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)