HomeMy WebLinkAboutWALIA Form 460 Semi-annual 06-30-2021COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from January 01, 2021
SEE INSTRUCTIONS ON REVERSE through June 30, 2021
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
Z Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1428470
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Tina Walia for Saratoga City Council 2020
CITY
STATE
ZIP CODE
AREACODE/PHONE
Saratoga
CA
95070
MAILING ADDRESS (IF DIFFERENT) NO.
AND STREET OR P.O. BOX
20360 Blauer Dr
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if applicable -
(Month, Day, Year)
Date Stamp
iRECLNE®
JUL ' j-
CITY OF SARATOG
2. Type of Statement:
❑
Preelection Statement
❑d
Semi-annual Statement
❑
Termination Statement
❑
(Also file a Form 410 Termination)
Amendment (Explain below)
Treasurer(s)
OFTREASURER
Lakhinder Walia
Page 1 of 6
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Saratoga CA 95070
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADD
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 knowledge
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)
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, Saratoiza, Santa Clara County
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
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 AREACODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
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
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
GI I Y S IAI E ZIP GUUt AREA ODUE/PHUNE Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Cam al n Disclosure Statement Amounts may be rounded SUMMARY PAGE
p g to whole dollars.
Summa Pa a from Statement covers periodCALIFORNIA'
g January 01, 2021 - , •
June 30, 2021
Page 3 of 6
SEE INSTRUCTIONS ON REVERSE
through
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
CALENDAR YEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$ 0
$ 0
1/1 through 6/30 7/1 to Date
0
5500
2. Loans Received................................................................
Schedule B, Line 3
0
0
20. Contributions 0
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
$
Received $ $
0
0
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
0
0
5500
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$
$
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4
$ 134
7. Loans Made.......................................................................
Schedule H, Line 3
0
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
$ 134
9. Accrued Expenses (Unpaid Bills
Schedule F, Line 3
0
10. Nonmonetary Adjustment.........................................................
Schedule c, Line 3
0
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+9+10
$ 134
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16
$
501
13. Cash Receipts........................................................... Column A, Line 3 above
0
14. Miscellaneous Increases to Cash .................................. schedule i, Line 4
90
15. Cash Payments......................................................... column A, Line 8 above
134
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$
457
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part
$
0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse
$
0
19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above
$
5500
$ 134
0
$ 134
0
0
$ 134
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 B - PART 1
Schedule B — Part 1 ~rrrVtorwhole dollars.
Statement covers eriod
P
CALIFORNIA
Loans Received
from January 01, 2021
FORM
through June 30, 2021
Page 4 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Tina Walia for Saratoga City Council 2020
1428470
FULL NAME, STREETADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
b
( )
AMOUNT
c
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANC
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED,ENTER
BEGINNING THIS
PERIOD
THIS PERIOD
THIS
CLOSE OF THIS
PERIOD
LOAN
TO DATE
BUSINESS)
NAME OF BUSINESS)
PERIOD
PERIOD
❑ PAID
CALENDAR YEAR
Tina Walia
City council member
$
5500
5500
$
$
%
$
20360
of Saratoga, CA)
RATE
❑ FORGIVEN
PER ELECTION
Saratoga CA 95070
5500
0
$
$
$
$
$
DATE DUE
DATE INCURRED
t Q IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION"
RATE
$
$
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
$
$
%
$
S
❑ FORGIVEN
PER ELECTION"
RATE
$
$
$
S
$
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ 0 $ 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.) .............................
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.
$0
$ 0
NET $ 0
(May be a negative number)
(tmer (e) on ocneuuie ❑, une o)
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
Payments Made
=211111t *sffw4yrrr.&Y•r.l ]xia rya
NAME OF FILER
Tina Walia for Saratoga City Council 2020
Amounts may be rounded
to whole dollars.
Statement covers period
from •January 01, 2021
through June 30, 2021
SCHEDULE E
Page 5 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
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
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0
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.)..
...................................... $ o
134
...................................... $ 0
......................... TOTAL $ 134
AMOUNT PAID
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Srharl] Ila
SCHEDULEI
Miscellaneous Increases to Cash to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from .lanuary 01, 2021
through June 30, 2021
CALIFORNIA 460
FORM
Page 6 of 6
NAME OF FILER
Tina Walia for Saratoga City Council 2020
I.D. NUMBER
1428470
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule ummary
1. Itemized increases to cash this period . ........................................................................................................................... $
2. Unitemized increases to cash of under $100 this period.........................................................................................
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...............................
90
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 90
Summary Page, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov