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460 Recipient Committee Campaign Statement - Preelection 9-25-22 to 10-22-22Recipient Committee Campaign Statement Cover Page from Statement covers period I Date of election if applicable: 09/25/2022 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 10/22/2022 1. Type of Recipient Committee: All Committees— Complete Parts 1, 29 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 3 State Candidate Election Committee Committee 3 Recall 0 Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) 3 Sponsored ❑ Primarily Formed Candidate/ 3 Small Contributor Committee Officeholder Committee 3 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1448574 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sheila Mohan For Cupertino City Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Cupertino CA 95014 AREACODE/PHONE ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 11 /08/2022 Date Stamp Filed Date- 10/27/2022 05:56 PM COVER PAGE .- .1 Page 1 of 16 For Official Use Only 2. Type of Statement: ./❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ram Mohan MAILING ADDRESS CITY STATE ZIP CODE Cupertino CA 95014 AREACODE/PHONE ( NAME OF ASSISTANT TREASURER, IF ANY 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 the laws of the State of California that the foregoing is true and correct. Executed on 10/27/2022 By Date Signature of Controlling 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 Ms Sheila Mohan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member: 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 16 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 3 of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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 $ 12,825.00 $ 54,744.00 1/1 through 6/30 7/1 to Date 2. Loans Received............................................................ Schedule a, Line 3 0.00 10,500.00 3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 +2 825.00 , $ 12$ 65,244.00 20. Contributions Received $ 27,650.00 $ 37,594.00 4. Nonmonetary Contributions ......................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................ Add Lines 3 +4 , $ 12$ 65,244.00 Made $ 400.00 $ 58,541.56825.00 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 $ 27,858.25 ........................... Schedule H, Line 3 0.00 ............................... Add Lines 6 + 7 $ 27,858.25 .......................... Schedule F, Line 3 0.00 .......................... Schedule C, Line 3 0.00 ........................ Add Lines 8 + 9 + 10 $ 27,858.25 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 21,335.69 13. Cash Receipts.......................................................... Column A, Line 3 above 12,825.00 14. Miscellaneous Increases to Cash ................................ Schedule 1, Line 4 0.00 15. Cash Payments........................................................ Column A, Line 8 above 27,858.25 16. ENDING CASH BALANCE ...... Add Lines 12 + 13 + 14, then subtract Line 15 $ 6,302.44 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 10.500.00 $ 58,941.56 0.00 $ 58,941.56 0.00 0.00 $ 58,941.56 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) 11/08/2022 $ 58,941.56 *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 4 of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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) Allen Hiromura ❑ IND ❑ COM Retired 9/25/2022 ❑ SCC ❑./ IND Manager Jimmy Zhang ❑ COM Asia Pioneer Group 9/27/2022 ❑ SCC Amy Migdal ❑./ IND ❑ COM Not Employed 9/28/2022 ❑ SCC ❑./ IND Engineer Dhrumil Gandhi ❑ COM Tela Innovations 9/28/2022 ❑ SCC ❑./ IND Engineer Michael Hamamoto Tribble ❑ COM Google 9/28/2022 ❑ SCC 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.) ..... SUBTOTAL $ 1,400.00 $ 12,300.00 $ 525.00 *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 TOTAL $ 12,825.00 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 5 of 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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 Marketing Mili Reddy ❑ COM Sephora USA 9/29/2022 ❑ SCC ❑./ IND Travel Agent Priscilla Repetti ❑ COM Travelsmiths 9/29/2022 ❑ SCC Timothy Oey ❑./ IND ❑ COM Not employed 10/1/2022 ❑ SCC ❑./ IND Sales John Geis ❑ COM Renesas Electronics 10/2/2022 ❑ SCC Homer Tong ❑./ IND ❑ COM Retired 10/3/2022 ❑ 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 $ 900.00 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 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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) Abha Shukla ❑ IND ❑ COM Retired 10/4/2022 ❑ SCC Amar Gupta ❑./ IND ❑ COM Not Employed 10/4/2022 ❑ SCC ❑ IND IBEW 332 Education Fund/All Purpose Acct ❑ COM 10/4/2022 ❑ SCC Plumbers, Steamfitters & Refrigeration Fitters Local 393 ❑ IND PAC ❑ COM 10/4/2022 ❑ SCC Prakash Bhalerao ❑./ IND ❑ COM Retired 10/4/2022 ❑ 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 $ 2,851.00 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 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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 Lawyer Nancy Clark ❑ COM County of Santa Clara 10/5/2022 ❑ SCC Rima Singh ❑./ IND ❑ COM Retired 10/5/2022 ❑ SCC ❑./ IND Engineer Geetha Arun ❑ COM Synopsys Inc 10/6/2022 ❑ SCC Mala Chandra ❑./ IND ❑ COM Retired 10/6/2022 ❑ SCC Talat Hasan ❑./ IND ❑ COM Retired 10/7/2022 ❑ 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 $ 2,650.00 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 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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 Deputy County Exec Martha Wapenski ❑ COM Santa Clara County 10/8/2022 ❑ SCC ❑./ IND Council member Hung Wei ❑ COM City of Cupertino 10/12/2022 ❑ SCC ❑./ IND Marketing executive Katherine Miller ❑ COM Google 10/15/2022 ❑ SCC ❑./ IND Executive Amanda Farrell ❑ COM 54 Reckless 10/17/2022 ❑ SCC ❑./ IND Teacher Anita Amarnath ❑ COM CUSD 10/17/2022 ❑ 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 $ 3,299.00 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 9 of 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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) Laxmi Rastogi ❑ IND ❑ COM Retired 10/18/2022 ❑ SCC ❑ IND API Empowerment PAC ❑ COM 10/19/2022 ❑ SCC ❑ IND California Apartment Association PAC ID#745208 ❑ COM 10/19/2022 ❑ SCC Reeta Gheewala ❑./ IND ❑ COM Retired 10/20/2022 ❑ SCC Tom Scannell ❑./ IND ❑ COM Retired 10/21/2022 ❑ 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 $ 1,100.00 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 10 of 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 4448574 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) ./❑ IND Education BeatriceViramontes ❑ COM Teach for America 10/22/2022 ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ 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 $ 100.00 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 11 of 16 Pa a NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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 Ram Mohan Retired $ 0.00 $ 100.00 0.00 100.00 $ 10,500.00 � $ 0 FORGIVEN PER ELECTION** 10960 500.00 G-22 $ 100.00 $ 0.00 $ 0.00 $ 0.00 05/17/2022 $ t O IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR Ram Mohan Retired $ 0.00 $ 400.00 0.00 400.00 $ 10,500.00 � $ 1i FORGIVEN PER ELECTION** 10960 500.00 G-22 $ 400.00 $ 0.00 $ 0.00 $ 0.00 05/18/2022 $ t O IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR Ram Mohan Retired $ 0.00 $ 10,000.00 0.00 10,000.00 $ 10,500.00 � $ 1i FORGIVEN PER ELECTION** 10960 500.00 G-22 $ 10,000.00 $ 0.00 $ 0.00 $ 0.00 06/06/2022 $ t O IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0.00 $ 0.00 $ 10,500.00 $ 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 12 of 16 NAME OF FILER Sheila Mohan For Cupertino City Council 2022 I.D. NUMBER 1448574 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) Axial Media and Communications LLC Subvendor: Original Union Printer $1385.84 Subvendor: US Postal Service $634.04 Axial Media and Communications LLC 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 $ 13,319.88 27,830.50 27.75 0.00 27,858.25 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Yyaam�� K.�rrr Schedule E Amounts may be rounded Statement covers periodFPage - to whole dollars. (Continuation Sheet) Payments Madefrom09/25/2022�SEE INSTRUCTIONS ON REVERSE through 10/22/2022 3 of 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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) Subvendor: Axial Media and Communications LLC $1300.00 Subvendor: Facebook $7000.00 Subvendor: Google Inc $3000.00 Cupertino Chamber of Commerce Cupertino Hotel Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 250.62 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Yyaam�� K.�rrr Schedule E Amounts may be rounded Statement covers periodFPage - to whole dollars. (Continuation Sheet) Payments Madefrom09/25/2022�SEE INSTRUCTIONS ON REVERSE through 10/22/2022 4 of 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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) Axial Media and Communications LLC Subvendor: Bay Area News Group $825.00 Subvendor: Original Union Printer $2847.35 Subvendor: Original Union Printer $4401.87 Subvendor: US Postal Service $3756.13 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 14,260.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Yyaam�� K.�rrr Schedule E Amounts may be rounded Statement covers periodFPage - to whole dollars. (Continuation Sheet) Payments Madefrom09/25/2022�SEE INSTRUCTIONS ON REVERSE through 10/22/2022 5 of 16 NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Subvendor: US Postal Service $2429.65 POS Postage Solo AAPI mailer 0.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Amounts may be rounded SCHEDULE G Payments Made by an Agent or Independent to whole dollars. Statement covers period � • - � Contractor (on Behalf of This Committee) from � 09/25/2022 . - • 1 through 10/22/2022 Page 16 of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sheila Mohan For Cupertino City Council 2022 1448574 NAME OF AGENT OR INDEPENDENT CONTRACTOR Axial Media and Communications LLC 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID US Postal Service LIT Literature mailings 3,756.13 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 3,756.13 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov