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460 Recipient Committee Campaign Statement - Semi Annual 1-1-18 to 6-30-18Recipient Committee Campaign Statement Corer Page from Statement covers period� Date of election if appli 01101/2018 (Month, Day, Year) Date Stamp COVER PAGE 1 of 5 For Oitc€ai Use Ordy SEE INSTRUCTIONS ON REVERSEtG3rmltgh 06/30/2018 11/0612018 § s� 1. 7yps of Recipient Committee: All Committees —complete Parts 9, 2, 3, and C 2. Type of StatemeS0.t:'-' 7 Off reholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement © State Candidate Election Co,nmlttse Committee l� Semi-annual Statement ❑ Special Odd -Year Report O Recall O Controlled rAlso Complete Ped 6) OSponsored ❑ l erro flelan Form 410 � f.�3cG❑pretePdrrft) (Also fi.e a Form 490 .erminatianj ❑ General Purpt3se Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Farmed Candidatel Q Small Contributor Committee Officeholder Committee Q Political PartylCentral Committee (A3ocomplete Part 7) 3. Committee InformationI I.D. NUMBER I 1 X6933, MC COY FOR COUNCIL 2018, ROBERT STREETADDRESS NO P.C. HOX) CITY STATE ZJPCODZ AREACODFIPHONE MAILING ADDRESS (1F €]1FFEREN7) NO. AND STREET OR P.C. BOX CITY STATE ZIP COB' AREA CODE/PHONE OPTIONAL: FAX 1 E-MAILADDRESS Treasurer(s) NAME OF TREASURER BLOSSOM MCCOY MAILING ADDRESS CITY STATE ZJP CODE ARF-ACODEIPHONE NAME OF ASSISTANT TREASURER, IFANY MAILING ADDRESS CITY STATE ZIP CODE A€REACODElPHONE OPTIONAL: FAX i E-MA€LADDRESS 4. Verification 1 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 ofthe State of California that the foregoing Executed on 0710812018 Date Executed on 07/08/2018 Date Executed on, _ Date Executed on Dela By By By signature of Co#7Srell3ng Officeholder, Candidata, State A easure Pxopunan; By Signature of Controlling Officeholder, Candidate, Stat- Measdre Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8156%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 ROBERT MCCOY OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DBSTRICTNUMBER IFAPPLICABLE) CUPERTINO CITY COUNCIL RESIDENTIALIBLI SIN ESS ADDRESS (NO. AND STREET) C€TY STATE ZIP Related Committees Not Included in this Statement: List any cominittees nkat included in this statement that are controlled by you or are primarily formed to receive contributions or make expendirures an behalf ofyour candidacy, CITY STATE Zip 3607 AREACODElPHONE COVER PAGE - PART 2 Page 2 &. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Of 5 6ALLOT 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 DISTRICT NO. IF ANY 7. Fir€rnarlly Formed Candidate/Officeholder Corramittee List names of offfoeholder(s) or candidates) for which this commfttee Is primarily formed. NAME OF OFFICEHOLDi R OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSF NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAPE" OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT i ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREACODElPHONE Attach continuation sheetsifnecessary FPLC Form 460 (Jana/2016) FPPC Advice: advice@fppc.ca.gov (9661275-3772) www.fppc.ca.gov Campaign Disclosure Statement IWmmary Pace Amounts may be rounded to whole dollars. Statement covers period from _ 01101/2018 SUMMARY PACT= SEE IN57^nUC7ION5 tsN REVERSE through 06130/2018 Page 3 of 5 _ NAME OF FILER _ � _ r I.D. NUMBER MC COY FOR COUNCIL 2018, ROBERT 1369332 ,C:ontributioris Received '1. Monetary Contdi utions................................................... Scheduia A, tine 3 2. Loans Received .................................... ____ ............ ....... Schedule S, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS.... .......................... Ado' Lines i +2 4. Nonmonetary Contributions ...................................... Scheduie C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 Expenditures Made 15. Payments Made................................................................ Schedule F Line 4 7. Loans Made......---- I ...... ............................ I --._........._.. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... AddLhIVS6+7 S. Accrued Expenses (Unpaid Bills) ............ ....... ....................... Schedule FLine 3 10. Nervi'tonetaryAdju$tment ........................... —.... ............. ......... Sg7aduh C, Line 3 11. TOTAL EXPENDITURES MADE .........................................odd Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ........................... Previous SummaniPage, Line 16 13, Cash Receipts........................................................... Column,A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedute 1, Line a 15. Cash Payments.. ............. ..................................... Column A, Line 8 above 15. ENDING CASH BALANCE ................ -Ade Lines 12 + 13 + 14, then subtract Line 15 If Phis is a torminatiarl statement, Line iE ,rnust be zero. Column A TCTALTHIS PERIOD (FRDM ATTACHED SCHEDULES) $ _ 0 0 $ _ 0 0 0 $ 196.00 0 $ _ 196.00 0 0 $ 196.00 $ w 1110.45 0 0 196.00 $ 914.45 17, LOAN GUARANTEES RECEIVED ................................ Scheduje 8, Part 2 $ Caaah Equivalents and Outstanding Debts! 18. Cash Equivalents ............................................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2+Line 3 in Column 8 above $ on 6 L9 $ $ El Column B CALENDARYV,R TOTAL TD DAT5 0 0 0 0 0 $ 196.00 0 $ 196.00 0 0 $ 1016.00 To calculate Column B, add amounts in Column Ato the corresponding amounts from COltJmn 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 fif any), Calendar Year Summanr for Candidates Running in !Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditijre Limit Summary for Stake Candidates 22. Cumulative Expenditures Made* qtf Subject to Voluntary Expehditure Limit] Date of Election Total to Date (mm}ddlyy) `Amount3 1n this section may be different from amounts reported in Column S. IFPPC Form 460 (Jan/2016) F12RCAdvice: advice@fppc.ca.gov ($66/275-3772) www.fppc.CFJ.gov Schedule D SCHEDULE D ,Summary of it:xpe11i nares xmounes may Qe rounaea Statement covers period ,` wpporting/Clipposing Other towhe3tedouars. ' W s iC'andidates, lMeasures and Committees, �r°�' 01/0112018 . � SEC" INSTRUCT10N5 ON REVERSE through 06/3012018 Paoe of 5 NAME OF FILER I.D. NUMBER MC GOY FOR COUNCIL 2018, ROBERT 1369332 Aq q IAI Iq q O q IN ■ DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION CUMULATIVE TO GATE PER ELECTION TYPE OF PAYMENT ESCRIPTIO AMOUNTTHIS CALENDAR YEAR To DATE MEASURE NUMBER OR LETTER ARID SURt5DICTI4N, OR COMMITTEE PERIOD (JAN. 1 - DEC. 31) IF REQUIRED) Savita Vaidhyanathan for Cupertino City Ivanatary 06/16/2018 CounCil Contribution 100.00 100.00 ❑ Nonmonetary Con[ribution ® Independent support ® Oppose Expl°nditure ❑ Monetary Contribution [ Noni-nonetary Coni;ftution ® Independent _ ® Support ❑ Oppose Expo+nditure ❑ Monetary Contribution ❑ Noni-nonetary Contribution ® Independent ® Support ❑ oppose Expenditure SUBTOTAL $ ,I a 115cheduie D Siu mart' i, Itemized contributions and indep:mdent expenditures made this period. (include all Schedule D subtotals.) ........................................ $ 100.00 21. ''Jnitemized Contributions and independent expenditures made this period of under $100.................................................................................... $ �8. Total contributions and independent expenditures made this period. (4,dd Lines 1 and 2. Do not enter on the Summary Page.).......... TOTAL.. $ 100.00 5PPC Form 460 (!an/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov I'S hedule E Payments Made 6EE INSTRUCTIONS ON REVERSE MC COY FOR COUNCIL 2018, P1,01BERT Amounts may be rounded _SCHEDULE E Statement elvers period N,q 1 to +,fUhnle dollars. Oy 4 � 9I1 from 0110112018 _ A through 06{3012018 1 Page 5 of 5 ("ODES. If one of the following cedes accurately describes the payment, you may enter the code. Othei vise, describe the payment. 13159332 CUP campaign paraphernalialmisc. MSR member communications RAID radio airtime and production costs ONS campaign consults;its MTC meetings and appearancets RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv or cable airtime and production costs 1= IL candidate filinglloallot tees PHO phot e banks TRC candidate travel, lodging, and meals FIND fundraising everts POL polling and survey research. TRS staff/spouse travel, lodging, and meals IND independent exraenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer i committees of the same candidatelsponsor LEC 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 (fF COMMITTEE, A -8D ENTER I.D. NUMBER) BANK OF AMERICA CODE CIF; DESCRIPTION OF PAYMENT SERVICE FEES AMOUNT PAID A Savita Vaidhyanathan for Cupertino City Council ? + FPPG9 1370390 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBT07AL $ 196.00 16E hedule E Summary itemized a mf,,nts made this periad. Include all Sc.,iedule E subtotal,. ... 196.00 2, Unitemized payments made this period of under $100 ................ ........ $ 0 `' , Total interest pod this period on loans. (Enter amount from Schedule i., Part 1, Column (e).) ......................... 0 . Total payments rrlade this period. (Add Lines 1, 2, and 3. Enter here i' Ind on the Summary Page, Column A, Line 6............. ............... TOTAL $ 196.00 FPPC Form 460 (Jan/20I6) FF+PC Advice: advice@fppc.ca.gov (866/27513772) www.fppc.ca.gov