460 Recipient Committee Campaign Statement - Semi Annual 1-1-21 to 6-30-21Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01 /01 /2021
through
06/30/2021
1. Type Of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
O State Candidate Election Committee
Committee
O Recall
O Controlled
(Afro Complete Part 5)
0 Sponsored
❑ General 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?
3. Committee Information
I.D. NUMBER
137039(
SAVITA VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2018
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
CUPERTINO CA 95014 -
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
RDR[EC 10MG
�}
AUG 2, 2021 U
CUPERTINO CITY CLERK
Date Stamp
Date of election if applicable:
(Month, Day, Year)
11 /08/2018 1
2. Type of Statement:
❑ Preelection Statement
.W Semiannual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
RAMAMURTHY VAIDHYANATHAN
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CUPERTINO CA 95014 -
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX I E-MAILADDRESS OPTIONAL: FAX / E-MAILADDRESS
4. Verification
have used all reasons le diligence in preparing and reviewing this statement and to schedules is true and complete. I
certify under penalty of erjury under the laws of the State of California that the foreg
Executed on ! o (
`' G� ` g
Date �% �j y
Executed on Ql �c--r-i� gy
Date
ponsor
Executed on By
Date Signature of Controlling ORceholder, Candidate, State Measure Proponent
Executed on 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
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
OFFICEHOLDER OR CANDIDATE
SAVITA VAIDHYANATHAN
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
CUPERTINO CITY COUNCIL
REST DENTIALIBUSI NESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
CUPERTINO, CA 95014
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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEiPHONE
COMMITTEE NAME, I.D. NUMBER
1
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COVER PAGE - PART 2
Page 2- of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER 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 Disclosure Statement
Amounts may be rounded
SUMMARY PAGE
Summary page
to whole dollars.
Statement covers period
, .
from
01/01/2021
• - •
06/30/2021
7�:g--N
SEE INSTRUCTIONS ON REVERSE
through
ofNAME
OF FILERUMBER
1370390
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
FROM ATTACHED SCHEDULES]
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
0
General Elections
1 . (Monetary Contributions ............... ..................... ...............
Schedule A, Line 3
$ $
2. Loans ReCelVed....._...__...................__
... Schedule B. Line3
0
1/1 through 6130 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS .............
Add 1 +2
0
$ $
0
20. Contributions
............
G. Nonmonetary Contributions ................ ............ .............
...
Schedule C. Line 3
D
0
Received $ $
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add
Lines 3+4
$ 0 $
0
Made $ $
Expenditures Made
6. Payments Made.... .............................. ...................
Schedule E. Line 4 $
50.00 $
50.00
7. Loans Made.. .... ...... ......... ....._............. ............
.... _. Schedule N. Line 3
0
0
S. SUBTOTAL CASH PAYMENTS ...................
.......... Add Lines 6+7 $
50.00 $
50.00
9. Accrued Expenses (Unpaid Bills)........_ .................
......_.......Schedule F Line 3
0
0
10. Nonmonetary Adjustment .............................. -........................
Schedule C, Line 3
0
0
11, TOTAL EXPENDITURES MADE... .....................................
Add Lines 8+9+10 $
50.00 $
50.00
Current Cash Statement
12. Beginning Cash Balance.— ........................ Previous Summary Page, Line 16 $
13. Cash Receipts......_ ................. ....._.................. ........ Column A, tine 3above
14. Miscellaneous Increases to Cash .................................. schedule 1. Line 4
15. Cash Pavments ........_.._.....__......_.._.._._............... Column A. Line 6above
fib. ENDING CASH BALANCE .._....._.._...Add Lines 12 + 13 + 14. then subtract Line 15 $
, f this is a termination statement. Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ............. ._.__._........ Schedule B. Part2 $
�cc.asx >maf c.fav GabaaLJ BRIiY vMLu'lipelAAiH IL�. LJCLJ Le?
18. Cash Equivalents .................... ..................... See instructions on reverse $
19. Outstanding Debts......, ....................... Add Line 2+ Line 9 in Column B above $
To calculate Column B.
0
add amounts in Column
0
A to the corresponding
amounts from Column B
50.00
of your last report. Some
4564.13
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
0
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
I
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subjectto Voluntary Expenditure Limit)
Date of Election Total to Date
(m mlddi yy)
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (!an/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded Statement covers period
Payments Made to whole dollars.
I from 01 /01 /2021
SEE INSTRUCTIONS ON REVERSE
`�
through 06/30/2021 Page rl of i
1370390
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 consultants
MTG meetings and appearances
RFD returned contributions
CTB contribution (explain nonmonetary)"
OFC office expenses
SAL campaign workerssalaries
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
POE 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
\NEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
IFGCMMiTTEE.ALSOENTER J.o.NUMBER)
CODE OR DESCRIPTION OF PAYMENT
,AMOUNT PAID
I
I
i
I
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
1. Itemized payments made this period. (Include all Schedule E subtotals.)................................................................................. 0.00
2. Uniternized payments made this period of under$100............................................................................... 50.00
........... $
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 $ 50.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F Amounts may be rounded SCHEDULE F
to whole dollars. Statement covers period • -
Accrued Expenses (Unpaid Bills) 01/01/2021 • -M
from
through
06/30/2021 f'
SEE INSTRUCTIONS ON REVERSE I Page of
NAME OF FILER
I.D. NUMBER
1370390 I
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/mist.
MBR member communications
RAID radio airtime and production costs
CNS campaign consultants
MTG meetings and appearances
RFD returned contributions
CTB contribution (explain nonmonetary)*
DEC 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
RHO phone banks
TRC candidate travel; lodging. and meals
END fundraising events
ROL polling and survey research
TRS staff/spouse travel, lodging. and meals
IND independent expenditure supportinglopposing 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 technoloav costs (internet. e-maih
,,AME AND ADDRESS OF CREDITOR
!F coMMnreE, ALSO ENTER o NUMBER)
I
I CODE OR
(a)
OUTSTANDING
(b)
AMOUNT INCURRED
(c)
AMOUNT PAID
(d)
OUTSTANDING
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON s)
OF THIS PERIOD
Comp Tech Services
WEB
177
I
0
0
177
I
I
- Fayments +.hat are contributions or independent expenditures must also be SUBTOTALS $
summarized on Schedule D. 177 $ 0 $ 0 $
177
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100. 0
p p p ) ..............................................INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.)................................... PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.)..............................................................................................................................................NET $ 0
M., be a -g.b e number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www,fppc.ca.gov