460 Recipient Committee Campaign Statement - Semi Annual 01-01-2016 to 06-30-2016 Reci ient Committee COVER PAGE
p Date Stamp '
Campaign Statement - = --_ - � �' - � � � •
Cover Page � ---° ��`�
Statement covers period Date of election if applicabie: �, ,
Page -J of >
from
1/1/2016 (Month,Day,Year) i+.�u 3 — 2��� For O�cial Use Only
,..����TINO C1TY "����'���;���a<.
SEE INSTRUCTIONS ON REVERSE through� 6/30/2016 Nov 4, 2014 �'+� �—'�
1. Type of ReCipient Committee: A��committees-comp�ete Parts�,z,s,and 4. 2. Type of Statement:
0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
� State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report
� Recall � Controlled ❑ Termination Statement
(AlsoCompletePertS) � Sponsored (Also file a Form 410 Termination)
(Also Complete Pert 6)
❑ General Purpose Committee ❑ Amendment(Explain below)
� Sponsored ❑ Primarily Formed Candidate/
� Small Contributor Committee Officeholder Committee
� Political Party/Central Committee (A�so Complete Pert 7)
3. Committee Information I 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
MAILING ADDRESS
STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANTTREASURER,IF ANY
CUPERTINO CA 95014 CAROLYN KRIZEK-MAHONEY
MAILING ADDRESS(IF DIFFEREN�NO.AND STREET OR P.O.BOX MAILINGADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAILADDRESS 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�erjury under the laws of the State of California that the foregoing is true and correct. ,
�-� [, �.(� ,
Executed on f"(� C � ��^' By / +��`�
�) Date �
of Sponsor
Executed on By
Date Signature of Controlling Otficeholder,Candidate,State Measure Proponent
Executed or By
Date 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 � _ .
Campaign Statement . - ' • �
Cover Page — Part 2
�
Page � of �
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 � SUPPORT
CITY COUNCIL, CUPERTINO, CA ❑ oPPosE
RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREE� 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: �rsr a�y�omm�ttees
not included in this statement that are conirolled by you or are primarily formed to receive OFFICE SOUGHT OR HELD I 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
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheeGs if necessary
FPPC Form 460(Jan/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 � ,
from
1/1/2016 • - • �
6/30/2016 r�
,
SEE INSTRUCTIONS ON REVERSE
through Page - ' of '
NAME OF FILER I.D.NUMBER
RAMAMURTHY VAIDHYANATHAN 1370390
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR
(FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... scnedu�e,a,Line 3 $ � � � 1!1 through 6/30 7/1 to Date
2. Loans Received................................................................ scneduie a,Line 3 0 0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ 0 $ � Received $ $
4. Nonmonetary Contributions............................................ scnedu�e c,Line 3 � � 21. Expenditures
5. TOTALCONTRIBUTIONS RECEIVED....................................Addlines3+4 $ � $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ scneduie E,Line 4 $ 98 $ 98 Candidates
7. Loans Made....................................................................... scneduie H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines s+7 $ 98 $ 98 (If Subject to Voluntary Expenditure Llmlt)
9. Accrued Expenses(Unpaid Bills)..........................................scnedu�e F une s � � Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................scneduie c,Line 3 0 0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE........................................Add�ines s+s+�o $ 98 $ 98 �� �
Current Cash Statement �� �
12. Beginning Cash Balance............................ Previous summary Paqe,Line 16 � 750
To calculate Column B,
13. Cash Receipts........................................................... Column A,�ine s above � add amounts in Column
� A to the corresponding 'Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. scneduie�,Line 4 amounts from Column B reported in Column B.
9$ of your last report. Some
15. CBSh P8yf112(1tS......................................................... Column A,Line 8 above amounts in Column A may
16. ENDING CASH BALANCE ..................Add�ines 12+13+14,then subfrect Line 15 $ 652 be negative figures that
should be subtracted from
lf this is a termination statement, Line 16 must be zero. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED................................ scnedu�e e,Part 2 $ filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if
18. CBSh EqUivalents................................................ See instructions on reverse $ � any).
19. OUtSt8lldillg Debts.............................. Add Line 2+Line 9 in Column B above $ 51 FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/2753772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE B-PART 1
Schedule B — Part 1 to whole dollars. Statement covers period
. - � • �
Loans Received trom 1/1/2016 • -
�,1t ��
SEE INSTRUCTIONS ON REVERSE through 6/30/2016 page I of �
NAME OF FILER I.D.NUMBER
RAMAMURTHY VAIDHYANATHAN 1370390
IFAN INDIVIDUAL,ENTER �a� (b) (�) (d) (e) �t� (g�
FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF LENDER OCC FPETFOMP oD�EMPTOYER gALANCE RECEIVED THIS OR FORGIVEN BALANCE AT pAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS pERIOD . CLOSE OF THIS pERIOD LOAN TO DATE
PERIOD THIS PERIOD PERIOD
R Vaidhyanathan ❑ PAID CALENDAR YEAR
Cupertino, CA 95014 � � 51.00 , $ 51.00 $
RATE
❑ FORGIVEN PER ELECTION"
$ 51.00 $ $ $
t� IND ❑ coM ❑ OTH ❑ PTv ❑ scc $
DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION*'
f $ $ $ DATE DUE $ DATE INCURRED $
❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID CALENDAR YEAR
$ $ % $ 5
RATE
❑ FORGIVEN PER ELECTION"
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED §
SUBTOTALS $ $ $ $
Schedule B Summary (Enter(e)on
Schedule E,Line 3)
1. Loans received this period....................................................................................................................$
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes '
2. Loans paid or forgiven this period.........................................................................................................$ IND—Individual
COM—Recipient Committee
(Total Column (c) plus loans under$100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity)
PTY—Political Party
3. Net chan e this eriod. Subtract Line 2 from Line 1. NET $ SCC—Small Contributor Committee
9 P � ) ..............................................................
Enter the net here and on the Summary Page, Column A, LI�Ie G. (May be a negative number)
Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016)
'*If required. , FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Amounts may be rounded
Sche U@ to whole dollars. Statement covers period � _ , • t
Payments Made 1/1/2016 • '
from
i
SEE INSTRUCTIONS ON REVERSE
through 6/30/2016 page � of y
NAME OF FI�ER 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 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 o�ce 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 T5F transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services(legal,accounting) VOT voter registration
LIT campaign literature and maitings PRT print ads WEB information technology costs(internet,e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEE,AL50 ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Wells Fargo Bank Service Charges-Bank Fees for Account
OFC Maintenance 48.00
CA Secretary of State Annual fee for FPPC
OFC 50.00
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 98.00
Schedule E Summary
1. Itemized a ments made this eriod. Include all Schedule E subtotals. 98.00
P Y P � )............................................................................................................. $
2. Unitemized payments made this period of under$100..........................................................................................................................................$
0.00
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 $
98.00
FPPC Form 460(Jan/2016�
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov