410 Statement of Organization Recipient Committee – Termination_Stamped by SOSStatement of Organization
Recipient Committee
Statement Type, El Initial
❑ Amendment
Q Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
Date Stamp
nation — See Part 5
Date of termination II CUPEiRTINO CITY
FIVE
IA AAA.
Official Use Only
FINO CITY CLE K
NAME OF COMMITTEE
-(-
NAME OF.TREASURER
�O�n ��t _ _
ISZX
In the of Ice of the Secretary of State
,� of the State of California
V�MAR
*
Ct� ,�'� Ceti-��. ■, 1
^ � � r
STREET ADDRESS (
STREET
CITY
Cup �n'vCD CAS
NAME OF ASSISTANT TREASURER, IF ANY
S!^;: ZIP CODE
CITY STATE CZIP CODE AREA
MAILING ADDRESS (IF DIFFERENT)
p� �� .,yr
XV I(•�+a
STREET ADDRESS (NO P.O. BOX)
E-
STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE
cc,.� CCa.,ra,JHuC
ISDICTION WHERE COMMITTEC ACTIVE
k -k o-� cu"(-h,
Az
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I have used all reasonable diligence in preparing this
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 (August/2018)
FPPC Advice: advice.@fp.p_c_ca_.gov_-_(866/275-3772)
www.fppc.ca.gov