460 Recipient Committee Campaign Statement 06-30-2010 Rdci ientCommittee COVER PAGE
p Type or print in ink.
Campaign Statement u \V/ • 1
Cover Page
(Government Code Sections 84200 - 84216.5) 1 5
Statement covers period Date of election if applicable AUG — 2 2010 a of
from
01/01/2010 (Month, Day, Year) c Official Use Only
through
SEE INSTRUCTIONS ON REVERSE 06/30/2010 11/03/2009 CUPERTINO CITY C ERK
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee r d Semi - annual Statement ❑ Special Odd -Year Report
Q Recall Q Controlled Termination Statement
❑ Supplemental Preelection
(Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495
❑ General Purpose Committee (Also Complete Part 6) ❑ Amendment (Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party /Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER Treasurer(s)
1320160
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
MAHESH NIHALANI FOR COUNCIL 2009 EDWARD L. GRANT, C.P.A.
MAILING ADDRESS
19989 STEVENS CREEK BLVD.
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE
7938 MCCLELLAN R # CUPERTINO CA 95014 408 - 773 -1400
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
CUPERTINO CA 95014 408 - 343 -1211
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS
4. Verification
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 7 / -n/ J By
D e atu urerorAssistanlTreasurer
Executed on t By
Date Signature of Controlling Officeholder, Cd5didke, State Measure Proponent or Responsible Officer of 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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
State of California
Type or print in ink. COVERPAGE -PART2
Recipient Committee CALIFORN
Campaign Statement FORM ' •
Cover Page — Part 2
Page 2 of 5
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
MAHESH NIHALANI
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑
CUPERTINO CITY COUNCIL OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
7938 MCCLELLAN ROAD, 2 CUPERTINO, CA 95014 Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. 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
E] OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. '
from
01/01/2010 • - 6
SEE INSTRUCTIONS ON REVERSE through 06/30/2010 Page 3 of 5
NAME OF FILER I.D. NUMBER
MAHESH NIHALANI FOR COUNCIL 2009 1320160
Contributions Received Column Column B Calendar Year Summary for Candidates
T ATTACHED CALENDAR YEAR Running in Both the State Prima and
(FROM ATTACACHED SCHEDULES) TOTALTO DATE g Primary
General Elections
1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 0 $ 0
1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ............................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0 $ 0 20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule E, Line 4 $ 557 $ 557 Candidates
7. Loans Made .............................. ............................... Schedule H, Line 3
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 557 $ OO t (trSubjectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 (mm/dd /yy)
11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 557 $ 557 $
Current Cash Statement $
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 201
To calculate Column B, add
13. Cash Receipts .................... ............................... Column A, Line 3 above 0 amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 356 corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B.
15. Cash Payments ................... ............................... Column A, Line 8 above 557 report. Some amounts in Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... schedule s, Pan for this calendar year, only 2 $ carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
q g 0 any).
18. Cash Equivalents ......... ............................... see instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule E Type or print in ink. t SCHEDULEE
Amounts may be rounded Statement covers period I
• CALIFORNIA
Payments Made
y to whole dollars. from 01/01/2010 F ORM
through 06/30/2010 Page 4 of 5
SEE INSTRUCTIONS ON REVERSE g g
NAME OF FILER I.D. NUMBER
MAHESH NIHALANI FOR COUNCIL 2009 1320160
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 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
FND 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
APRIL MEDIA INC
4075 EVERGREEN VILLAGE SQUARE STE 160/232 PRT 150
SAN ,JOSE, CA 95135
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 150
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. ..................................................... ............................... $ 150
2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 407
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.) TOTAL $ 557
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
chedule I Type or print in ink.
Miscellaneous Increases to Cash Amounts may be rounded Statement covers per��_
to whole dollars. 0 1/01/2010
from
SEE INSTRUCTIONS ON REVERSE
through 06/30/2010 Page 5 of 5
NAME OF FILER LD. NUMBER
MAHESH NIHALANI FOR COUNCIL 2009 1320160
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH
CITY OF CUPERTINO REFUND RECEIVED
01/22/2010 10300 TORRE AVENUE 356.
CUPERTINO, CA 95014 -3255
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 356
Schedule I Summary
1. Itemized Increases to cash this period . ...... ... $ 356
2. Unitemized increases to cash of under $100 this period .............................................................. ............................... $
' ^f all interest received this period on loans made to others. (Schedule H, Column (e).) .. ............................... $
^ ^reases to cash this period. (Add Lines 1 2, and 3. Enter here and on the 356
_ .......................................................................... ............................... TOTAL $
FPPC Farm 460 (Januar
FPPC Tail -Free Helpline: 866 /ASK -FPPC (8661275•