The URL can be used to link to this page

Home My WebLink About06-30-2018 - Kausar Form 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 01-01-2018 from 06-30-2018 through 1. Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/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 certify under penalty of perjury under the laws of the State of California that the foregoin Is true and July 30, 2018 Executed on By Date / July 30, 2018 Executed on By Date Sianature of Cont Date of election if applicable. (Month, Day, Year) 11-06-2018 Date Stamp .GEj ED -rage {I AN EES 0FF1 UI � --2 P€i 2: 0 FY # F S ,RA OGA FY i crr �,.P,t , CCA0 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER Sameer Kausar MAILING ADDRESS CA 95070 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS ge the information contained herein and in the attached schedules is true and complete. I or 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) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Anjali Kausar OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Member, Saratoga City Council RESIDENTIAL/BUSINESSADDRESS (NO. AND STREET) CITY STATE ZIP , Saratoga CA 95070 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 13 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 List names 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 m. I 01-01-2018 • frnm Expenditures Made 06-30-2018 3 13 926 6. Payments Made................................................................ Schedule E, Line 4 $ $ through Page of SEE INSTRUCTIONS ON REVERSE 0 7. Loans Made....................................................................... schedule I -I, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... NAME OF FILER 926 $ 926 I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 Schedule F Line 3 1402171 0 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary 926 (FROM ATTACHED SCHEDULES) TOTAL TO DATE and 11248 11248 General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1500 1500 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 12748 12748 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ Received $ $ 2000 2000 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 14748 14748 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3+4 $ $ Expenditures Made 926 926 6. Payments Made................................................................ Schedule E, Line 4 $ $ 0 0 7. Loans Made....................................................................... schedule I -I, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 926 $ 926 0 0 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 926 $ 926 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, 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 $ A 12748 0 926 11822 0 0 1500 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 Monetary Contributions Received to wnoie sonars. Statement covers period 01-01-2018 • from �_ 06-30-2018 4 13 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Richard Lowenthal 9IND Retired 03/09/2018 ❑ OTH ❑ PTY ❑ SCC Diana Ding 0IND Self -Employed 04/20/2018 ❑ OTH ❑ PTY ❑ SCC Stuart Rosenberg W IND Retired 05/02/2018 ❑ OTH ❑ PTY ❑ SCC Josephine Lucey 0IND Retired 05/07/2018 ❑ OTH ❑ PTY ❑ SCC Sanjay Shah 0IND Director 05/12/2018 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1800 Schedule A Summary Amount received this period — itemized monetary contributions. (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 $ 10849 399 11248 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 01-01-2018 FORM 4 • 0 from 5 13 through 06-30-2018 Page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Richard Abdalah W IND Lawyer 05/15/2018 ❑ OTH ❑ PTY ❑ SCC Larry Paterson la IND Project Manager 05/18/2018 ❑ OTH ❑ PTY ❑ sCC Lawrence Lenz ® IND Project Manager 05/18/2018 ❑ OTH ❑ PTY ❑ SCC Jonathan Wong Q IND Mechanical Contractor 05/18/2018 ❑ coM Pacific Breez Mechanical $500 $500 ❑ OTH ❑ PTY ❑ SCC Jerri Kroen J2 IND Accounting 05/18/2018 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 2099 `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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period _ 01-01-2018 - • from 6 13 06-30-2018 through Page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ALSO CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Trinity Adams ® IND Accounting 05/18/2018 ❑ OTH ❑ PTY ❑ SCC Richard Furtado ® IND Partner 05/18/2018 ❑ OTH ❑ PTY ❑ SCC Peter Pau ® IND Real Estate Professional 05/18/2018 ❑ OTH ❑ PTY ❑ SCC Ting Sun 62 IND Makeup Artist 05/18/2018 ❑ OTH ❑ PTY ❑ SCC Shobana Nandakumar JZ IND Homemaker 05/18/2018 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 3000 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 01-01-2018 1 FORM• from 06-30-2018 7 13 through Page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE S ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Stephen Emami ® IND VP Marketing & Business 05/18/2018 ❑ OTH ROEM Development ❑ PTY Corporation ❑ SCC Wilson So ® IND Retired 05/30/2018 ❑ OTH ❑ PTY ❑ SCC Munish Khetrapal la IND Managing Director 06/02/2018 ❑ OTH ❑ PTY ❑ SCC Mark Tersini 62 IND Real Estate 06/13/2018 ❑ OTH ❑ PTY ❑ SCC Anurag Goel 01ND Consulting 06/26/2018 ❑ OTH Provider ❑ PTY ❑ SCC SUBTOTAL $ 2101 "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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period 0. 01-01-2018 . -1 • 1 from 06-30-2018 8 13 through page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ALSO CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Michele Lew is IND CEO 06/29/2018 ❑ OTH ❑ PTY ❑ SCC Rajat Srivastava is IND System Architect 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Sara Lin is IND Program Manager 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Nupur Shah is IND Engineer 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Richard Abdalah is IND Lawyer 06/30/2018 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 499 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 01-01-2018 A6 FORM • 06-30-2018 9 13 through page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Rod Diridon, Jr is IND Manager 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Richard Lee ® IND Secretary General 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Radhika Thusoo ® IND Manager 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Manny Cappello ❑ IND Proffessor 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Sj=herry (Xiaorui) Wang JZ IND Principal 06/30/2018 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ $700 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 01-01-2018 FORM 460 from 06-30-2018 10 13 through Page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Teresa Lai la IND Self Employed 06/30/2018 ❑ OTH Inc ❑ PTY ❑ SCC Margaret Abe-Koga la IND Council member 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Avtar Madan ❑ IND Retired 06/30/2018 ❑ OTH ❑ PTY ❑ SCC Rick Sung 62 IND Under Sheriff 06/30/2018 ❑ OTH Sheriff ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 650 *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 B - PART 1 Schedule B — Part 1 Vtowhole dollars. --- Statement covers period Loans Received 01-01-2018 CALIFORNIA ' • 0 from 06-30-2018 11 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 FULL NAME, STREET ADDRESS AND ZIP CODE IFAN INDIVIDUALENTER , a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT 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 Anjali Kausar CEO ❑ PAID CALENDAR YEAR Commerce RATE $ ❑FORGIVEN PER ELECTION*" 0 $ 1500 $ 0 $ $ 01/02/18 1500 $ DATE DUE DATE INCURRED t iA IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR $ $ °/ $ $ ❑ FORGIVEN PER ELECTION - RATE $ $ $ $ $ DATE DUE DATE INCURRED 10 ❑ IND ❑COM ❑ OTH ❑PTY Ll SUBTOTALS $ 1500$ 0 $ 1500 $ 0 _F 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.) 3. 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. $ 1500 $ 0 NET $ 1500 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor 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 C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received w whole dollars. Statement covers period CALIFORNIA I 01 0 1 -0 1 -2018 - • from 12 13 06-30-2018 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Anjali Kausar for Saratoga City Council 2018 1402171 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF NAME OF BUSINESS) (JAN 1 - DEC 31) Bell Tower Cafe ❑ IND Space rental and 6/30/18 52 OTH campaign kickoff ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ $2000 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 'Contributor Codes 2000 IND — Individual COM — Recipient Committee 0 (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 2000 SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Anjali Kausar for Saratoga City Council 2018 Statement covers period 01-01-2018 from 06-30-2018 through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E 13 13 Page of — I.D. NUMBER 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 Build-a-signI Lawn s Online vendor * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ 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.) ........................... TOTAL $ AMOUNT PAID $102 547 649 649 277 0 W. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov