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460 Recipient Committee Campaign Statement 10-1-14 to 10-18-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84215.5) Type or print in ink. Statement covers period from 10/1/2014 SEE INSTRUCTIONS ON REVERSE through 10/18/2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee O State Candidate Election Committee 0 Primarily Formed Q Recall Q Controlled (Also Gomptete Part 5) O S d ❑ General Purpose Committee Q Sponsored IC) Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information ponsore (Also Complete Part 6J ❑ Primarily Formed Candidate) Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1370390 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2014 STREET ADDRESS (NO P.O. BOX) 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 Responsible Officer of Sponsor Executed on Date Executed an Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By FPPC Form 460 Juneffil Signature of Controlling Officeholder. Candidate, State Measure Proponent ( ) FPPC Toll -Free Helpline: 8661ASK -FPPC State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE SAVITA VAIDHYANATHAN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL, CUPERTINO, CA RESIDFNTIALlBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 F-1 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATF ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.Q. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE2 ❑ YES ❑ NO COMMITTEE ADDRESS STRFFTADDRESS (NO P.O. BOX) 6. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE -PART2 Page 2_ of � BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF DFFICFHOLDER. CANDIDATE, OR PROPONENT UFFICE SOUGHT OR HELD E DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholders) 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 OFFICEHCLDER 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 (Junelol) FPPC Totl -Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAIDHYANATHAN Type or print in ink_ Amounts may be rounded to whole dollars. Contributions Received schedule E, Line 4 $ Column A schedule H Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... TOTALTHis PERIOD 9. Accrued Expenses (Unpaid Bills) ........... .................... Schedule r. Line a (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ................... ......... schedule A, Line 3 $ 6,998 2. Loans Received ....................... ............................... Schedule B, Line 3 period amounts. If this is the first report being filed 1 SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines r + 2 $ 6,998 4. NOnmonetary Contributions ..... ............................... Schedule C. Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 6,998 Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line 4 $ 7. Loans Made .............................. ............................... schedule H Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ........... .................... Schedule r. Line a 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines a +9+ to $ 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 r, 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. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Part 2 5 Cash Equivalents and Outstanding Debts 18. Cash Equivalents., ...................................... See instructions an reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ $ 9,423 $ 0 9,423 $ 0 9,423 5 SUMMARY PAGE Statement covers period from 10/1/2014 through 10/18/2014 page of Column B CALENDAR YEAR TOTALTO DATE 16,951 3,051 20,002 0 20,002 14,692 0 14,692 75 0 14,767 7,735 To calculate Column B, add 6,998 amounts in Column A to the corresponding amounts from Column B of your last 0 9,423 report, Some amounts in Column A may be negative 5,310 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 051 I.D. NUMBER 1370390 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ _ 21. Expenditures Made $ $ :xpenditure Limit Summary for State :andidates 22. Cumulative Expenditures Made* tlf subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmlddlyy) �JJ $ $ since January 1, 2001. Amounts in this section may be fferent from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule A Type or print in ink. Monetary Contributions Received Amounts may be rounded Statement covers period SCHEDULE A to whole dollars. CALIFORNIA tram 101112D14 • SEE INSTRUCTIONS ON REVERSE 10/18/2014 through Page of NAME OF FILER I.D. NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMKA =EE, AL-SO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (If SELF- EMPLCYED. ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 10/1/2014 Prakash Narain ®IND ❑ COM CEO 100 100 237 Clifton Ave ❑OTH Real Intent San Carlos, CA 94070 ❑ PTY ❑ SCC 10/1/2014 ' Bob Adams ®IND ❑ COM Financial Advisor 250 250 11669 Olive Spring Ct., ❑OTH Armstrong Retirement Cupertino, CA 95014 ❑ PTY ❑ SCC 10/1/2014 Paula Wallis ®IND ❑ C OM Freelance Journalist 100 100 10898 Sycamore Dr, ❑OTH Cupertino, CA 95014 ❑ PTY ❑ SCC 10/11/2014 Karthy Rajashekaran ❑2IND COO 150 150 524 Flannery St, ❑OTH Sum Total Santa Clara, CA 95051 ❑ PTY ❑ SCC 10/1/2014 Timothy Brand k]IND Retired 100 100 10161 Lebanon Dr. ❑OTH Cupertino, CA 95014 ❑ PTY ❑SCC SUBTOTAL$ 700 Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ...................................... ............................... 2. Amount received this period — unitemized 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 $ 6,800 198 6,998 *Contributor Codes , IND — Individual COM-- Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (June/01) FPPC Tall -Free Helptine: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) livio eLa t-.ontriDutions Received Amounts may be rounded St Statement cove i rs perod r to whole dollars. , � 6 from 10/1/2014 � - 10/18/2014 rl� f through Pa g e of NAME OF FILER I.D, NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CON7R[BU IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( IFCOMMITTEE .ALSOENTER�.D.NUMBER} FOR CODE OCCUPATION EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFEUSINESS) 1011/2014 Ramneek Bhasin ®IND ❑COM GM, TheFind 100 100 11785 Ridge Creek Rd. ❑ OTH Cupertino, CA 95014 F] PTY ❑ SCC 10/1/2014 Manoj and Bhavna Gupta t p ®IND ❑COM Software Consultant 200 200 11522 Seven Springs Lane LOTH Cupertino, CA 95014 ❑ PTY ❑ SCC 10/1/2014 Barry Chang for Cupertino City Council ❑IND 500 500 10495 S De Anza Blvd., Ste A ©COM LOTH Cupertino, CA 95014 ❑ PTY ❑SCC 10/1/2014 Marjorie Marjorie Mancuso KIND Retired 300 300 22209 Hammond Way LOTH Cupertino, CA 95014 ❑ PTY ❑ SCC 10/1/2014 James E Jackson ®IND ❑COM Retired 300 300 22325 Regnart Rd. ❑ OTH Cupertino, CA 95014 ❑ PTY ❑ SCC SUBTOTAL. $ 1,400 *Contributor Codes IND— Individual COM— Recipient Committee (other than PTY or SCC) OTH —Other PTY-- Political Party SCC —Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866IASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period CALIFORNIA from 10/1/2014 FORM • thrnunh 10/18/2014 f! P � NANIL OF FILtF? RAMAMURTHY VAIDHYANATHAN DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER I_D,NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS (fF SELF -EM PLOYED, ENTER NAME PERIOD OF BUSINESS) 10/1/2014 Jyothi and Anil Godhwani ®IND ❑CoM CEO, Habitera 500 3194 Winding Visa Cmn ❑ OTH Fremont, CA 94539 ❑ PTY ❑SCC 10/18/2014 Piyush Gupta KIND Retired 500 7842 Belknap Dr. ❑Co Cupertino, CA 95014 ❑ PTY ❑ SCC 10118/2014 Eric Tao Wan Wang KIND ❑coM Principal Bios #atistician 500 5728 Verano PI ❑OTH Ariosa Diagnostics Irvine, CA 92612 ❑ PTY ❑ SCC 10/18/2014 Sheila Mohan ®IND Retired 400 10960 Santa Teresa Dr. El COM Cupertino, CA 95014 ❑ OTH ❑ PTY ❑ SCC 10/18/2014 Nashni Consulting ❑IND 1,000 22342 Regnart Rd ❑COM Cupertino, CA 95014 ©OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,900 Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC —Small Contributor Committee age of I.D. NUMBER 1370390 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 500 500 500 400 1,000 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • " � 1 from 10/1/2014 . - • 10/18/2014 through page of NAME OF FILER I.D. NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMnnIrrEE , ALSO ENTER i.D.NUMBEBI CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 9 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/18/2014 Jayashree Patil KIND Homemaker 300 300 21647 Rainbow Dr. F-1 OTH Cupertino, CA 95014 ❑ PTY ❑SCC 10/18/2014 Robert C Nellis KIND F-1 GOM Retired 100 100 22322 Regnant Rd. ❑OTH Cupertino, CA 95014 Ej PTY ❑SCC 10/18/2014 Shyla Sohoni OcoM Financial Analyst 100 100 10148 Judy Ave. ❑OTH CA Technologies Cupertino, CA 95014 ❑ PTY ❑ SCC 10/18/2014 Neena Jain KIND ❑Com Homemaker 100 100 1565 Hammett Ct. ❑ OTH San Jose, CA 95132 ❑ PTY ❑ SCC 10/18/2014 Shobana Nandakumar KIND EF-ICOMI Teacher 1,000 1,000 22342 Regnant Rd. Lincoln Elementary Cupertino, CA 95014 ❑ PTY ❑ SCC SUBTOTAL $ 1,600 "Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC -- Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866]ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetar Contributions Received Amounts y A may be rounded Statement covers period to whole dollars. I from 10/1/2014 - • through 1011812014 Page of NAME OF FILER I.D. NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF GONTRIBUTOR GONTRIBU IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED { IFGOMMITrEE ,ALSOENTERI,D.NUMBER) *OR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DAME (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/18/2014 Vineet Gupta kIND Business Development 200 200 1013 WestLynn Way ❑OTH Cisco Cupertino, CA 95014 ❑ PTY ❑ SCC FIND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 200 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAIDHYANATHAN FULL NAME, STREET ADDRESS AND ZIP CODE OFLENDER (IF COMMITTEE. ALSO ENTER I.D. NUMBER) SAVITA VAIDHYANATHAN tim IND ❑ COM ❑ 0TH ❑ PTY ❑ SGC tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC tEl IND ❑ COM ❑ 0TH ❑ PTY ❑ SCC Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/1/2014 through 10/18/2014 IF AN INDIVIDUAL; ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIOD It)) AMOUNT RECEIVED THIS PERIOD (c) AMOUNTPAID OR FORGIVEN THISPERIOD* (d) OUTSTANDING CLOSE OF THIS LOSE OF THIS PERIOD le) INTEREST PAID THIS PERIOD COMMUNITY LEADER TO DATE ❑ PAID 3,051 3.051 "none" 5 $ $ 3,051 0 ❑ FORGIVEN 5 DATE INCURRED RATE $ 3,051 $ 0 $ $ $ PER ELECTION- DATE DUE 5 DATE INCURRED ❑ PAID $ 5 i ❑ FORGIVEN RATE 5 $ $ $ DATE DUE ❑ PAID ❑ FORGIVEN RATE DATE DUE SUBTOTALS $ 0 $ $ 3,051 $ Schedule B Summary 1. Loans received this period .......................................... ........ ....................... (Total Column (b) plus unitemized loans 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.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. ......................... $ Ej SCHEDULE B -PART 1 Page I of J- I.D. NUMBER 1370390 If) Iel ORIGINAL CUMULATIVE AMOUNTOF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR 3,051 3.051 $ 5 0 8/4/2014 $ DATE INCURRED CALENDAR YEAR S $ PER ELECTION *" 5 DATE INCURRED CALENDARYEAR $ $ PER ELECTION- - 5 DATE INCURRED Irnrer Ie) on Schedule E, Line 3) 0 A NET $ 0 (May be a negative number) t Contributor Codes IND – Individual COM – RecipientCommittee (otherthanPTYorSCC) OTH – Other PTY– Politic@[Party SCC – Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (June101) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAIDHYANATHAN Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/1/2014 through 10118/2014 SCHEDULE E Page Jo of I.D. NUMBER 1370390 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. describe the payment. CUP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants UrrG 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 stafflspouse 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, A�SO ENTER LD,NUMDERI CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Advantage Grafix Printing of Mailer 10161 S De Anza Blvd CMP 4,680.60 Cupertino, CA 95014 Advantage Grafix Postage for EDDM Mailer 10161 S De Anza Blvd POS 3,730.48 Cupertino, CA 95014 Printing of card handouts Quickdata Media CMP 353.44 2228 Ringwood Ave., San Jose CA 95131 k Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8,764.52 Schedule E Summary 1. Payments made this period of $100 or more. (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 $ 9,373.81 49.00 0.00 9,422.81 FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAIDHYANATHAN Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period CALIFORNIA from 10/1/2014 FORM through 10/18/2014 Page.!) — of '')) d I.D. NUMBER 1370390 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment, CMP campaign paraphernalialmisc. 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 Fii_ 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 SID 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, a -mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID I Magik Copies 1328 Carpenter Modesto, CA 95350 CMP Printing of Paper Brochure /Handouts 609.29 * Payments thatare contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 609,29 FPPC Form 460 (June101) FPPC Toll -Free Helpline: 8661ASK -FPPC