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Signature of Controlling Officeholder, Candidate, State Measure Proponent
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1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
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5. Officeholder or Candidate Controlled Committee
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
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JURISDICTION
Anjali Kausar
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Member, Saratoga City Council
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Identify the controlling officeholder, candidate, or state measure proponent, if any.
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NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY
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OFFICE SOUGHT OR HELD
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COMMITTEE NAME
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AREA CODE/PHONE
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Contributions Received
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I.D. NUMBER
1402171
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
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Statement covers period
from 10-21-2018
through 12-31-2018
NAME OF FILER
Anjali Kausar for Saratoga City Council 2018
AMOUNT
RECEIVED THIS
PERIOD
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SUBTOTAL$ 350
Monetary Contributions Received to whole dollars.
SEE INSTRUCTIONS ON REVERSE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Self employed
House Vineyards
CONTRIBUTOR
CODE *
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FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
API Empowerment PAC
Sunnyvale, CA 94085
FPPC # 1340395
David House
Sunnyvale, CA 94085
DATE
RECEIVED
11/02/18
11/05/18
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*Contributor Codes
Schedule A Summary
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1. Itemized payments made this period. (Include all Schedule E subtotals.)
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Emails and mail lists
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SCHEDULE E
Statement covers period
from 10-21-2018
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NAME AND ADDRESS OF PAYEE
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Premiere Political Communications
4805 Woodview Ave
are contributions or independent expenditures must also be summarized on Schedule D.
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