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460 Recipient Committee Campaign Statement - Preelection 9-25-22 to 10-22-22Recipient Committee COVER PAGE Date Stamp CALIFORNIA I 60 Campaign Statement Cover Page ' RM Statement covers period Date of election if applicable: Flied Date- Page 1 of 10 For Official Use Only (Month, Day, Year) 10/24/2022 04:09 from 09/25/2022 PM SEE INSTRUCTIONS ON REVERSE through 10/22/2022 11/08/2022 1. Type of Recipient Committee: All Committees— Complete Parts 1, 29 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ./❑ Preelection Statement ❑ Quarterly Statement 3 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report 3 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) ❑ General Purpose Committee (Also Complete Part 6) ❑Amendment (Explain below) 3 Sponsored ❑ Primarily Formed Candidate/ 3 Small Contributor Committee Officeholder Committee 3 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1452894 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Govind Tatachari For Cupertino Council 2022 Balaji Seshachalam MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Cupertino CA 95014 ( CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE Cupertino CA 95015 ( OPTIONAL: FAX / E-MAIL ADDRESS 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 the laws of the State of California that the foregoing is true and correct. 10/24/2022 Officeholder, Candidate, State Measure Proponent or Responsible Officerof Sponsor Executed on By Date Signature of Controlling Officeholder, 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 NAME OF OFFICEHOLDER OR CANDIDATE GOVIND TATACHARI OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CUPERTINO CITY COUNCIL: CITY OF CUPERTINO RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) 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 ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 10 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 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Govind Tatachari OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) 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 ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 3 of 10 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 to whole dollars. Summary Page Statement covers period from 09/25/2022 SUMMARY PAGE through 10/22/2022 Page 4 of 10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Govind Tatachari For Cupertino Council 2022 1452894 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Prima and g Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions Schedule A, Line 3 $ 8,728.00 $ 15,734.00 1/1 through 6/30 7/1 to Date 2. Loans Received............................................................ Schedule a, Line 3 0.00 800.00 3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 +2 728.00 , $ 8$ 16,534.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ......................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................ Add Lines 3+4 $ 8,728.00 $ 16,534.00 Made $ $ Expenditures Made 6. Payments Made ................................ 7. Loans Made ....................................... 8. SUBTOTAL CASH PAYMENTS ..... 9. Accrued Expenses (Unpaid Bills) .. 10. Nonmonetary Adjustment ............... 11. TOTAL EXPENDITURES MADE.. .......................... Schedule E, Line 4 $ 6,067.13 ........................... Schedule H, Line 3 0.00 ............................... Add Lines 6 + 7 $ 6,067.13 .......................... Schedule F, Line 3 0.00 .......................... Schedule C, Line 3 0.00 ........................ Add Lines 8 + 9 + 10 $ 6,067.13 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 5,171.71 13. Cash Receipts.......................................................... Column A, Line 3 above 8,728.00 14. Miscellaneous Increases to Cash ................................ Schedule 1, Line 4 0.00 15. Cash Payments........................................................ Column A, Line 8 above 6,067.13 16. ENDING CASH BALANCE ...... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7,832.58 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................. See instructions on reverse $ 19. Outstanding Debts ............................... Add Line 2 +Line 9 in Column B above $ E M 800.00 $ 8,701.42 0.00 $ 8,701.42 0.00 0.00 $ 8,701.42 To calculate Column B, add amounts in Column A to 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). 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) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received Statement covers period . - from 09/25/2022 • - .1 through 10/22/2022 Page 5 of_10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Govind Tatachari For Cupertino Council 2022 14 22894 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED CALENDAR YEAR TO DATE OF BUSINESS) THIS PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ./❑ IND Vice President John Moore ❑ COM Raindrop systems Inc 9/25/2022 ❑ OTH 750.00 1,750.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Engineer Kishore Kasamsetty ❑ COM Cadence Design Systems 9/25/2022 ❑ OTH 150.00 150.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Engineer Santosh Rao ❑ COM Microsoft 9/25/2022 ❑ OTH 2O0.00 200.00 ❑ PTY Cupertino CA 95014 ❑ SCC Susan Moore ❑./ IND ❑ COM Retired 9/25/2022 ❑ OTH 2O0.00 1,200.00 ❑ PTY Cupertino CA 95014 ❑ SCC Alan Penn ❑./ IND ❑ COM Retired 9/26/2022 ❑ OTH 100.00 100.00 ❑ PTY Brentwood CA 94513 ❑ SCC SUBTOTAL $ 1,400.00 Schedule A Summary 1. Amount received this period — itemized monetary contribution (Include all Schedule A subtotals.)...................................................................................................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 .......................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................. TOTAL $ 8,481.00 247.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 8,728.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Monetary Contributions Received Statement covers period � . - from 09/25/2022 • - .1 through 10/22/2022 Page 6 of_10 NAME OF FILER I.D. NUMBER Govind Tatachari For Cupertino Council 2022 14 22894 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) ./❑ IND Software Professional Munisekaran Madhdhipatla ❑ COM Mitel Corporation 9/26/2022 ❑ OTH 500.00 750.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Engineer Sonali padgaonkar ❑ COM Motivity Labs 9/26/2022 ❑ OTH 500.00 500.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Amazon Yu -wen su Tod ❑ COM Engineer 9/26/2022 ❑ OTH 400.00 400.00 ❑ PTY Cupertino CA 95014 ❑ SCC Danessa Mendenhall ❑./ IND ❑ COM Retired 9/27/2022 ❑ OTH 250.00 500.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Sr Quality Engineer Hemalatha Shanmugam ❑ COM Amazon Inc 9/29/2022 ❑ OTH 500.00 500.00 ❑ PTY Cupertino CA 95014 ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 2,150.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Monetary Contributions Received Statement covers period � . - from 09/25/2022 • - .1 through 10/22/2022 Page 7 of_10 NAME OF FILER I.D. NUMBER Govind Tatachari For Cupertino Council 2022 14 22894 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER NAME THIS PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Venkat Ranganathan ❑ IND ❑ COM Engineer 9/29/2022 ❑ OTH 100.00 100.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Tech Lead Krithika Srinivasan Venkateswara Ayalur ❑ COM Davita 9/30/2022 ❑ OTH 2O0.00 200.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Retired Wayne and Joan Chin ❑ COM N/A 9/30/2022 ❑ OTH 500.00 1,000.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Engineer Xiaogang Dong ❑ COM Meta 9/30/2022 ❑ OTH 980.00 980.00 ❑ PTY Cupertino CA 95014 ❑ SCC Cathy C Tsang & David D Tsang ❑./ IND ❑ COM Retired 10/2/2022 ❑ OTH 1,500.00 1,500.00 ❑ PTY Los Altos CA 94024 ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 3,280.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Monetary Contributions Received Statement covers period � . - from 09/25/2022 • - .1 through 10/22/2022 Page 8 of_10 NAME OF FILER I.D. NUMBER Govind Tatachari For Cupertino Council 2022 14 22894 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED CALENDAR YEAR TO DATE OF BUSINESS) THIS PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Phyllis Dickstein ❑ IND ❑ COM Retired 10/2/2022 ❑ OTH 500.00 500.00 ❑ PTY Cupertino CA 95014 ❑ SCC sashikala begur ❑./ IND ❑ COM Retired engineer 10/2/2022 ❑ OTH 500.00 760.00 ❑ PTY cupertino CA 95014 ❑ SCC ❑./ IND Engineer Vikram Saxena ❑ COM Metaverse 10/2/2022 ❑ OTH 250.00 250.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Product Manager Yuvaraj A Raghuvir ❑ COM Amazon 10/2/2022 ❑ OTH 251.00 251.00 ❑ PTY Cupertino CA 95014 ❑ SCC ❑./ IND Vice President Ravi C Kumar ❑ COM Macstadium 10/10/2022 ❑ OTH 150.00 150.00 ❑ PTY Cupertino CA 95014 ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 1,651.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov A mi. +� m y hn r AA SCHEDULE B - PART 1 Schedule B —Part 1"'��"`� "'�' to whole dollars. Statement covers period • - Loans Received - I • , from 09/25/2022 • SEE INSTRUCTIONS ON REVERSE through 10/22/2022 9 9 of 10 Pa e NAME OF FILER I.D. NUMBER Govind Tatachari For Cupertino Council 2022 1452894 IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) (c) (d) OUTSTANDING (a) M (g) FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER BALANCE AMOUNT AMOUNT PAID BALANCE AT INTEREST ORIGINAL CUMULATIVE OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Govind Tatachari $ 0.00 $ 800.00 0.00 800.00 $ 800.00 $ 0 FORGIVEN PER ELECTION** RATE $ 800.00 $ 0.00 $ 0.00 11 /30/2022 $ 0.00 09/02/2022 $ t IND O COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ 0.00 / $ $ FORGIVEN PER ELECTION** RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ 0.00 / $ $ FORGIVEN PER ELECTION** RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0.00 $ 0.00 $ 800.00 $ 0.00 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.) Net change this period. (Subtract Line 2 from Line 1.) .................. 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. e E LI NET $ 0.00 (May be a negative number) (Enter (a) on Schedule E, Line 3) *Contributor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 09/25/2022 SEE INSTRUCTIONS ON REVERSE I through 10/22/2022 I page 10 of 10 NAME OF FILER Govind Tatachari For Cupertino Council 2022 I.D. NUMBER 1452894 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 RAID 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 FIND 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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Paypal Inc PRO Paypal Charges paid from 19th Sep to 27th Sep 22 59.55 San Jose CA 95131 Paypal Inc PRO Paypal Commission 9.22+17.94+3.98+9.25 Plus .84 =41.23 41.23 San Jose CA 95131 Registrar of Voters PRO Voter Data - obtained from Registrar of Voters by check 1002 132.00 Papyrus Printing CMP Check paid to Papyus printing by Govind 5,664.00 San Jose CA 95110 Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) . 2. Unitemized payments made this period of under$100.................................................................................................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)...................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.). SUBTOTAL $ 5,896.78 5,896.78 170.35 0.00 6,067.13 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov