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HomeMy WebLinkAbout2014_10_03 Form 460 - Emily Lo Recipient Committee T mpF COVER PAGE Campaign Statement Type or print in ink. Date Star CoverPage (Government Code Sections 84200-84216.5) of Statement covers period Date of election if applicabl from 07/01/2014 (Month, Day,Year) QCT ;� For Official Use Only SEE INSTRUCTIONS ON REVERSE through 09/30/2014 11/04/2014 Y 1. Type of Recipient Committee: All Committees-Complete Parts t,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 F-1General Complete Part 6)General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O Political Parry/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1368398 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Re-elect Emily Lo for Saratoga City Council 2014 Beverly Harada MAILING ADDRESS STREET Saratoga CA 95070 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Saratoga CA 95070 ( 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. 1 Executed on �!��7' /� By DAte i Signatureof.TAssistant Executed on By Date Signature of Controlling Officeholder,C idate,State Measure2mponetitorResponsibleOfficerofSponsor 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(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page—Part 2 Page '�' of 4- 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Emily Lo OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Saratoga City Council I I ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Saratoga, CA 95070 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 any 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. COMMITTEENAME 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 ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ 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 F-1 SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (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(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period A Summary Page to whole dollars. I 0 ' from 07/01/2014 �- SEE INSTRUCTIONS ON REVERSE through 09/30/2014 page .3 of—� NAME OF FILER I.D. NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTO DATE 9 Primary 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 7291 $ 7291 General Elections O 0 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 7291 $ 7291 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 7291 $ 7291 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ 5589.16 $ 5589.16 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 5589.16 5589.16 22•Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines s+7 $ $ (If Subject 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,Linea 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines a+9+10 $ 5589.16 $ 5589.16 $ Current Cash Statements $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 0 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 7291 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last reported in Column B. 16 report. Some amounts in 15.Cash Payments.................................................. Column A,Line a above 5589. Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 1701.84 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 e,Part 2 $ 0 for this calendar year, only carry over the amounts from Lines 2,7,and 9(if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents........................................ See instructions on reverse $ 0 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded Statement covers period Monetary to whole dollars. •i 1 from 07/01/2014 71.D. NUMBER. � SEE INSTRUCTIONS ON REVERSE through 09/30/2014 �of NAME OF FILER Re-elect Emily Lo for Saratoga City Council 2014 1368398 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE,ALSAND ZIP .D.N DEO CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) JZ]IND Emily Lo ❑COM Candidate 08/01/2014 E]OTH Business Owner 1,000 1,000 Saratoga, CA 95070 ❑PTY Motivation Plus ❑Scc ®IND 08/24/2014 Barry Chang ❑COM Real Estate Sales E]OTH 100 100 Better Homes& Loan Cupertino, CA 95014 ❑PTY ❑SCC ®IND 08/24/2014 Bev Harada E-]COM Realtor ❑OTH Sereno Group 100 100 Saratoga, CA 95070 ❑PTY ❑SCC ZIND Huey Lee 08/24/2014 ❑❑OOH Physical Therapist 100 100 Genteva Saratoga, CA 95070 ❑PTY ❑SCC ZIND Jen Tsao ❑COM Engineer 100 100 08/24/2014 E]OTH Brookwood Systems Saratoga, CA 95070 ❑PTY ❑SCC SUBTOTAL$ 1,400 Schedule A Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ /QC7 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemOTH-Other(e.g.,business entity)lzed monetary contributions of less than$100 .............................$ PTY-Political Parry 3. Total monetary contributions received this period. SCC-Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa eTOTAL $ vl9C ( Summary Page,Column A,Line 1.) FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. may SCHEDULER (CONT.) Monetary Contributions Received Amounts ma Statement covers period to whole dollars. CALIFORNIA from 07/01/2014 FORM • through 09/30/2014 Pa b5 of i NAME OF FILER 9 Re-elect Emily Lo I.D.NUMBER for Saratoga City Council 2014 1368398 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED OF BUSINESS) ) Judith Keeley-McKeown ®IND 08/24/2014 ❑ICOR Retired 100 100 Saratoga, CA 95070 I PTY ❑scC Robert McCoy I]IND 08/24/2014 ❑Com Retired 100 100 Cupertino, CA 95014 ❑OTH ❑PTY ❑SCC Ching-Chi Tsao ®IND Homemaker 08/24/2014 ❑COM 150 150 Saratoga, CA 95070 E]OTH ❑PTY ❑SCC Ed Chang OIND Realtor 08/24/2014 DOTH Co dwell Banker 150 150 Saratoga, CA 95070 ❑PTY ❑scC Alice Chiou ®IND Homemaker 08/24/2014 EICOH 200 200 Saratoga, CA 95070 I PTY ❑scC SUBTOTAL$ 700 `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-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. Monetary Contributions Received may SCHEDULER (CONT.) Amounts of Statement covers period to whole dollars. �- from 07/01/2014 e through 09/30/2014 Page�7 of NAME OF FILER Re-elect Emily Lo I.D.NUMBER for Saratoga City Council 2014 1368398 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED OFBUSINESS) Rose Tsai ®IND ❑COM Realtor 08/24/2014 D PTY ❑SCC Boywe Lee ETIND Retired 08/24/2014 ❑COM 250 250 Saratoga, CA 95070 D OTH ❑PTY ❑SCC Brian Berg ®IND Consultant 08/24/2014 ❑COM Berg 250 250 Saratoga, CA 95070 DOTH g Software Design ❑PTY ❑SCC Nai Hsueh ®IND Board Member 08/24/2014 nOTH SCVWD 250 250 Saratoga, CA 95070 D PTY ❑SCC Chad Walsh IND Attorney 08/24/2014 pcoM Y E:]OTH Fountainhead Law 1000 1000 Los Gatos, CA 95032 D PTY ❑Scc SUBTOTAL$ 1950 *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-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions ReceivedAmounts may be rounded statement covers period to whole dollars. CALIFORNIA from 07/01/2014 FORM 46011 through 09/30/2014 Pa9e 7 of NAME OF FILER I.D. Re-elect Emily Lo T for Saratoga City Council 2014 D—NUMBER DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Celine Chen ®IND 08/25/2014 ❑COM Management ❑OTH Intrend Inc. 200 200 Saratoga, CA 95070 ❑PTY ❑SCC Laurel Perusa ND Retired 08/25/2014 ❑COM 200 200 Saratoga, CA 95070 El OTH ❑PTY ❑SCC Sandy Wu ®IND 08/25/2014 ElcomMOTH Retired 250 250 Saratoga, CA 95070 ❑PTY ❑SCC Ping Li ®IND Director, Risk 09/01/2014 opTH Management 100 100 Saratoga, CA 95070 ❑PTY WePay ❑SCC Nancy Shih MIND y Chain 09/01/2014 opTH Management 150 150 Saratoga, CA 95070 ❑PTY Apple ❑SCC SUBTOTAL$ 900 *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-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA ' from 07/01/2014 • through 09/30/2014 Page OfyL_ NAME OF FILER I.D.NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED OF BUSINESS)IND ) 2012 Supervisor Simitian Office Holder Comm. ®COM County Supervisor 09/08/2014 ❑ Palo Alto, CA 94303 PTH Santa Clara County 100 100 ❑PTY ❑SCC Mine Cirit ®IND Retired 09/08/2014 ❑COM 100 100 Saratoga, CA 95070 ❑OTH ❑PTY ❑SCC Binh Pham gIND 09/08/2014 ❑COM Retired E]OTH 200 200 San Jose, CA 95129 ❑PTY ❑SCC Edith Ong [4(ND Retired 09/08/2014 ❑COM 200 200 Saratoga, CA 95070 F-1 OTH ❑PTS' ❑SCC David House IND 09/16/2014 ❑COM Business Owner ❑OTH House Family Vineyards 250 250 Sunnyvale, CA 94085 ❑PTY ❑SCC SUBTOTAL$ 850 *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-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. ' 07/01/2014 • - • from / through 09/30/2014 Page of NAME OF FILER I.D.NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSOAND I.D.N DEO CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) IND PG&E, Corporate Affairs ❑❑COM 09/24/2014 ZOTH 200 200 San Jose, CA 95113 ❑PTY ❑SCC Michele Lew WIND❑COM Executive Director, 09/30/2014 Asian Americans for 100 100 ❑OTH Palo Alto, CA 94301 ❑PTY Community Involvement ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC 5yf SUBTOTAL$ 300 )>'r, )` *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)