HomeMy WebLinkAboutWALIA- Form 460 -Semi-annual 01-2021COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from Oct 18, 2020
through Dec 31, 2020
1. Type of Recipient Committee: All Committees- complete Parts 1, 2, 3, and 4.
❑I Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF
Tina Walia for Saratoga City Council 2020
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1428470
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Sarato.Ra CA 95070
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date Stamp
RECEIVED
Date of election if applicable
(Month, Day, Year)
CITY Or SARA
November 03, 2020
2. Type of Statement:
❑
Preelection Statement
Z
Semi-annual Statement
❑
Termination Statement
(Also file a Form 410 Termination)
❑
Amendment (Explain below)
Page 1 of 6
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
Lakhinder Walia
MAILING ADDRESS
20360 Blauer Dr
CITY STATE ZIP CODE AREA CODE/PHONE
Sarato.Ra CA 95070 408-805-0153
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 BY -
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 (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
Tina Walia
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member, Saratoga, Santa Clara County
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Saratoga CA 95070
Related Committees Not Included in this Statement: Listany 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 AREACODE/PHONE
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 CODE/PHONE
COVER PAGE - PART 2
Page 2 of 6
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
t•»�ry�Y•niH:rr.� a:�a�.�
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 Oct 18 2020
SUMMARY PAGE
through
Dec 31, 2020
Page 3 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Tina Walia for Saratoga City Council 2020
1428470
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$ 425
$ 12220
1/1 through 6/30 7/1 to Date
500
5500
2. Loans Received................................................................
Schedule B, Line 3
925
17720
20. Contributions 0
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
$
Received $ $
0
0
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
0
925
17720
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$
$
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4
$
1859
$ 17219
7. Loans Made.......................................................................
Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
$
1859
$
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 s+9+10
$
1859
$ 17219
Current Cash Statement
12. Beginning Cash Balance ............................
Previous Summary Page, Line 16
$
1435
To calculate Column B,
13. Cash Receipts...........................................................
Column A, Line 3 above
925
add amounts in Column
0
Ato the corresponding
14. Miscellaneous Increases to Cash ..................................
Schedule 1, Line 4
amounts from Column B
1859
of your last report. Some
15. Cash Payments.........................................................
Column A, Line 8 above
amounts in Column A may
16. ENDING CASH BALANCE ..................Add
Lines 12 + 13 + 14, then subtract Line 15
$
501
be negative figures that
should be subtracted from
If this is a termination statement, Line 16
must be zero.
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ................................
Schedule B, Part
$
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
0
y).
18. Cash Equivalents ................................................
See instructions on reverse
$
19. Outstanding Debts ..............................
Add Line 2 + Line 9 in Column B above
$
0
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 wnoie uonars'
Monetary Contributions Received
Statement covers period
CALIFORNIA 460
from Oct 1s, 2020
.
through Dec 31, 2020
page 4 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Tina Walia for Saratoga City Council 2020
1428470
FULL NAME, STREET ADDRESS AND ZIP CODE OF
[FAN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
Z IND
10/22/20
Kittur Nagesh
El COM
Founder
100
100
❑ OTH
Cognito Networks
Saratoga, CA 95070
❑ PTY
❑ SCC
El IND
10/26/20
Rewa Kaul
El COM
Yoga Teacher
200
200
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
D IND
11/02/20
Teresa C Ferracci
❑ COM
Retired
100
220
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 400
Schedule A Summary
1. 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 $
400
25
'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
425 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 �..._t_0; i,oie doliars: �v^
Statement covers period
Loans Received
from Oct 18, 2020
• -
through Dec 31, 2020
page 5 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Tina Walia for Saratoga City Council 2020
1428470
FULL NAME, STREET ADDRESS AND ZIP CODE
IFAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
(b)
AMOUNT
c
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
g
CUMULATIVE
OF LENDER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANCEAT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE.ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
PERIOD
THIS PERIOD-
CLOSE OF THIS
PERIOD
PERIOD
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
Tina Walia
Planning Commissioner
$
$ 5500.00
0 %
s 5000.00
$ 5500.00
�
(City of Saratoga, CA)
RATE
❑ FORGIVEN
PER ELECTION
Saratoga CA 95070
5000.00
s
500.00
s
s
$
08/04/20
s
DATE DUE
DATE INCURRED
t Q IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
(** Dec. 10: a 25K wire transfer is made in
wire transfer error
$
s
%
$
s
❑ FORGIVEN
PER ELECTION -
error: it was meant for personal account,
by Treasurer. **
RATE
not campaign account. Returned Dec. 11)
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
s
s
$
s
s
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
S
$
%
S
S
❑ FORGIVEN
RATE
PER ELECTION`S
S
S
$
S
g
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ 500 $ 0 $ 5500 $ 0
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.).............................................................. NET $
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.
500
0
500
(May be a negative number)
(tncer te) on acneouie e, Line a)
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 E
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tina Walia for Saratoga City Council 2020
Amounts may be rounded
to whole dollars.
Statement covers period
from Oct 18, 2020
through Dec 31, 2020
Page 6 of 6
I.D. NUMBER
1428470
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
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
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
QuickData Media Inc LIT
San Jose, CA 95131
Facebook
Menlo Park, CA
Registrar of Voters, Santa Clara County I VOT
" Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
Ads
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.).
669
771
259
SUBTOTAL $ 1699
1699
160
...................... $ 0
......... TOTAL $ 1859
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov