HomeMy WebLinkAboutGupta Form 460 01-01-2016 through 06-30-2016_RedactedRecipient Committee
Campaign Statement
Cover Page
from
Date Stamp
MINAWN
Statement covers period Date of election if applicable:
01/01/2016 (Month, Day, Year) AUG 2 1016
COVER PAGE
Page 1 of 4
For Official Use Only
Cl -r- -, OF DUBLIN
SEE INSTRUCTIONS ON REVERSE through 06/30/2016 Cl- Y MANAGER'S OFFICE
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
W Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee Semi - annual Statement ❑ Special Odd -Year Report
0 Recall 0 Controlled ❑ Termination Statement
(Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment (Explain below)
• Sponsored ❑ Primarily Formed Candidate/
• Small Contributor Committee Officeholder Committee
• Political Party /Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER
1357076
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Abe Gupta for Dublin City Council 2014
CITY STATE ZIP CODE AREA CODEIPHONE
Treasurer(s)
NAME OF TREASURER
Matthew Morrison
MAILINGADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX /E- MAILADDRESS 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.
certify under penalty of perjury under the laws of the State of California that the foreggin is fr,,P and nnrrPnfr- `•,
Executed on
Date
a !"
Executed on
Date'
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, Slate Measure Proponent
By
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
Abe Gupta
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Dublin
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 4
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 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
CITY STATE ZIP CODE AREA CODE/PHONE 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
from
Statement covers period
01/01/2016
SUMMARY PAGE
Expenditures Made
6. Payments Made ................................. ............................... Schedule E, Line 4 $ 0.00
7. Loans Made ........................................ ............................... Schedule H Line 3 0.00
8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 0.00
9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 0.00
10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 0.00
11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 + s + 10 $ 0.00
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 8above
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 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................. ............................... See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line s in Column a above $
r.l
1 11
1 11
11
1 11
1 /1
11
$ 0.00
0.00
$ 0.00
0.00
0.00
$ 0.00
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)
_lam $
J $
*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
through
06/30/2016
page 3 of 4
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Abe Gupta for Dublin City Council 2014
1357076
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
0.00
0.00
1. Monetary Contributions .................... ...............................
Schedule A, Line 3
$ $
1/1 through 6/30 7/1 to Date
0.00
0.00
2. Loans Received ................................. ...............................
Schedule a, Line 3
0.00
0.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 + 2
$ $
Received $ $
0.00
0.00
4. Nonmonetary Contributions ............. ...............................
Schedule C, Line 3
21. Expenditures
0.00
0.00
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add
Lines 3 +4
$ $
Expenditures Made
6. Payments Made ................................. ............................... Schedule E, Line 4 $ 0.00
7. Loans Made ........................................ ............................... Schedule H Line 3 0.00
8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 0.00
9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 0.00
10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 0.00
11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 + s + 10 $ 0.00
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 8above
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 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................. ............................... See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line s in Column a above $
r.l
1 11
1 11
11
1 11
1 /1
11
$ 0.00
0.00
$ 0.00
0.00
0.00
$ 0.00
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)
_lam $
J $
*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
NIIIUUIIW 111cly uC 1 Vullucu
Schedule B — Part 1 to whole dollars.
Statement covers period
CALIFORNIA '
Loans Received
from 01/01/2016
FORM
through 06/30/2016
page 4 of 4
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Abe Gupta for Dublin City Council 2014
1357076
FULL NAME, STREETADDRESSAND ZIP CODE
WAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
RECEIVED THIS
AMOUNT PAID
OUTSTANDING
BALANCE AT
e
INTEREST
PAID THIS
ORIGINAL
AMOUNT OF
9
CUMULATIVE
CONTRIBUTIONS
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
PERIOD
OR FORGIVEN
THIS PERIOD
CLOSE OF THIS
PERIOD
PERIOD
LOAN
TO DATE
E] PAID
CALENDAR YEAR
Abe Gupta
Principal
$ 722.00
0.00
$ 1000.00
$ 0.00
Anabe, Inc.
%
$
❑ FORGIVEN
PER ELECTION"
RATE
$ 722.00
$ 0.00
$
4/6113
$
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
DATE DUE
DATE INCURRED
El
CALENDAR YEAR
Abe Gu to
Principal
$ 35.00
0.00
$ 35.00
$ 0.00
Anabe, Inc.
%
$
❑ FORGIVEN
RATE
PER ELECTION"
$ 35.00
$ 0.00
$
7/29/13
$
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
DATE DUE
DATE INCURRED
El PAID
CALENDARYEAR
Abe Gu to
Abe
Principal
$ 5000.00
0.00
$ 5000.00
$ 0.00
Anabe, Inc.
%
$
❑ FORGIVEN
PER ELECTION"
RATE
$ 5000.00
$ 0.00
$
8/28/14
$
t m IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
DATE DUE
DATE INCURRED
SUBTOTALS $ 0.00$ 0.00 $ 5757.00 $
Schedule B Summary
1. Loans received this period ...................................................................................... ..............................$ 000
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ........................................................................... ..............................$ In on
(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 $ in on
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
(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 (1an/2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov