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460 Recipient Committee Campaign Statement - Semi-annual 7-1-19 to 12-31-19Recipient Committee Campaign Statement Cover Page from Statement covers period 07/01/2019 SEE INSTRUCTIONS ON REVERSE I through 12/31/2019 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 O Recall O Controlled (Also Complete Pad 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee • Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party/Central Committee (Also Complete Part7) 3. Committee information I.D. NUMBER 1370390 SAVITA VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2018 MAILINGADDRESS OF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAXIE-MAILADDRESS Savita4Council@gmafl.com COVER PAGE Date of election if applic", : JA N 3 1 2020 of (Month, Day, Year) For Official Use Only 11/06/2018 LCUPERTINO CITY CLERK 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ® Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER RAMAMURTHY VAIDHYANATHAN MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAILADDRESS docvaidya@hotmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my Imowied certify under penalty of perjury under the laws of the State of California that the foregoing % Executed on ), A, S / ate�� V By ' Executed on D By are Signature of Controlling Offic Executed on Date Executed on Date information contained herein and in the attached schedules is true and complete. I By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE SAVITA VAIDHYANATHAN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CUPERTINO CITY COUNCIL . 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. BOA CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BO)O CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page of 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: adviceCafppc.ca.gov (8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. from Statement covers period 07/01/2019 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 12/31/2019 Page of NAME OF FILER I.D. NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 Contributions Received Column A TOTAL Column B Calendar Year Summary for Candidates THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 0.0 0 $ 0.00 0.00 0 1/1 through 6/3fl 7J1 to Date 2. Loans Received................................................................ schedules, Linea 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 0.00 $ 0.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 0.00 $ 0.00 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E Line 4 $ 149.00 $ 663.99 7. Loans Made....................................................................... schedule H Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+ 7 $ 149.00 $ 663.99 9. Accrued Expenses (Unpaid Bills)...._ ................................... Schedule F Line 3 0.00 0.00 10. Nonmonetary Adjustment ......................................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8+9+10 $ 149.00 $ 663.99 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 6007.51 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 0.00 add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule I, Line 4 0.00 A to the corresponding amounts from Column B 15. Cash Payments......................................................... Column A, Line & above 149.00 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 5858.51 be negative figures that should be subtracted from if this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ...................... ... Schedules, Part $ 0.00 filed for this calendar year, only carry over the amounts from lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. GBSh Equivalents ................................................ See instructions on reverse $ 0.00 any) 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Of Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmidd/yy) Amounts in this section may be different from amounts reported in Column B_ FPPC Form 460 (Jan/2016) FPPC Advice: advjceCMfppc ca gov (8661275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAIDHYANATHAN SCHEDULE E Amounts may be rounded Statement covers period to whole dollars. i CALIFORNIA from 07/01 /2019 FORM through 12/31/2019 1 page of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1370390 CMP campaign paraphernalia/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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITFEE, ALSO ENTER I.D. NUMBER) WIX Web Hosting Services CODE OR DESCRIPTION OF PAYMENT Annual fee for hosting website WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary AMOUNT PAID 149.00 SUBTOTAL $ 149.00 1. Itemized payments made this period. (include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 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.)........................... TOTAL $ 149.00 0.00 0.00 149.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded to whole dollars. Statement covers periodCALIFORNIA a ' Accrued Expenses (Unpaid Bills) from 07/01/2019 - through 12/31/2019 SEE INSTRUCTIONS ON REVERSE Page of 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 (intemet, a -main NAME AND ADDRESS OF CREDITOR pF C.OMMCTTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT {A OUTSTANDING BALANCE BEGINNING AMOUNT INCURRED (IN THIS PERIOD (c) AMOUNT PAID THIS PERIOD (A OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Comp Tech Services * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ summarized on Schedule D. 177.00 $ fl.00 0.00 177.Ofl Schedule F Summary 1. Total accrued expenses incurred this period (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.)................................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)......................................................................................................................................... ! Ii me: NET $ 0.00 May be a negative number FPPC Form 460 (Jan/2016) FPPCAdvice: advice@fppc.ca.gov (866/275-3772) www fppc.ca.gov