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460 Recipient Committee Campaign Statement - Semi Annual 1-1-17 to 6-30-17Recipient Committee Campaign Statement Cover Page Date Stamp IX (9) N U Xq COVER PAGE 3. Committee Information 1.D. NUMBER 1370390 VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2014 STREETADDRESS (NO P.O. BOX) OPTIONAL: FAX/E-MAILADDRESS 4. Verification 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 Executed on Executed on nate By Signature of Controlling Officehotder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (!an/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www_fppc --gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE SAVITA VAIDHYANATHAN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL, CUPERTINO, CA RESIDENTIALIBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 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 STREETADORESS (NO P.Q. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COVER PAGE - PARI" 2 Page 2, of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERJURISDICT30N tEj -1SUPPORT 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 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 CITY STATE ZIP CODE AREA CODEfPHONE Attach Continuation sheets tf necessary FPPC Form 460 (]an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAI D HYANATHAN Contributions Received 1. Monetary Contributions................................................... Schedule A, Linea $ 2. Loans Received.............................................................. . schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions— ............................ ............ schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ Expenditures Made 6. Payments Made ............................................... 7. Loans Made ...................................................... 8. SUBTOTAL CASH PAYMENTS .................... 9. Accrued Expenses (Unpaid Bills) ................... 10. Nonmonetary Adjustment ................................... 11. TOTAL EXPENDITURES MADE ..................... Column A TOTAL THiS PERIOD {FROM ATTACHED SCHEDULES) 0 $ 0 0 $ 0 0 $ .--. Schedule E Line 4 $ 200 — Schedule H, Line 3 0 ......... Add Lines 6 + 7 $ 200 ........ Schedule F, Line 3 0 ....... Schedule C, Line 3 0 .... Add Lines 8 + 9 + 10 $ 200 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 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, Parte $ Cash Equivalents and Outstanding Debts 15. Cash Equivalents ------------------------------------------------ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 443 0 0 200 243 C 51 Statement covers period from 1/1/2017 through 6/3012017 Column B CALENDAR YEAR TOTAL"TO DATE 0 0 0 0 0 200 0 $ 200 0 0 200 To calculate Column E3, 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). SUMMARY PAGE Page - __ of 11370390 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made )[f Subject to voluntary Expenditure Limit) Date of Election Total to Date (mmlddlyy) I 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) wwwfppc.ca.gov SCHEDULE B - PART 9 Schedule — Part 1 to whole dollars. Statement covers period Loans Received 1/1/2017 from 6/30/2017 Page J SEE INSTRUCTIONS ON REVERSE through –�— of NAME OF FILER I.D. NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 FULL NAME,STREETADDRESSANDZlPCODE ]FAN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (C) AMOUNT PAID OUTSTANDING (e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IFSELF-EOFBUSI BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAIDTHIS AMOUNTOF CONTRIBUTIONS (IFCOMMITTEE,ALSO ENTERI.D.NUMBER) ESS)ENTER NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE R Vaidhyanathan ❑ PAID CALENDAR YEAR s 51.00 % $ 51,00 $ ❑ FORGIVEN PER ELECTION - 2A7F 51,00 � $ $ $ to IND [ICOM ❑ OTH Ll PTY [:1 SCC DATE DUE DATE INCURRE❑ ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION•* TE S 3 $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR S $ % $ $ ❑ FORGIVEN PER ELECTION' RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. – If required. (May be a negative number) (Enter (e) on Schedule E, Line 3) ' Contdbutor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SGC – Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppaca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE RAMAMURTHY VAIDHYANATHAN Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA J from 1/1/2017 FORM through 6/30/2017 Page 5' of I -D. NUMBER 1370390 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 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 (intemet, e-mail) NAME ANDADDRESS OF PAYEE (11' COMMn-rEE, ALSO ENTER S.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secretary of State, State of CA FIL * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary Annual charges for FPPC account renewal (plus $150 late filing fees) zoo SUBTOTAL $ 200 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.)... ........................ TOTAL $ 200 0.00 0.00 200 FPPC Form 460 (Jan/203.6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov