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410 Statement of Organization Recipient Committee – TerminationStatement of Organization ~ Recipient Committee -------------,-----------,--------------; Stateme nt Type O Initi a l O Amendment Ill Termination -See Part 5 0 Not yet qualified or 0 Date qualification threshold met I Date qualification threshold met Date of te rmination CUPERTINO CITY CLERK ---,/---1-----1--.1-- I.D. Number /if applicable) NAME OF COMM ITT EE Steven Scharf for Cupertino City Council STREET ADDRESS (NO P.O. BOX) CITY C upertino FULL MA I L IN G ADDRESS (IF DIFFERENT) E-M A IL ADDRESS (REQUIRED)/ FAX (OP TIONAL) COUNTY OF D OM ICI LE Santa Clara STATE Z IP CODE CA 95014 JURISDICTION W HE RE COMMITTEE IS AC TI VE Cupertino AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 1 26 NAME OF TREASURER N icol e Woon ST REET ADDRESS (NO P.O. BOX) CITY Cupertino NAME O F ASS ISTANT T REAS URER, IF ANY STREET ADDRESS (NO P.O . BOX) CITY NAME OF PRINCIPA L OFF ICER(S) Steven Scharf STRE ET ADDRESS (NO P.O. BOX) CITY Cupertino STATE ZIP CODE AREA CODE/PHONE CA 95014 STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE CA 95014 I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. penalty of perjury under the laws of the State of California that By SIGNATURE OF CONTROLLING OFFICEHOLDER, CAND IDATE, OR STATE MEASURE PROPONENT By SIGNATU RE OF CONTROLLING OFF ICEHOLDER, CANDIDAT E, OR STATE MEASURE PROPONEN T FPPC Form 410 (August/2018) FPPC Advice: 2 c0:•i:ce(@'.':2'JC .c2.,;ol (866/275-3772) 'i'J,~'tJ:J.t . fp!J c.ca .gc ~1 Stat e m e nt of Organization Recipient Committee CALIFORNIA 410 FORM Page 2 COMMITTEE NAME 1.0. NUMBER Steven Sc harf for C upertino C ity Co uncil 1451685 . A ll committees must list the financial institution where th e campaign bank account is located . NAME OF FINANC IAL INSTITUTION AREA CODE/PHONE BA NK ACCO UNT NUMBER Wells Fargo Bank ADDRESS CITY STATE ZIP CODE Cupertino CA 95014 -~~lt1'}m~.?J'.9'.W]Jwli.5J~2 · ~il~J§lf.@'.1/Jil~ ij~~.~7-3o . · -?': ---·. •"' ---~ ' • i!' -"'-ii<• ;:-•'; -~ n" ~ Y ·-""'--\. -..-;,,:•" .. 1:1! ·L_ ; ~ - Controlled Committee List t h e name of eac h controll in g officeh o lder, cand i date, or state meas u re proponent. If cand idate or o ffi ce h o lder contro ll ed, also list the e lecti v e o ffi ce soug ht or he ld, a n d district n u mber, if any, a n d t h e yea r of t h e e lection. .-•- ' ,. List the pol itica l party wit h w hi ch each officeho lder or candidate is affi l iated o r check "no n partisa n." Stati n g "No pa rty p r efere n ce" is acceptab le If th is committee acts joi nt ly with a n ot h er control led committee, li st t h e name a n d identification number of the other contro ll ed committee. N A ME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE D ISTR I CT NUMBER I F APPLICABLE) YEAR DF ELECTION PARTY CHECK ONE Steven Scharf Cupertino City Council Member 2022 Nonpartisa n ✓ Nonpartisan Primarily Formed Committee Pr imarily formed to support or oppose specifi c candidates or measures in a sing le e lection. Li st be low: CAN DIDATE(S) N AME OR MEASURE(S) FULL T ITLE (I NCLUDE BALLOT NO. OR LETTER) I F A RECA LL , STATE "RECALL" I N FRONT OF THE OFFICEHO LDER'S NAME. CAND IDATE(S) OFFICE SO UGHT OR HELD OR M EAS URE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APP LICABLE) Partisa n Partisan -. . - ~ ~-'._. ,., (list po litica l party below) (list political party below) CHECK ONE SUPPORT OPPOS E SUPPORT SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Adv ice · ;,-:1:r~!@·'-::r r3 <'O\/ (866/275-3772) 'JV'N'..PJ.tJ.!OC . :a. '?0'.l Stat e m e nt o f Orga ni zati o n Recipie nt Committee INSTR UCTI O N S O N REVERSE COMMITTEE NAME Steven Scharf fo r Cupertino City Council illt.1tii}W •:tJJ•~t~i~M€ CALIFORNIA 41 Q FORM 1.0 . NUMBER 14 5 1685 General Purpose Committee Not formed to support or oppose specific candidates or measures in a single e lection. Check only one box: 0 CITY Committee O COUNTY Committee O STATE Committee PR OVIDE BRIEF DE SC RIPTI ON OF ACTI VITY Sponsored Committee List additional sponsors on an attachment. NAME Of SP ON SO R INDUSTR Y GROUP OR AFFILIATION Of SPO NSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP COD E AREA CO DE/P HONE Small Contributor Committee □--/· __ / __ • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee ha s eliminated or has no intention or ability to discharge al l debts, loans rece iv ed, and other obligations; • This committee has no surplus funds; and • This committee has filed a ll campaign statements required by the Political Reform Act disclosing all reportable transactions . There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated cand idates. Refer to Government Code Section 89519. Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (August/2018) FPPC Advice: g_(·ice(a)h::;:.c. 2:-:::·1 (866/275-3772) vJ ·N -,N.f':i 'JC.ca._g_c v