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Home My WebLink About460 Recipient Committee Campaign Statement_Gopal Kumarappan for Cupertino City Council 2026_Preelection_01.01.2026-09.19.2026Recipient Committee COVER PAGE Date Stamp CALIFORNIA Campaign Statement Cover Page FORM Statement covers period Date of election if applicable: Filed Date: Page 1 of 11 For Official Use Only (Month, Day, Year) 09/24/2026 05:19 from 01/01/2026 PM SEE INSTRUCTIONS ON REVERSE through 09/19/2026 11/03/2026 1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report O Recall O 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) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER 1492948 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Gopal Kumarappan for Cupertino City Council 2026 Gopal Kumarappan MAILING ADDRESS 18920 Loree Ave STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 18920 Loree Ave Cupertino CA 95014 (408)409-5490 CITY STATE ZIPCODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 (408)409-5490 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS 21701 Stevens Creek Blvd PO Box # 398 CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE Cupertino CA 95015 (408)409-5490 OPTIONAL FAX / E-MAIL ADDRESS OPTIONAL FAX / E-MAIL ADDRESS gopal4cupertino@gmail.com 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. 09/24/2026 Gopal Kumarappan Executed on By Date Signature of Treasurer or Assistant Treasurer 09/24/2026 Gopal Kumarappan Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of 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 (8661276-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Gopal Kumarappan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member: Cupertino RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 18920 Loree Ave 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 ❑ NO 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 ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 11 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 Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gopal Kumarappan for Cupertino City Council 2026 Statement covers period from 01 /01 /2026 through 09/19/2026 SUMMARYPAGE Page 3 of 11 I.D. NUMBER 1492948 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTAL TO DATE 9 General Elections 1. Monetary Contributions Schedule A, Line 3 $ 6,482.20 $ 6,482.20 1/1 through 6/30 7/1 to Date 2. Loans Received............................................................ Schedule B, Line 3 8,900.00 8,900.00 3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 +2 382.20 , $ 15$ 15,382.20 20. Contributions Received $ $ 4. Nonmonetary Contributions ......................................... schedule C, Line 3 1,459.75 1,459.75 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED. .. . . .. . Add Lines 3+4 $ 16,841.95 $ 16,841.95 Made $ $ Expenditures Made 6. Payments Made............................................................... Schedule E, Line 4 $ 4,457.61 $ 4,457.61 7. Loans Made...................................................................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ........................................ Add Lines 6+7 $ 4,457.61 $ 4,457.61 9. Accrued Expenses (Unpaid Bills) ................................ Schedule F, Line 3 0.00 0.00 10. Nonmonetary Adjustment ............................................. Schedule C, Line 3 1,459.75 1,459.75 11. TOTAL EXPENDITURES MADE ............................... Add Lines 8+9+10 $ 5,917.36 $ 5,917.36 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 13. Cash Receipts.......................................................... Column A, Line 3 above 15,382.20 14. Miscellaneous Increases to Cash ................................ Schedule 1, Line 4 0.00 15. Cash Payments........................................................ Column A, Line 8 above 4,457.61 16. ENDING CASH BALANCE ...... Add Lines 12 + 13 + 14, then subtract Line 15 $ 10,924.59 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............................. Schedule e, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................. See instructions on reverse $ 0.00 19. Outstanding Debts ............................... Add Line 2 +Line 9 in Column B above $ 8,900.00 To calculate Column B, add amounts in Column A to 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). 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 (8661275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received Statement covers period from 01 /01 /2026 • ' t through 09/19/2026 Page 4 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILERI D. NUMBER Gopal Kumarappan for Cupertino City Council 2026 1492948 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 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) ./❑ IND Retired Jennifer R Griffin ❑ COM Retired 7/19/2026 10315 Calvert Dr ❑ OTH 2O0.00 304.48 ❑ PTY Cupertino CA 95014 ❑ SCC Liang Chao For Cupertino City Council 2022 ❑ IND ID#1450210 ./❑ COM 8/10/2026 PO Box 2672 0 OTH 458.56 458.56 ❑ PTY Cupertino CA 95015 ❑ SCC J❑ IND Family Medicine Physician Hansaa Gopalakrishnan ❑ COM Stanford Medicine 8/27/2026 18920 Loree Ave Unit#B ❑ OTH 10.00 1,469.75 ❑ PTY Cupertino CA 95014 ❑ SCC ./❑ IND retired Madhuri Mandava ❑ COM retired 9/1/2026 21775 Congress Hall Ln ❑ OTH 100.00 100.00 ❑ PTY Saratoga CA 95070 ❑ SCC ./❑ IND Retired Margaret Griffin ❑ COM Retired 9/2/2026 10727 Randy Lane ❑ OTH 250.00 250.00 ❑ PTY Cupertino CA 95014 ❑ SCC SUBTOTAL $ 1,018.56 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 $ 6,447.20 35.00 *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 6,482.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Monetary Contributions Received Statement covers period from01/01/2026 F through 09/19/2026 5 of 11 NAME OF FILER I.D. NUMBER Gopal Kumarappan for Cupertino City Council 2026 1492948 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 (IF SELF-EMPLOYED, ENTER NAME RECEIVED CALENDAR YEAR TO DATE OF BUSINESS) THIS PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ./❑ IND Retired Ignatius Ding ❑ COM Retired 9/3/2026 10397 Avenida Ln ❑ OTH 2,000.00 2,000.00 ❑ PTY Cupertino CA 95014 ❑ SCC d❑ IND Retired James Moore ❑ COM Retired 9/3/2026 21962 Lindy lane ❑ OTH 1,000.00 1,000.00 ❑ PTY Cupertino CA 95014 ❑ SCC J❑ IND Retired Phyllis Dickstein ❑ COM Retired 9/3/2026 19999 Stevens Creek Blvd Unit# 103 ❑ OTH 312.81 312.81 ❑ PTY Cupertino CA 95014 ❑ SCC ./❑ IND Retired Steven Scharf ❑ COM Retired 9/3/2026 P.O.Box 467 ❑ OTH 333.33 333.33 ❑ PTY Cupertino CA 95015 ❑ SCC ./❑ IND Retired Susan M Moore ❑ COM Retired 9/3/2026 21962 Lindy lane ❑ OTH 500.00 500.00 ❑ PTY Cupertino CA 95014 ❑ SCC *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 SUBTOTAL $ 4,146.14 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Monetary Contributions Received Statement covers period from01/01/2026 F through 09/19/2026 6 of 11 NAME OF FILER I.D. NUMBER Gopal Kumarappan for Cupertino City Council 2026 1492948 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 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) ./❑ IND Engineer Vinod Balakrishnan ❑ COM Adobe 9/3/2026 10447 N Blaney Ave ❑ OTH 312.81 312.81 ❑ PTY Cupertino CA 95014 ❑ SCC d❑ IND Retired Jennifer R Griffin ❑ COM Retired 9/4/2026 10315 Calvert Dr ❑ OTH 104.48 304.48 ❑ PTY Cupertino CA 95014 ❑ SCC J❑ IND Product Strategy Shrenik Zaveri ❑ COM Cisco systems 9/9/2026 ❑ OTH 104.48 104.48 ❑ PTY ❑ SCC ./❑ IND Engineer Yuwen Su ❑ COM Quest Global 9/11/2026 7720 Orograde Place ❑ OTH 500.00 500.00 ❑ PTY Cupertino CA 95014 ❑ SCC ./❑ IND Engineer Ilango Ganga ❑ COM Nvidia 9/13/2026 10395 Farallone Dr ❑ OTH 260.73 260.73 ❑ PTY Cupertino CA 95014 ❑ SCC *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 SUBTOTAL $ 1,282.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 1 ""'v le dollars. � to whole dollars. Statement covers period Loans Received • from 01/01/2026 � SEE INSTRUCTIONS ON REVERSE through 09/19/2026 7 of 11 Pa e 9 NAME OF FILER I.D. NUMBER Gopal Kumarappan for Cupertino City Council 2026 1492948 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER �a) OUTS ANDING BALANCE (b) AMOUNT (c) AMOUNT PAID (4) OUTSTANDING BALANCE AT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE [—)PAID CALENDAR YEAR Gopal Kumarappan Retired $ 0.00 $ 3.900.00 0.00 3,900.00 $ 3,900.00 $ DFORGIVEN PER ELECTION** 18920 Loree Ave RATE Cupertino CA 95014 $ 0.00 $ 3,900.00 g 0.00 $ 0.00 08/06/2026 $ t D IND COM DOTH OPTY DSCC DATE INCURRED DATE DUE Quality Manager PAID CALENDAR YEAR Hemalatha Shanmugam Amazon, Inc 0.00 $ 5,000.00 0.00 5,000.00 $ 5,000.00 $ $ PER ELECTION — 18920 Loree Ave FORGIVEN RATE Cupertino CA 95014 $ 0.00 $ 5,000.00 $ 0.00 $ 0.00 08/18/2026 $ tQIND LJCOM LJOTH LJPTY LJSCC DATE DUE DATE INCURRED O PAID CALENDAR YEAR $ $ 0.00 / $ $ PER ELECTION** O FORGIVEN RATE tLJIND L)COM LJOTH LJPTY SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 8,900.00 $ 0.00 $ 8,900.00 $ 0.00 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. 8,900.00 0.00 8,900.00 (May be a negative number) (Enter (a) on Schedule E, Line 3) *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B1 (Continuation Sheet) Notes NAME OF FILER Gopal Kumarappan for Cupertino City Council 2026 8/6/2026 - Kumarappan Gopal - 3900.00 - Loan for Candidate Statement 8/18/2026 - Shanmugam Hemalatha - 5000.00 - Loan for Campaign expenses NOTES CALIFORNIA FORM .1 Page 8 of 11 I.D. NUMBER 1492948 Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to WHOM oouars. Statement covers period , M from 01/01/2026 through 09/19/2026 page 9 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gopal Kumarappan for Cupertino City Council 2026 1492948 DATE FULL NAMESTREETADDRESS , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ` (IF SELF-EMPLOYED, NAME GOODS OR SERVICES FAIR MARKET VALUE TO DATE (IF REQU IRED) BUSINESS) OF BUSINESS) (JANCALE1DARYEA) (JAN 1 -DEC 31) ❑ IND Family Medicine Physician Hansaa Gopalakrishnan ❑ COM Stanford Medicine 7/15/2026 ❑ OTH PO Box Fee 284.00 1,469.75 18920 Loree Ave Unit#B ❑ PTY Cupertino CA 95014 ❑ SCC ❑ IND Family Medicine Physician Hansaa Gopalakrishnan ❑ COM Stanford Medicine 7/21/2026 ❑ OTH Yard Signs (Batch 1) 804.60 1,469.75 18920 Loree Ave Unit#B ❑ PTY Cupertino CA 95014 ❑ SCC ❑ IND Family Medicine Physician Hansaa Gopalakrishnan ❑ COM ❑ OTH Stanford Medicine Cash &Carry TV Static 7/21/2026 18920 Loree Ave Unit#B ❑ PTY Ad (Opus Media Group) ( p 120.00 1,469.75 Cupertino CA 95014 ❑ SCC ❑ IND Family Medicine Physician Hansaa Gopalakrishnan p El COM Stanford Medicine Campaign Flyers (first 7/27/2026 18920 Loree Ave Unit#B ❑ PTY batch) 251.15 1,469.75 Cupertino CA 95014 ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1,459.75 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)....................................................................................................................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than$100..................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)....................... TOTAL $ *Contributor Codes IND — Individual 1,459.75 COM — Recipient Committee (other than PTY or SCC) 0.00 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 1,459.75 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov cd-hnrlilln r, /i`nn+in11ntinn Chnotl NOTES Notes CALIFORNIA FORM .1 Page 10 of 11 NAME OF FILER Gopal Kumarappan for Cupertino City Council 2026 I.D. NUMBER 1492948 7/15/2026 - Gopalakrishnan Hansaa - 284.00 - The expense incurred was over 45 days ago and so became non -monetary contribution. 7/21/2026 - Gopalakrishnan Hansaa - 804.60 - The expense incurred was over 45 days ago and so became non -monetary contribution. 7/27/2026 - Gopalakrishnan Hansaa - 251.15 - The expense incurred was over 45 days ago and so became non -monetary contribution. SCHEDULE E Schedule E Amounts may be rounded Statement covers period • . to whole dollars. Payments Made from 01/01/2026 • ' SEE INSTRUCTIONS ON REVERSE through 09/19/2026 Page 11 of 11 NAME OF FILER I.D. NUMBER Gopal Kumarappan for Cupertino City Council 2026 1492948 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) City of Cupertino 10300 Torre Avenue FIL Candidate Ballot Statement Fee 3,900.00 Cupertino CA 95014 Papyrus Printing 1437 Monterey Hwy LIT Campaign flyer print 300.00 San Jose CA 95110 County of Santa Clara ROV 1555 Berger Drive, Building 2 VOT Fee for Voter data 176.00 San Jose CA 95112 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,376.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................ $ 4,376.00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 81.61 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................ $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).......................... TOTAL $ 4,457.61 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov