCTIONS ON REVERSE
through 09/24/2022
11/08/2022
1. Type of Recipient Committee: All Committees— Complete Parts 1, 29 3, and 4.
2. Type of Statement:
Officeholder, Candidate Controlled Committee ❑
Primarily Formed Ballot Measure
./❑ Preelection Statement ❑ Quarterly Statement
3 State Candidate Election Committee
Committee
❑ Semi-annual Statement ❑ Special Odd -Year Report
3 Recall
0 Controlled
❑ Termination Statement
(Also Complete Part 5)
O Sponsored
(Also file a Form 410 Termination)
❑ General Purpose Committee
(Also Complete Part 6)
./❑ Amendment (Explain below)
3 Sponsored ❑
Primarily Formed Candidate/
Checking the system before printing out
3 Small Contributor Committee
Officeholder Committee
3 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Yuko Shima for Cupertino City Council 2022
Hirotsugu Toyuda
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Cupertino CA 95014 (
CITY STATE ZIP CODE
AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014
(
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE ZIP CODE
AREACODE/PHONE
CITY STATE ZIP CODE AREACODE/PHONE
Cupertino CA 95014
(
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.
10/24/2022
Officeholder, Candidate, State Measure Proponent or Responsible Officerof Sponsor
Executed on
By
Date
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on
By
Date
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Yuko Shima
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
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 ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑YES ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 8
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/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
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
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Yuko Shima for Cupertino City Council 2022
Amounts may be rounded
to whole dollars.
Statement covers period
from 01 /01 /2022
through 09/24/2022
SUMMARY PAGE
Page 3 of 8
I.D. NUMBER
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
CALENDAR YEAR
Running in Both the State Prima and
g Primary
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions
Schedule A, Line 3
$
240.00
$
240.00
1/1 through 6/30 7/1 to Date
2. Loans Received............................................................
Schedule a, Line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .............................
Add Lines 1 +2
$
240.00
$
240.00
20. Contributions
Received $ $
4. Nonmonetary Contributions .........................................
Schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ............................
Add Lines 3+4
$
240.00
$
240.00
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 + 9 + 10 $
Lourrent Loasn watement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $
13. Cash Receipts.......................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ................................ Schedule 1, 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 B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................. See instructions on reverse $
19. Outstanding Debts ............................... Add Line 2 +Line 9 in Column B above $
0.00 $
0.00
0.00
0.00
0.00 $
0.00
662.80
662.80
0.00
0.00
662.80 $ 662.80
0.00
To calculate Column B,
240.00
add amounts in Column
A to the corresponding
0.00
amounts from Column B
of your last report. Some
amounts in Column A may
0.00
240.00
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
0.00
any).
0.00
662.80
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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
to whole dollars.
Monetary Contributions Received
Statement covers period
-
from 01/01/2022SEE
through 09/24/2022
4 of 8
7DN
INSTRUCTIONS ON REVERSE
NAME OF FILER
ER
Yuko Shima for Cupertino City Council 2022
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
CODE
(IF SELF-EMPLOYED, ENTER NAME
THIS PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
./❑ IND
English language instructor
Ms. Yuko Shima
❑ COM
Self-employed
8/26/2022
❑ OTH
100.00
120.00
❑ PTY
Cupertino CA 95014
❑ SCC
Mrs. Yoko Takeuchi
❑./ IND
❑ COM
friend
9/1/2022
❑ OTH
100.00
100.00
❑ PTY
❑ SCC
❑./ IND
English language instructor
Ms. Yuko Shima
❑ COM
Self-employed
9/1/2022
❑ OTH
2O.00
120.00
❑ PTY
Cupertino CA 95014
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 220.00
Schedule A Summary
1. Amount received this period — itemized monetary contribution
(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 $
220.00
20.00
*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
240.00 FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE F
Schedule F Amounts may be rounded
Accrued Expenses (Unpaid Bills) to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Yuko Shima for Cupertino City Council 2022
Statement covers period CALIFORNIA
from
01 /01 /2022FORM 61
through 09/24/2022 Page 5 of 8
I.D. NUMBER
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
RAID
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
FIND
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)
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
VISA
0.00
662.80
0.00
662.80
Credit Card
Subvendor: Wix.com $2.99
0.00
0.00
0.00
0.00
Subvendor: Staples $99.76
0.00
0.00
0.00
0.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 662.80 $ 0.00 $ 662.80
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)......
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)...............................................................................................
INCURRED TOTALS $ 662.80
PAID TOTALS $ 0.00
NET $ 662.80
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE F (CONT.)
Schedule F Amounts may be rounded
(Continuation Sheet) to whole dollars.
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Yuko Shima for Cupertino City Council 2022
Statement covers period CALIFORNIA
from
01 /01 /2022 FORM 61
through 09/24/2022 Page 6 of 8
I.D. NUMBER
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
RAID
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
FIND
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)
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Subvendor: Vista Print $122.00
0.00
0.00
0.00
0.00
Subvendor: Staples $10.90
0.00
0.00
0.00
0.00
Subvendor: Staples $20.26
0.00
0.00
0.00
0.00
Subvendor: My Creativeshop.com $251.10
0.00
0.00
0.00
0.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE F (CONT.)
Schedule F Amounts may be rounded
(Continuation Sheet) to whole dollars.
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Yuko Shima for Cupertino City Council 2022
Statement covers period CALIFORNIA
from
01 /01 /2022 FORM 61
through 09/24/2022 Page 7 of 8
I.D. NUMBER
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
RAID
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
FIND
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)
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Subvendor: My Creativeshop.com $19.95
0.00
0.00
0.00
0.00
Subvendor: Wix.com $38.00
0.00
0.00
0.00
0.00
Subvendor: Wix.com $38.00
0.00
0.00
0.00
0.00
Subvendor: Wix.com $25.85
0.00
0.00
0.00
0.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE F (CONT.)
Schedule F Amounts may be rounded
(Continuation Sheet) to whole dollars.
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Yuko Shima for Cupertino City Council 2022
Statement covers period CALIFORNIA
from
01 /01 /2022 FORM 61
through 09/24/2022 Page 8 of 8
I.D. NUMBER
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
RAID
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
FIND
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 CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
Subvendor: Wix.com $12.00
0.00
0.00
0.00
0.00
Subvendor: Wix.com $8.97
0.00
0.00
0.00
0.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov