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460 Recipient Committee Campaign Statement - Semi-Annual 07.01.24 - 12.31.24 Termination 10-20-24 to 12-31-24_Sheila Mohan for Cupertino Ciy Council 2022Recipient Committee COVER PAGE Campaign Statement Date Stamp CALIFORNIA Cover Page FORM Statement covers period Date of election if applicable: Filed Date: Page 1 of 7 from 07/01/2024 (Month, Day, Year) 12/28/2024 04:57 For Official Use Only PM SEE INSTRUCTIONS ON REVERSE I through 12/31/2024 1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee 3 Recall C ] Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) 3 Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 13 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D.NUMBER 1448574 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sheila Mohan For Cupertino City Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREACODE/PHONE Cupertino CA 95014 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P O BOX CITY STATE ZIPCODE AREACODE/PHONE OPTIONALFAX / E-MAIL ADDRESS sheilamohanl Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ./❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Ram Mohan MAILING ADDRESS 10960 STATE Cupertino CA ZIP CODE AREACODE/PHONE 95014 (408) OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL' FAX / E-MAIL ADDRESS ram@singularventures. 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. Executed on 12/28/2024 By Ram 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 Ms Sheila Mohan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member: Cupertino RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 7 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 Statement covers period from 07/01/2024 SUMMARYPAGE through 12/31/2024 Page 3 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received............................................................ Schedule B, Line 3 0.00 10,500.00 3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 +2 $ 0.00 $ 10,500.00 20. Contributions Received $ 10,500.00 $ 0.00 4. Nonmonetary Contributions ......................................... schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................ Add Lines 3+4 0.00 $ $ 10,500.00 Made $ 250.00 $ 2,871.86 Expenditures Made 6. Payments Made............................................................... Schedule e, Line 4 $ 2,871.86 7. Loans Made...................................................................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ........................................ Add Lines 6+7 $ 2,871.86 9. Accrued Expenses (Unpaid Bills) ................................ Schedule F, Line 3 0.00 10. Nonmonetary Adjustment ............................................. Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ............................... Add Lines 8+9+10 $ 2,871.86 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. 871.86 0.00 0.00 871.86 0.00 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 $ 10,500.00 $ 3,121.86 0.00 $ 3,121.86 0.00 0.00 $ 3,121.86 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) 11 /05/2024 $ 1,000.00 *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 B - PART 1 Schedule B - Part 1 ""'v le dollars. � to whole dollars. Statement covers period Loans Received • from 07/01/2024 � SEE INSTRUCTIONS ON REVERSE through 12/31/2024 4 of 7 Pa e 9 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER �a) OUTS ANDING BALANCE (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING BALANCE AT (a) 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 Ram Mohan Retired $ 0.00 $ 100.00 0.00 100.00 $ 0.00 $ DFORGIVEN PER ELECTION** RATE Cupertino CA 950144768 $ 100.00 $ 0.00 $ 0.00 $ 0.00 05/17/2022 10,500.000-22 tOIND LJCOM DOTH 0 PTY 0 SCC DATE INCURRED $ DATE DUE PAID CALENDAR YEAR Ram Mohan Retired 0.00 400.00 0.00 400.00 0.00 $ $ $ $ FORGIVEN RATE PER ELECTION** Cupertino CA 950144768 $ 400.00 $ 0.00 $ 0.00 $ 0.00 05/18/2022 10,500.00 G-22 $ tQIND LJCOM LJOTH Lj PTY LJSCC DATE DUE DATE INCURRED PAID CALENDAR YEAR Ram Mohan Retired 0.00 $ 10,000.00 0.00 � 10,000.00 $ 0.00 $ $ PER ELECTION** 0 FORGIVEN RATE Cupertino CA 950144768 10,000.00 $ 0.00 $ 0.00 $ 0.00 06/06l2022 10,500.000-22 $ t D IND COM OTH Lj PTY Lj SCC $ DATE DUE DATE INCURRED SUBTOTALS $ 0.00 $ 0.00 $ 10,500.00 $ 0.070 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. 0.00 0.00 0.00 (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 D fYol:lao711mmol summary oT txpenunures Amounts may be rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees Statement covers period from 07/01/2024 • • - • ' SEE INSTRUCTIONS ON REVERSE through 12/31/2024 Page 5 of 7 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTERAND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AM PERIOD IS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Monetary Contribution RodSinks for city council 2024 09/24/2024 ❑ Nonmonetary Contribution 500.00 500.00 500.00 G-24 ❑ Independent Expenditure Support ❑ Oppose Monetary Contribution HungWei4Cupertino.com 10/17/2024 ❑ Nonmonetary Contribution 500.00 500.00 500.00 G-24 ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose SUBTOTAL $ 1,000.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 1,000.00 2. Unitemized contributions and independent expenditures made this period of under$100.......................................................................................... $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ................ TOTAL $ 1,000.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sheila Mohan For Cupertino City Council 2022 Amounts may be rounded to whole dollars. SCHEDULEE Statement covers period , � • 1 from 07/01 /2024 through 12/31/2024 7D. e 6 of 7 Page 1448574 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) RodSinks for city council 2024 CTB 500.00 Cupertino CA 95014 HungWei4Cupertino.com CTB 500.00 Cupertino CA 95014 Axial Media and Communications LLC PRO 1,500.00 Oakland CA 94605 West Valley Community Services CVC 172.09 Cupertino CA 95014 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,672.09 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................ $ 2,871.86 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0.00 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 $ 2,871.86 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E CONT. Schedule E Amounts may rounded Statement covers periodRK-11, to whole dollars. � (Continuation Sheet) - .uklil from 07/01 /2024 Payments Made SEE INSTRUCTIONS ON REVERSE through 12/31/2024 Page 7 of 7 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wells Fargo Bank Cupertino CA 950144768 OFC 199.77 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 199.77 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov