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460 Recipient Committee Campaign Statement - Termination 1-31-19 Recipient Committee COVER PAGE R� � ` ' � ' � • ' Carnpaign Statement �_ Cover Page �, Statement covers period Date of election if appE� !� ��� � '� � e � of 'g from 10/21/2018 (Month,�ay,Yea) Por Official Use ONy SEEINSTRUCTIONSONREVERSE through 12/31/2f�18 11f06/2018 �� ������ ��� ��� � 1. Type of ReCipietl$Commi{tee: Au committees-comp�ete Parts�,s,a,a�a a. 2. Type of Statemen#: [� Officeholder,Candidate Controlled Committee ❑ Primarily Forrned Ballot Measure ❑ Preelection Statement ❑ (�uarterly Statement � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled Q� Termination Statement (AlsoComplefePartu� � Sponsored (Also file a Form 410 Termination) (Also Complete Part 6J ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate! � Small Contributor Committee Officeholder Committee � Politica}Party/Central Commitfee (A1soCompkteParf7J 3. Comrnittee Inforrnation �.D.NUMBER Treasurer(s) 1400946 COMMITTEE NAME(OR CANDIDATE'S NAME!F NO COMMITTEE) NAME OF TREASURER DEEPTiHARDAS KRISH ELLATH � ���� MAILING ADDRESS(IF DIFFEREN"�NO.AND STREEI OR P.O.BOX OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. Verification I have used all reasonable diligence in prsparing and reviewing this statement and to the best of my knowledge the information contained herein and in ihe attached schedules is true and complete. I cert"dy under penalty of perjury under the laws of the Sta#e of California that the#oregoing ExeCuted on Date gY Signature of Controlling Officeholder,Candidate,State Measure Pmponent Executed on BY Date Signature of Controlfing Officeholder,Candidate,State Measure Proponent FPPC Farm 460{1an/2016) FPPC Advice:advice@fppc.ca.gov{866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee . _ Campaign Statement . - � • i Cover Page— Part 2 Page 2 of_�' 5. Officeholder or Candidate Controiled Committee 6. Primarily Formed Ballot Measure Cotnmiftee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE TARA SREEKRISHNAN OFFICE SOUGHT OR HELd{INCLIJDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLQT NO.OR LETTER JURISDICTION ❑SUPPORT CUPERTINO CITY COUNCIL ❑ oPPose NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: Listanycommiitees not included in fhis statement that are contro/led by you or are primari/y formed fo receive OFFICE S011GHT OR HELD DISTRICT NO.IF ANY contn'�iutions or make expenditures on behelt'of your candidacy. COMMITTEE NAME I.D.NUMBEf2 7. Primarily Formed Candidate/Officeholder Committee Listnamesof NAME OF TREASURER CONTROLLED COMMITTEE? o�ceiroider(s)or candidafe(s)for which this commiftee is primarily formed. ❑YES ❑NO COMMITTEEADDRESS STREETADQRESS (NO P.O.BO� NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE CITY ST,4TE ZIP CODE AREA CODE/PHONE NAME OF OFFfCEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑OPPOSE COMMffTEE NAME I.Q.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 q{{�ch continuation sheets 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 � . . Sur�mary Page 10/2�/18 . - ` s ' from SEE INSTRUCTIONS ON REVERSE through �2�3j�j 8 Page 3 of $ NAME OF FILER I.D.NUMBER TARA SREEKRISHNAN FOR COUNCIL 2018 1400946 Con#ributions Received TOCAL1iHI�S ER OD �°N�"� Calendar Year Summary for Candidates (FROMATfACHEDSCtiEDULES) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions................................................... scnedu�ea,Line 3 � $5,400.00 $ $24,877.10 General Elections 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ scnedu�e a,Line 3 $5,400.00 $24,877.10 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions............................................ scneduiE c,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Addtines3+4 $ �5,400.00 � $24,877.10 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ sc�,edu�e F,Line 4 $ $7.232.62 � $39,003.65 Candidates 7. Loans Made....................................................................... scneduie H,Lina 3 $7,232.62 $39,003.65 22- Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines 6+7 $ $ (If Subject to Voluntary Expenditure limit) 9. Accrued Expenses{Unpaid Bitls)..........................................scned�ie F une s Date of Election Total to Date 10.Nonmonetary Adjustment.........................................................scnedu�e c,Line 3 (mmlddlyy) 11.TOTALEXPENDtTURESMADE........................................AddLiness+g+ip $ $7,232.62 $ $39,003.65 �� � Current Cash Statement �—J � 1Z.B2�Itl�tit�g CBSh B8f8F1C2............................ PreviousSummaryPage,Line 1S $ $1,832.62 To calculate Column B, 13.Cash Receipts........................................................... column A,�ine 3 above $5,400.00 add amounts in Column A to the corresponding *qmounts in this section may be different from amounts 14.Miscellaneous Increases to Cash.................................. scnedu�e i,Line 4 amounts from Golumn B reported in Column s. 15.Cash Paymen#s......................................................... co�umn a,Line 8 above $7232.62 of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE ..................Add Cines 12+93+94,then subtracr�ine 15 $ � be negative figures that should be subtracted ftom ff this is a termination statement,Line 96 must be zero. previous period amounts. If this is the first report being 17.LOAN GUARANTEES RECEIVED................................ schedulee,Part2 $ filed forthis calendaryear, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 9 8. Cash Equlv8lents................................................ See instruc6ons on reverse $ 19. Outstanding DebtS.............................. Add Line 2+C_ine 9 in Column e above $ FPPC Form 460(lanj2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www fppc.ca.gov Schedule A(Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) IVlonetary Contributions Received towholedollars. Statementcoversperiod • - ' � • ' from 10/21/18 � ' tt�rou9�►�y31/18 Page 5 of $ NAME OF F1LER I.D.NUMBER TARA SREEKRISHNAN FOR COUNCIL 2018 1400946 DATE FULL NAME,STREEFADDRESS AND ZIP CODE OF CONTRISUTOR CONTRIBUTOR IFAN tNDIVIDUAL,ENTER AMOUNT CUMULATNE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER l.D.NUMBER) CODE * OCCUPATION RN�EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF$USINESS) 10/25/18 Anita Krishnan pcoM Community Organizer. $500A0 $500.00 ❑OTH ❑PN ❑SCC Anirudh Sreekrishnan ��N� Partners Healthcare 10/25/18 ❑COM Resident Doctor $500.00 $500.00 ❑oT� ❑PTY ❑SCC Bay Area Municipal Election Committee ❑�ND iQ�25�18 ❑p-i-Y p scc Tara Sreekrishnan ��ND City of Berkeley 10/29/18 ���� $1,OOO.flO $4,052.�4 �QTH Legislative Assistant ❑PTY ❑SCC Park Chamberlain 0 COM RD`s Tax Strategies 11/6/18 ❑OTH ��Preparer $200.00 $200.00 ❑PN ❑SCC SUBTOTAL$ $2,500.00 �Contributor Codes IND—Individual COM—Recipient Committee (ofher than PTY or SCC) OTH—Other(e.g.,business enti#y) PTY—Political Party SCC—Smal(Contributor Committee PPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8fi6/275-3772) www.fppc.cagov SCheduie A (Continuation Shee$) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period � . from 10/21/18 � • - � � • � through 1�3���8 Page '� of g NAME OF FILER I.D.NUMBER TARA SREEKRISHNAN FOR COUNCIL 2018 1400946 DATE FULL NAME,STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL,ENTER AMOUNT CUMULATNE TO DATE PER ELECTION RECEIVED (IF CAMMiTTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE (IFSELFEMPLOYEA,ENTERNAME PERIOD (JAN.1-DEC.31) (IFREQUIRED) OF BUSINESSj Plumbers, Steamfitters&Refrigeration Fitters �IND y 1/2/18 Local 393 �coM $500.00 $500.00 ❑oTt� ❑P�Y ❑scc Tara Sreekrishnan ��N� City of Berkeley i 1�13�i 8 ���� Le islafive Assistant $200A0 $4,252.00 ❑orH 9� ❑PTY ❑SCC �IND ❑COM ❑OTH ❑PTY ❑SCC �IND ❑COM ❑OTH ❑PTY ❑SCC �IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ $700.00 'Corttributor Codes IND—Individual COM—Recipienf Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Palitical Party SCC—Small Contributor Committee FPPC Form 460(JanJ2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov SCryedU�e E Amounts may be rounded Statement covers period SCHEDULE E to whole dollars. • ' ' � . � Payments Made 10/21/18 •' from SEE INSTRUCTIONS ON REVERSE throu9h 12/31/18 page / of � NAME OF FILER I.D.NUMBER TARA SREEKRISHNAN FOR COUNCIL 2018 1400946 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign cansultants MTG meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)� OFC o�ce exper�ses 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 poiling and survey research TRS stafflspouse travel,lodging,and meals IND independent expenditure supporting/opposing others(expfain)` POS postage,delivery and messenger services TSF transfer between commiftees of the same candidate/sponsor LEG legai defense PRO professional services(tegal,accounting) VOT voter registraYion LIT eampaign literature and mailings PRT print ads WEB information technology costs(internet,e-maii) NAME AND ADDRESS OF PAYEE (IF COMMI7TEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ApexCreative Mailers $350A0 QuickData Media lnc Campaign Mailers/Extra Flyers $5,125.26 Political Data Inc Mailer �248•98 *Payments that are contributions or independertt expenditures must also be summarized on Schedule D. SU$TOTAL$ $5,724.24 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............... ..._........_._.._.,.........._..._.� $7,185.32 .......................................................... ' ................ $47.30 2. Unitemized payments made this penod of under$100.......................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column (e).).............................................................................$ 4. Total a ments made this eriod. Add Lines 1,2, and 3. Enter here and on the Summa Pa e, Colurnn A,Line 6. $7,232.62 p Y p � rY 9 )...........................TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www fppc.ca.gov SCr1eC�U�@ E Arnounts may be rounded SCHEDULE E(CONT.) (Continuation Sheet) to whole dotiars. Statemen#covers period �s J � � Payments Made from 10/21/18 �' SEE INSTRUCTIONS ON REVERSE tt�rouyh 12�31 h 8 page� of.�_ NAME OF FILER I.D.NUMBER TARA SREEKRISHNAN FOR COUNCIL 2018 t400946 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 retumed contributions CTB contribution(expiain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulafing TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travef,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals IND independent expenditure supportinglopposing others(explain)* POS postage,detivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services(legai,accounting) VOT vofer registration L1T campaigrt literature and mailings PRT print ads WEB information technology costs(internet,e-mail) NAME AND ADDRESS OE PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE,ALSO ENTER LD.NUMBER) Squarespace Inc. Website $216.00 Christopher Naso Campaign Staff $1,245.08 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1461.08 FPPC Form 460(JanJ2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov