410 Statement of Organization Recipient Committee - Amendment add email address Statement of Organization Date Stamp
Recipient Committee
RECEIVED
Statement Type ElInitial 0 Amendment
❑ .MOfffificial
Termination—See Part 5 For Use Only
Not yet qualified ❑ or List I.D.number: List I.D.number: K-144 I
# 1376003 # MAR 9-�,-' 201 a
I—! 03 /31 /2017 / / UPERTI O CITY CLE RK
Date qualified as committee Date qualified as COMM ittee Date of Termination
(If applicable)
1. Committee Information 2 Treasurer and Other Principal officers
NAME OF COMMITTEE NAME OF TREASURER
Cupertino Residents for Sensible Zoning Action Committee
STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY
STREET ADDRESS(NO P.O.BOX)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE
Santa Clara County Cupertino, CA
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on a STREET ADDRESS(NO P.O.BOX)
f appropriately labeled continuation sheets.
CITY STATE ZIP CODE AREA CODE/PHONE
3. Verification
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. I certify under
penalty of perjury under the
�laws of the State of California that the foregoing
�is�true and correct.
/
Executed on / I �tJ) By
/ /DATE } OR ASSISTANT TREASURER
Executed on ( t �/'>'Dt
D f f
DATE By
SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on BY
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov