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460 Recipient Committee Campaign Statement - Amendment 9-8-17 to 12-31-17Recipient Committee Campaign Statement Cover Page Statement covers period from 9/8/17 SEE INSTRUCTIONS ON REVERSE through 12/31/17 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. (� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) Sponsored E:1General Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER TARA SREEKRISHNAN FOR COUNCIL 2018 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 COVER PAGE Date of election if applic F E B 1 of 15 (Month, Day, Year) I ` or Official Use Only 11/6/18 1 CIPERTINO CITY CLLRK 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement W Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) 91 Amendment (Explain below) Correction made to the type of statement, SchE Line 4 , Summary page ending balance amount Treasurer(s) NAME OF TREASURER DEEPTIHARDAS MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY KRISH ELLATH MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE 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 perjury under t{he laws of the State of California that the foregoing Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Offiiceholder, Candidate, State Measure Proponent 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 Summary Page to whole dollars. Statement covers period from 9/8/17 . CALIFORNIA i • SEE INSTRUCTIONS ON REVERSE through 12/31/17 Page 3 of 15 NAME OF FILER 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 6. Payments Made................................................................ Schedule e, Line 4 $ TARA SREEKRISHNAN FOR COUNCIL 2018 Schedule H, Line 3 0 I.D. NUMBER1400946 Add Lines 6 + 7 $ 281.22 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 281.22 Contributions Received Schedule C, Line 3 Column A Column B TOTAL THIS 11. TOTAL EXPENDITURES MADE ........................................ Calendar Year Summary for Candidates 281.22 17, LOAN GUARANTEES RECEIVED ................................ Schedule 8, Part PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 0 Running in Both the State Primary and 1. Monetary Contributions 14404. 08 $ General Elections ................................................... Schedule A, Line 3 $ $ filed for this calendar year, 2. Loans Received................................................................ schedule 8, tine 3 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 14404,08 $ 20. Contributions 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED. ................................... Add Lines 3 + 4 $ 14404.08 $ Made $ $ Expenditures Made 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 6. Payments Made................................................................ Schedule e, Line 4 $ 281.22 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 281.22 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 281.22 10, Nonmonetary Adjustment......................................................... Schedule C, Line 3 14126.55 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + to $ 281.22 17, LOAN GUARANTEES RECEIVED ................................ Schedule 8, Part Current Cash Statement 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 12, Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 13, Cash Receipts........................................................... Column A, Line 3 above (mm/dd/yy) 14404.08 14, Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 $ 3.69 15, Cash Payments ............... ..................... Column A, Line 8 above To calculate Column B, 281.22 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 14126.55 If this is a termination statement, Line 16 must be zero. amounts from Column B reported in Column B. 17, LOAN GUARANTEES RECEIVED ................................ Schedule 8, Part $ 0 Cash Equivalents and Outstanding Debts be negative figures that 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19, Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 0 Expenditure Limit Summary for State $ Candidates $ 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ $ To calculate Column B, add amounts in Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE TARA SREEKRISHNAN FOR COUNCIL 2018 Amounts may be rounded to whole dollars. Statement covers period from 9/3/17 through 12/31/17 SCHEDULE E Page 15 of L5 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia/mist. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations candidate filing/ballot fees PET petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC candidate travel, lodging, and meals IND LEG independent expenditure supporting/opposing others (explain)* legal defense POS postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) VOT voter registration 55.31 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 77 AMOUNT PAID SquareSpace, Inc. Website 215.91 Wells Fargo Account Fees 10.00 Stripe Transfer Fees 55.31 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 281,22 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 281.22 2. Unitemized payments made this period of under $100 ............... $ 0 ............................ 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, e, Column A, Line 6. 281.22 ) ........................... TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov