460 Recipient Committee Campaign Statement – Semi-Annual Recipient Committee
e m COVER PAGE
Campaign Statement D [ gerij wcAUFORNIA 460
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Cover Page •
1
Statement covers period Date of election if applicably JAN 2 5 2016 iyt�, of
7/1/2015 (Month,Day,Year) ` '•r Official Use Only
from
SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Nov 4, 2014 CUPERTINO CITY CLERK
1. Type of Recipient Committee: All committees-complete Parte 1,2,3,and 4. 2. Type of Statement:
IZI Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee cd Semi-annual Statement 0 Special Odd-Year Report
O Recall 0 Controlled 0 Termination Statement
(Also Complete Pats) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete Pad 6)
0 General Purpose Committee 0 Amendment(Explain below)
O Sponsored 0 Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Pet f7)
3. Committee Information I.D.NUMBER Treasurer(s)
1370390
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2014 RAMAMURTHY VAIDHYANATHAN
MAILINGADDRESS
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
CAROLYN KRIZEK-MAHONEY
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 Califomia that the foregoing is
Officer of Sponsor
Executed on Date By Signature of Controlling Officeholder,Candidate,Slate Measure Proponent
Executed on Date By Signature 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
COVER PAGE-PART 2
Recipient Committee CALIFORNIA 460
Campaign Statement FORM
Cover Page — Part 2
Page of Lfr
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
SAVITA VAIDHYANATHAN
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
El SUPPORT
CITY COUNCIL, CUPERTINO, CA El OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
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.
COMMITTEE NAME 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 STREET ADDRESS (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
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
ElYES ❑ NO ❑ SUPPORT
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) El OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 960 Dan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
SumaPage to whole dollars. Statement covers period
CALIFORNIA 460
from 7/1/2015 FORM
through 12131/2015 Page
SEE INSTRUCTIONS ON REVERSE 3 of i
NAME OF FILER I.D.NUMBER
RAMAMURTHY VAIDHYANATHAN 1370390
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 0 $ 0
0 0 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Linea
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 0 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line $ 221 $ 343 Candidates
7. Loans Made Schedule H,Line 3 0 0
Cumulative Expenditures Made*
6. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 221 $ 343 22. (Ir Subject to Voluntary Expenditure Llmlt)
9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0 0 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/ddtyy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 221 $ 343 _J____/ $
Current Cash Statement _ J_ J $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 971
To calculate Column B,
13. Cash Receipts column A,Line 3 above 0 add amounts in Column
0 Ato the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B.
15. Cash Payments Column A,Line a above 221 of your last report. Some
amounts in Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 750 be negative figures that
should be subtracted from
If this is a termination statement,Line 16 must be zem. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED Schedule B,Parte $ filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
any).
18. Cash Equivalents See instructions on reverse $
0
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 51 FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE E
Schedule E Statement covers period
to whole dollars. CALIFORNIA 460
Payments Made
y from 7/1/2015 FORM
SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page it of 11-
NAME OF FILER I.D.NUMBER
RAMAMURTHY VAIDHYANATHAN 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(Internet,e-mail)
NAME AND ADDRESS OF PAYEE
OF COMMITTEE,ALBO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Wells Fargo Bank Service Charges-Bank Fees for Account
OFC Maintenance 72.00
Wix.com Web site maintenance-annual rental fee
WEB 149.00
•Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 221.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 149.00
2. Unitemized payments made this period of under$100 $ 72.00
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 $ 221.00
FPPC Form 960(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov