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Gupta Form 460 01-01-2016 through 06-30-2016 Amend _Redacted
Recipient Committee Date Stamp CALIFOR COVER PAGE Campaign Statement RECEIVED Cover Page from Statement covers period 01/01/2016 Date of election if applicable: (Month, Day, Year) AUG 17 2016 I,: _ Page 1 of 4 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2016 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: © Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee Q 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/ Correct Committee City & ZIP code information. • Small Contributor Committee Officeholder Committee • Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1357076 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Abe Gupta for Dublin City Council 2014 STREETADDRESS NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE Treasurer(s) NAME OF TREASURER Matthew Morrison MAILINGADDRESS 3575 Chippendale Ct. CITY STATE ZIP CODE AREA CODE /PHONE Pleasanton CA 94588 NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIP CODE AREACODE/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 certify under penalty of perjury under the laws of the State of California that the foregoing is true Executed on Date Executed on � Date Executed on Date Executed on Date By By attached schedules is true and complete. By Signature of Controlling Officeholder, Candidate, State 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 IFAPPLICABLE) City Council Dublin RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) 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 I.D. NUMBER NAME OF TREASURER I 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 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ OPPOSE 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 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 to whole dollars. from Statement covers period 01/01/2016 SUMMARY PAGE Expenditures Made 6. Payments Made ................................. ............................... through 06/30/2016 page 3 of 4 SEE INSTRUCTIONS ON REVERSE 0.00 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 0.00 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 NAME OF FILER 10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ......... ............................... I.D. NUMBER Abe Gupta for Dublin City Council 2014 1357076 Contributions Received Column A TOTALTHIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ 0.00 $ 0.00 0.00 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received ................................. ............................... Schedule a, Line 3 0.00 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ 0.00 $ 0.00 Made $ $ 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+ 9 + 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 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 0.00 0.00 50.0 760.88 0.00 0.00 5757.00 $ 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) I $ *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 ocneauie is — wart i to whole dollars. Statement covers period Loans Received CALIFORNIA ' ' from 01/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2016 Page 4 of 4 NAME OF FILER I.D. NUMBER Abe Gupta for Dublin City Council 2014 1357076 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN ° CLOSE OF THIS LOSE O THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Abe Gupta Principal ❑ PAID CALENDAR YEAR Anabe, Inc. $ $ 722.00 0.00 a,, $ 1000.00 $ 0.00 ❑ FORGIVEN PER ELECTION" RATE $ 722.00 $ 0.00 $ $ 4/6/13 $ DATE DUE DATE INCURRED t l6 IND El COM El OTH El PTY ❑SCC Principal ❑ PAID CALENDARYEAR so= Anabe, Inc. $ $ 35.00 0.00 , $ 35.00 $ 0.00 ❑ FORGIVEN PER ELECTION" RATE $ 35.00 $ 0.00 $ $ 7/29/13 $ DATE DUE DATE INCURRED t v IND El COM ❑ OTH ❑ PTY ❑ SCC Abe Gu to Principal PAID CALENDAR YEAR Anabe, Inc. $ $ 5000.00 0.00 , $ 5000.00 $ 0.00 ❑ FORGIVEN PER ELECTION" RATE $ 5000.00 $ 0.00 $ $ 8/28/14 $ t O IND El COM El OTH El PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0.00$ 0.00 $ 5757.00 $ 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) . ............................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ...... ..............................$ pan ........ ..............................$ n no ......................... NET $ n nn (May be a negative number) tcnreF te) 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