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460 Recipient Committee Campaign Statement - Semi Annual 07-01-2016 to 12-31-2016 Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/2016 through 12/31/2016 . Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 0 Officeholder,Candidate Controlled Committee ❑ 0 State Candidate Election Committee Primarily Formed Ballot Measure 0 Recall Committee 0 Controlled (Also Complete Part 5) 0 Sponsored El General Purpose Committee (Also Complete Part ti) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) CITY STATE ZIP CODE 3. Committee Information I.D.NUMBER 95014 1370390 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2014 STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREACODE/PHONE MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS fit 111111 Date of election if appli 112. JAN 1 v C 201 (Month,Day,Year) Nov 4, 2014 1 C2EERTINQ CITY r M�� I 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment(Explain below) COVER PAGE —1 of For Official Use Only ❑ Quarterly Statement ❑ Special Odd-Year Report Treasurer(s) NAME OF TREASURER RAMAMURTHY VAIDHYANATHAN MAILING ADDRESS 7704 OROGRANDE PL CITY STATE ZIP CODE AREA CODE/PHONE CA 95014 408-420-7629 NAME OF ASSISTANT TREASURER,IF ANY CAROLYN KRIZEK-MAHONEY MAILING ADDRESS 10870 KESTER DR. CITY STATE ZIP CODE AREACODE/PHONE CA 95014 408-725-1767 OPTIONAL: FAX/E-MAILADDRESS 4. venncarion I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 3_6 ( � Date By Executed on O g Date y and in the attached schedules is true and complete. I Executed on gy Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(1an/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME Or UFFICEHOLDER OR CANDIDATE SAVITA VAIDHYANATHAN OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL, CUPERTINO, CA RESIDENTIAUBUSINESS 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 OF TREASURER COMM I.D.NUMBER STREETADDRESS (NO P.O.BOX) ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [:1 YES [-I NO COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA-GOD&PHONE COVER PAGE-PART 2 Page Z;� of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER I 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:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disdosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 7/1/2016 SUMMARY PAGE Current Cash Statement 12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 652 through 12/31/2016 !) Page SEE INSTRUCTIONS ON REVERSE 0 15. Cash Payments......................................................... Column A,Line 8 above 209 16. ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ of NAME OF FILER 17. LOAN GUARANTEES RECEIVED................................ Schedule e,Part $ Cash Equivalents and Outstanding Debts I.D.NUMBER RAMAMURTHY VAIDHYANATHAN 18. Cash Equivalents................................................ See instrucfions on reverse $ 0 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column 8 above $ 51 1370390 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in.Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A,Line 3 $ 0 $ 0 2. Loans Received................................................................ Schedule a,Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 ` $ 0 $ 0 20. Contributions Received $ $ 4. Nonmonetary Contributions............................................ Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED.................................... Add Lines 3+4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E,Line 4 $ 209 $ 307 Candidates 7. Loans Made....................................................................... Schedule H,Line 3 0 0 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6+7 $ 209 $ 307 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills).......................................... Schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment......................................................... Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE........................................ Add Lines s+s+10 $ 209 $ 307 _J� $ Current Cash Statement 12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 652 13. Cash Receipts........................................................... Column A,Line 3 above 0 1.4. Miscellaneous Increases to Cash.................................. Schedule 1,Line 4 0 15. Cash Payments......................................................... Column A,Line 8 above 209 16. ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 443 if this is a termination statement,Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED................................ Schedule e,Part $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instrucfions on reverse $ 0 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column 8 above $ 51 To calculate Column B, add amounts in Column Ato the corresponding amounts from Column 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(if any). Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(1an/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amnem+c mw he m .AaA SCHEDULE B-PART 1 oi:1 ilcuuie D — rart 'i to whole dollars. Statement covers period- Loans Loans Received F 460 from 7/1/2016 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page_ of NAME OF FILER I.D.NUMBER RAMAMURTHY VAIDHYANATHAN 1370390 FULL NAME,STREETADDRESS AND ZIP CODE WAN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT (C) AMOUNT PAID OUTSTDING AN (e) INTEREST ORIGINAL (9) CUMULATIVE OF LENDER (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE R Vaidhyanathan ❑PAID CALENDAR YEAR Cupertino, CA 95014 $ 51.00 51.00 $ % $ $ [I FORGIVEN RATE PER ELECTION" 51.00 tIZ IND El COM [I OTH E] PTY ❑ SCC $ $ $ $ DATE INCURRED $ DATE DUE ❑PAID CALENDARYEAR $ $ % $ $ ❑FORGIVEN .._. - RATE PER ELECTION t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE INCURRED $ DATE DUE - ❑PAID CALENDAR YEAR $ $ % $ $ E3 FORGIVEN FORGIVEN PER ELECTION""'" t IND ❑ ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ DATE INCURRED $ DATE DUE SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of 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.)..............................................................NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A:`- **If required. (May be a negaiive number) (Enter(e)on Schedule E,Line 3) tContributor 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(1an/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER RAMAMURTHY VAIDHYANATHAN Amounts may be rounded to whole dollars. Statement covers period from 7/1/2016 through 12/31/2016 SCHEDULE E Page of 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 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 surrey 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 COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wix-web site hosting WEB Annual charges for hosting website 149 Go Daddy WEB Annual fee for domain name 60 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 209 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................$ 209 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 $ 209 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov