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460 Recipient Committee Campaign Statement - Preelection .. , COVER PAGE Recipient Committee � « �; ��ta�p �/ �� . _ , , , Campaign Statement � �D . - � � Cover Page �� , Statement covers period Date of election if applic�t�l,�� SEf 2 � 2016 ; P�e 1 of 13 ��' O187/01/2016 (Month,Day,Year) � I For Official Use Only from � SEEINSTRUCTIONSONREVERSE 09/24/2016 11/08/2016 ` CUPERTII!0 CITY CLER�K through 1. Type of Recipient Committee: An comm�ttees-compiete Parts�,2,s,a�a a. 2. Type of Statement: �r Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall � Controlled ❑ Termination Statement (AlsoComplefePad5) � Sponsored (Also file a Form 410 Termination) �Also Complefe PaR 6) ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Officeholder Committee (Also Complole Pad 7) � Political Party/Central Committee 3. Committee Information I.D.NUMBER Treasurer(s) I 1386483 . COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Bharwad for City Council 2016 Jakshi Bharwad BOX) CITY STATE ZIP CODE AREA CODE/PHONE 10511 Madera Dr CITY STATE ZIP CODE PHONE NAME OF ASSISTANTTREASURER,IF ANY Cupertino Ca 95014 650-868-6359 MAILING ADDRESS(IF DIFFERENT)N0.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIPCODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS parthbharwad@gmail.com , 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge Executed on 9�24/2016 ey ' Date Signature of 'ontro i ffcehotder,Candidate,State Measure Proponent or Responsible Offcer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on BY Date Signature of Controlling Offceholder,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 Campaign Statement ' � ' � � � Cover Page — Part 2 � Page 2 of 13 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE ' Parth Bharwad OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT Cupertino City Council I I ❑ oPPosE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. Cupertino CA 95014 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT � Related Committees Not Included in this Statement: �rsra�ycommittees not included in ihis statement fhaf are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT N0.IF ANY contributions or make expenditures on behalf of your candidacy. I COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE7 7• Pr111181'II�/ FOI'R12C� Ca11CIICIBte/OfFIC@IIOIC�@�COfTlfTlltt@@ Listnames of o�ceholder(sJ or candidate(sJ for which fhis committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (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 COMMITTEE NAME I.D.NUMBER ❑ OPPOSE 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 ❑ YES ❑ NO ❑ SUPPORT COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach confinuation sheets if necessary FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period � - Summary Page 07/01/2016 . - ' • � from throu h 09/24/2016 page 3 of 13 9 SEE INSTRUCTIONS ON REVERSE { NAME OF FILER I.D.NUMBER I Bharwad for City Council 2016 1386483 a Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD CALENDAR YEAR (PROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 18,841.54 1. Monetary Contributions................................................... scneduiea,une s $ O $ 1/1 through 6/30 �i� co Date 2. Loans Received................................................................ scneduie e,�ine s 18,841.54 20. Contributions I Z� � � —��SC� S� 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines 1+2 $ $ Received $ $_l_G ��— 4. Nonmonetary Contributions............................................ scneduie c,une s 190 21 M de ditures $ �� 8' $ �'� (p�. 2� 5. TOTALCONTRIBUTIONSRECEIVED....................................Add�ines3+4 $ 19,031.54 � Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scneduie E,�r�e a $ 6,965.28 g Candidates 7. L08f1S MadB....................................................................... Schedule H,Line 3 � 6,965.28 22 ICf S b ecatoVVo EntPry EtlpendeureNLamie* 8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines s+� $ $ � 9. Accrued Expenses(Unpaid Bills)..........................................scneduie F une s � Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scned�ie c,une 3 0 (mm/dd�yy) 11. TOTALEXPENDITURESMADE........................................Add�ines8+g+10 $ 6,965.28 g _J_J � Current Cash Statement —�-� $ 12. Be9lflflln9 CBSh B818I1C2............................ Previous Summary Page,Line 16 $ � To calculate Column B, 18841.54 add amounts in Column 13. C2Sh R2C2�ptS........................................................... Column A,Line 3 above A to the correS ondin p 9 'Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scneduie i,u�e a � amounts from Column B reported in Column B. 15. Cash Payments......................................................... Column A,�ine 8 above 6965.28 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add�ines�2+13+14,then subtract Line 15 $ 1 1,876.26 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................................ Schedule e,Part 2 $ 0 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if � a�Y) 18. Cash EquivalentS................................................ See instructions on reverse $ 19. OUtStafldlflg D@btS.............................. Add Line 2+Line 9 in Column B above $ � FPPC Form 460(1an/2o16) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dotlars. Statement covers period Monetary Contributions Received • ' � � � � from 07/01/2016 � - through 09/24/2016 Pa9e 4 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE.ALSO ENTER I.D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SE�F-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) QF REQUIRED) OF BUSINESS) ❑coM Parthex Inc. $251 $251 Cupertino, CA 95014 ❑OTH ❑PTY �,L(7 ❑SCC ❑OTH Suhus Coffee $1,000 $1,000 Fremont, CA 94539 ❑PTY p scc a�''��N �o�H $1,900 $1,900 $ Cupertino, CA 95014 ❑PTv ❑scc �o�H , �P $101 $101 $�01 Los Altos, CA 94024 ❑PTY G��' ❑scc , c� �� ❑PTY ❑scc SUBTOTAL$ 3752 I � , Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. iN�-ind�viduai Include all Schedule A subtotals. $ 18,702 COM—Recipient Committee � �......................................................................................................... (other than PTY or SCC) 2. Amount received this eriod-unitemized moneta contributions of less than $100 ...........................$ 139.54 OTH—Other(e.g.,business entity) p ry PTY—Political Party 3. Total monetary contributions received this period. scc-smau contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 18, 841.54 ' FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period � . from 07/01/2016 • ' � . 1 through 09/24/2016 page 5 of 13 NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE * O F SEFAEM�P OFlYED,NM RLNOAMER RECEIVED THIS CALENDAR YEAR TO DATE ( PERIOD (JAN.1-DEC.3�) QF REQUIRED) OF BUSMESS) _ ❑OTH B�9 Suvar Foods $2,500 $2,500 $2,500 San Marino, CA 91108 ❑PTY G v.ry�,�jl� ❑scc �coM $250 $250 Cupertino, CA 95014 0 OTH ❑PTY ❑SCC ��M $100 $100 $100 Fremont, CA 94538 ❑OTH ❑PTY ❑SCC ❑coM $250 $250 $250 Cupertino, CA 95014 QOTH ❑PTY ❑SCC ❑COM UPS Store Owner $500 $500 $500 Cupertino, CA 95014 ❑OTH ❑PTY ❑SCC SUBTOTAL$ 3,600 I . `Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(Jan/2016) SCC—Small Contributor Committee FPPC Advice:advice@fppc.ca.gov(866/275-3772) " www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period • - � • 1 from 07/01/2016 • ' through 09/24/2016 page 6 of 13 NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMUTATIVE TO DATE PER ELECTION RECEIVED �iF connMirree.n�so eNreR i o NunneeR> CODE * �IF sePAenn�oveo.NnT RLNOAMER RECEIVED THIS CALENDAR YEAR TO DATE ( PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) ❑OTH Vagabon Inn $250 $250 $250 San Jose, CA 95106 ❑PTY o�� ❑scc ❑COM ��`lL�1� $250 $250 Sunnyvale, CA 94087 ❑OTH ❑PTY ❑SCC ❑coM $51 $152 $152 Los Altos, CA 94024 ❑PTY �-�91�v ❑scc ❑coM $499 $499 $499 Los Altos, CA 94024 ❑OTH ❑PTY ❑SCC ❑Conn $499 $499 $499 Los Altos, CA 94024 ❑OTH ❑PTY ❑SCC SUBTOTAL$ $1,549 j � *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political PaRy FPPC Form 460(Jan/2016) SCC—Small Contributor Committee FPPC Advice:advice@fppc.ca.gov(866/275-3772) � www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Moneta Contributions Received to whole dollars. � Statement covers period • - � • � from 07/01/2016 • - through 09/24/2016 page � of 13 NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (iF eonnnnirree,n�so eNreR i.o.NUMeeR) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD JAN.1-DEC.31 oF euswess� � ) QF REQUIRED) Niraj P Baxi �IND Self Employed 09/03/2016 ❑OTH � ❑PTY ❑SCC V.J. Kreatiens ❑itv� - 09/12/2016 �OTH ❑PTY ❑SCC Gilbert Wong �IND C�� $100 09/21/2016 ❑OTH ��p ❑PTY ❑scc C,c��v1��1�-e�btv- Shobana Nandakumar C,�IND Homemaker 09/22/2016 ❑OTH $2,000 $2,000 ❑PTY ❑SCC Jonathon Wang D IND Certified Mech. Engineer 09/22/2016 �PTY Mechanical ❑scc SUBTOTAL$ 4,801 J *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . - • . 1 from 07/01/2016 • - through 09/24/2016 page 8 of �3 NAME OF FI�ER I.D.NUMBER Bharwad for City Council 2016 1386483 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QF SELF-EMPLOYED,ENTER NAME PERIOD JAN.1-DEC.31 IF REQUIRED OF BUSINESS) � � � � Align Traders Inc. ❑iN� 09/22/2016 O�TH $1,000 $1,000 $1,000 ❑PTY ❑SCC Nashni Consulting ❑IND 09/22/2016 D OTH $2,000 $2,000 ❑PTY ❑SCC Ting Sun D IND Homemaker 09/22/2016 ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ � $5,00o j '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 C Amounts may be rounded SCHEDULE C to whole dollars. Statement covers period Nonmonetary Contributions Received • ' � . � � from 07/01 l2016 • ' through 09/24/2016 page 9 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 � CUMULATIVE TO IFAN INDIVIDUAL,ENTER AMOUNT/ PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE* GOODS OR SERVICES CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE NnMe oF eusiNess� (JAN 1-DEC 31) ❑COM Five Guys Burger fundraising event $150 $150 $150 Cupertino, CA 95014 ❑OTH �w�Y ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ $15p I I ; Schedule C Summary �ContributorCodes 1. Amount received this period-itemized nonmonetary contributions. iN�-inaividuai (Include all Schedule C subtotals.)......................................................................................................................$ 150 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than $100 ..................................$ 40 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. sCc-smaii Concributor committee (Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Lines 4 and 10. TOTAL $ 190 - rY 9 )..................... FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers period � . Supporting/Opposing Other to whole dollars. � � � from 07/01/2016 • ' Candidates, Measures and Committees through 09/24/2016 pa9e 10 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 i CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CAIENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (iF REQUIRED) PERIOD (JAN.i-DEC.3i) (iF REqUiRED) OR COMMITTEE API Empowerment PAC � Monetary FPPC# 1340395 09/09/2016 Contribution $100 $100 �100 � Nonmonetary Contribution � Independent ❑ Support ❑ Oppose Expenditure Santa Clara County UDC 0 Monetary FPPC#871053 09/21/2016 Contribution $1,500 ❑ Nonmonetary $1,500 $1,500 Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure � Monetary Contribution � Nonmonetary Contribution � Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1,600 I I , Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 1,600 2. Unitemized contributions and independent expenditures made this period of under$100.................................................................................... $ 3. Total contributions and inde endent ex enditures made this eriod. Add Lines 1 and 2. Do not enter on the Summa Pa e. TOTAL.. $ 1,600 P P P ( rY 9 ).......... FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period � . , to whole dollars. � ' Payments Made from 07/01/2016 • � through 09/24/2016 Page 11 of 13 SEE INSTRUCTIONS ON REVERSE + NAME OF FILER I.D.NUMBER I Bharwad for City Council 2016 1386483 � 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 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 �iF connnnirree,n�so eNreR i o NunneeR� CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Zazzle.com CMP �199•9$ Cupertino Chamber of Commerce Booth at the annual Diwali festival on Oct 15, 2016 20455 Silverado Ave $250 Cupertino, CA 95014 LIT 473.55 San Leandro, CA 94577 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 923.53 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 6,543.53 421.75 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).)............................................................................. $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 6,965.28 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 be rounded to whole dollars. Statement covers period � _ , (Continuation Sheet) � � Payments Made from 07/01/2016 • ' through 09/24/2016 Page 12 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE,AL50 ENTER I.D.NUMBER) City of Cupertino 10300 Torre Ave FIL $1,920 Cupertino, CA 95014 $250 Cupertino, CA 95014 CMP $1,250 Arlington, VA 22207 processing $300 Arlington, VA 22202 $300 Cupertino, CA 95014 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4020 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 be rounded Statement covers period � . (Continuation Sheet) to wno�e ao��a�. � � � Payments Made from 07/01/2016 • " through 09/24/2016 Pa9e 13 of 13 SEEINSTRUCTIONS ON REVERSE _ __ _ _ � NAME OF FILER I.D.NUMBER Bharwad for City Council 2016 1386483 ! 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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE.ALSO ENTER I.D.NUMBER) API Empowerment PAC FPPC# 1340395 CTB $100 Santa Clara County UDC FPPC#871053 CTB $1,500 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,600 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov