460 Recipient Committee Campaign Statement - Semi Annual 7-1-17 to 12-31-17Recipient Committee COVER PAGE
Campaign Statement !i it U L� �' 1
Cover Page I
SEE INSTRUC"T"IONS ON REVERSE
Statement covers period
from 7/1/2017
through 12/31/2017
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(AlwcompletePart5)
0 Sponsored
❑ General Purpose Committee
(Al- Complete Part 6)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Centra€Committee
(AwCampWePad 7)
3. Committee information
NAME IF NO GOMMITTFE)
LD. NUMBER
1370390
VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2014
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O_ BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAXIE-MAILADDRESS
Savita4Council@gmail.com
4. Verification
Date of election if applicable€
(Month, Day, Year) I? !JtS 1, JA N 3 0 2018
Nov 4, 2014 1 Cr I is :ii -Y LEAK
laq1e 1 of 5
For Official Use Only
2. Type of Statement:
❑ Preelection Statement Quarterly Statement
Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also fife a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
RAMAMURTHY VAIDHYANATHAN
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
CAROLYN KRIZEK-MAHONEY
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREACODEIPHONE
OPTIONAL: FAX/ E-MAILADDRESS
have used all reasonable diligence in preparing and reviewing this statement and to the
Executed on
Date
Executed on
Date
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
BY
51grtafure 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
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
SAVITA VAIDHYANATHAN
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
CITY COUNCIL, CUPERTINO, CA
RESIDENTIALIBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listanycommittees
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 STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODElPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEJPHONE
COVER PAGE - PART 2
Page 2 of 5
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTERI JURISDICTION I ❑ 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
officeholders) or candidates) 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 Amounts may be rounded
to whole dollars.
Summary Page
Statement covers period
from 7/1/2017
SUMMARY PAGE
Expenditures Made
6. Payments Made ...............................................
7. Loans Made ......................................................
S. SUBTOTAL CASH PAYMENTS ....................
9. Accrued Expenses (Unpaid Bills) ...................
10. Nonmcnetary Adjustment ...................................
11. TOTAL EXPENDITURES MADE .....................
........ Schedule E, Line 4 $ 149
........ Schedule H, Line 3
0
............. Add lines 6 + 7 $
149
through
12/31/2017
Page 3 of 5
SEE INSTRUCTIONS ON REVERSE
Add Lines 8 + 9 + 10 $
149
NAME CF FILER
I.D. NUMBER
RAMAMURTHY VAIDHYANATHAN
1370390
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
CALENOARYEAR
Running in Both the State Primary
(FROM ATTACHEDSCH50ULES)
TOTALTODATE
and
Genera! Elections
0
1- Monetary Contributions...................................................
Schedule A, Line 3
$ $
117 through 6130 711 to date
a
0
2. Loans Received................................................................
Schedule B, Line 3
0
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines )+2
$ $
Received $ $
0
0
4- Nonmonetary Contributions ............................................
Schedule C, Line
21- Expenditures
0
0
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add
Lines 3+4
$ $
Expenditures Made
6. Payments Made ...............................................
7. Loans Made ......................................................
S. SUBTOTAL CASH PAYMENTS ....................
9. Accrued Expenses (Unpaid Bills) ...................
10. Nonmcnetary Adjustment ...................................
11. TOTAL EXPENDITURES MADE .....................
........ Schedule E, Line 4 $ 149
........ Schedule H, Line 3
0
............. Add lines 6 + 7 $
149
.... Schedule F, Line 3
0
schedule C, Line 3
0
Add Lines 8 + 9 + 10 $
149
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 6, Parte $
Cash Equivalents and Outstanding Debts
18, Cash Equivalents ................................................ See instructions an reverse $
19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $
243
0
0
149
94
IN
51
$ 349
0
$ 349
0
0
$ 349
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 (f
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mmlddlyy)
`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 S - PART 1
Schedule B — Part 1 to`wr,oie douars.
Statement covers period,
Loans Received
7/1/2017
from
FP,g.
4 of 5
through 12/31/2017
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
RAMAMURTHY VAIDHYANATHAN
1370390
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
(b)
AMOUNT
(�)
AMOUNT PAID
(d)
OUTSTANDING
(e
INTEREST
ORIGINAL
(g)
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
QF COMMITTEE,ALSC ENTER I.D. NUMBER}
NAME OF BUSINESS)
PERIOD
PERIOD
THIS PERIOD"
PERIOD
PERIOD
LOAN
TO DATE
❑ PAID
CALENDARYEAR
R Vaidhyanathan
Cupertino, CA 95014
$
$ _ 51.00
s5100
$
E] FORGIVEN
RATE
PER ELECTION
$ 51.00
$
$
$
$
DATE DUE
tjZ IND ❑ COM ❑ OTH ❑ PTY ❑ SGC
DATEINCURRED
❑ PAID
CALENDARYEAR
$
$
%
$
S
❑ FORGIVEN
PER ELECTION*'
RATE
5
$
$
5
$
DATE DUE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATEINCURRED
❑ PAID
CALENDARYEAR
PER ELECTION"*
FORGIVEN
El FORGIVEN
$
$
$
5
$
DATE DUE
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATEINCURRED
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 I-) .............................................................. 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)
tContributor 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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
$EE INSTRUCTIONS ON REVERSE
RAMAMURTHY VAIDHYANATHAN
Amounts may be rounded
to whole dollars.
MOIN1f:1181111111:40
Statement covers period
from 7/1/2017
through 12/31/2017 1 Page 5 of s
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
1370390
CMP
campaign paraphernalialmisc.
MSR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
QFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate fiilinglballot fees
AHO
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 supportinglopposing 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)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 149
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)..............................................................................................
2. Unitemized payments made this period of under $1 00..................................................................................................... ....................
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.) .........................
-------------- $
149
$ 0-00
$ 0.00
TOTAL $ 149
FPPC Form 460 (Jan/2016)
FPPC Advice- advice ftpc-ca.gov (866/275-3772)
www.fppc.ca.gov