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HomeMy WebLinkAbout410 Statement of Organization Recipient Committee - Seema Lindskog for Cupertino City Council 2026_InitialStatement of Organization Recipient Committee Date Stamp RECEIVED Statement Type ,....10-ln-it-ia-l-------.-1---------,-1-----------11 ~ No t yet qualified D Amendment D Termination -See Part 5 MAR 1 3 2026 or D Date qualification threshold met I Date qualification threshold met Date of termination CUPERTINO CITV CL fl1: --1--1-- I.D. Number (if applicable) NAME OF COMM ITTEE Seema Lindskog for Cupertino City Council 2026 --1--1-- NAME OF TREASURER Seema Lindskog STREET ADDRESS (NO P.O. BOX) EMAIL A DDRESS OF TREASURER (REQUIRED) k-ST-R-EE:':'TC"'.A"'."D"'."D-:R:,.,ES""s~(N"'."'.O::-P::-.O::-."'."B-::-0:;;X)------------------------, seema3366@gmail.com NAME OF ASS ISTANT TREASURER, IF ANY CITY STATE ZIP CODE AR EA CODE/PHONE I Cupertino CA 95014 I STREET ADDREss (No Po Box) FULL MAILING ADDRESS (IF DIFFERENT) 1-----------------------------------------1 EMAIL ADDR ESS OF ASSISTANT TREASURER (REQUIRED ) E·MAIL ADDRESS OF COMM ITTEE (REQUIRED)/ FAX (OPTIONAL) NAME OF PRINCIPAL OFFICER(S) 1--c-co-u-N""'T:'.'"YC-:O:-:Fc-:Dc-:OccM-c:l-::-Cl""L""E ------~JU:;:R::71;:-;SD::71-::-CT;;l;;-O;-;-N-;:W-;;-H-;-;Ec;;R7E 7co;::'M;:-::-;:".M:7-IT~T,;,E7E 7:'1s-;A:;C:,;,T;-::IV~E--------. Seema Lindskog Santa Clara Cupertino STR EET ADDREss !No P.o. Boxi Attach additional information on appropriately labeled continuation sheets . EMA IL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) penalty of perjury under the laws of the 5 Exe cuted on 03/12/2026 By DATE Executed on 03/12/2026 By DATE SIGNATURE OF ~• OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFF ICEHOLDER, CAND IDATE, OR STATE MEASURE PROPONENT Executed on By CITY Cupertino CITY CITY Cupertino CALIFORNIA 41 Q FORM For Official Use Only STATE CA ZIP CODE 95014 AR EA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE CA 95014 AREA CODE/PHONE DATE SIGNATURE Of CONTROLLING OFF ICEHOLDER, CA NDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice@fppc .ca .gov (866/275-3772) www.fppc.ca .gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMM ITT EE NAME Seema Lindskog for Cupertino City Council 2026 CALIFORNIA 41 Q FORM Page 2 I.D. NUMBER • All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records. NAME OF FINANC I AL IN STITUTION AND PERSON($) AU THORI ZED TO OBTA IN BANK RECORDS AREA CODE/PHONE BANK ACCOUN T N UMBER pending ADDRESS OF FI NANCIAL INSTITUTION CITY Controlled Committee • Li st the name of each controlling officeholder, candidate, or state measure proponent . If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election . STAT E • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan ." Stating "No party preference" is acceptable. • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee . NAME OF CANDIDATE /OFF ICEH O LD ER/STATE MEAS URE PROPONENT ELE CTI VE OFF ICE SOUGHT OR HELD (I NCLUDE D IST RICT NUMBER IF A PPLIC AB LE ) YEAR OF ELECTION PART Y CHE CK ONE Nonpartisan Seema Lindskog City Council , City of Cupertino 2026 ✓ Nonpartisan Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below : CAND ID ATE ($) NAME OR MEASURE($) FULL TITLE (INCLUDE BA LLOT NO . OR LETTER ) IF A RECALL , STATE "R ECA LL'' IN FR ONT OF THE OFF ICEH OLDER'S NAME. CAND IDATE($) OFFICE SO UGHT OR HELD OR M EAS URE ($) JURISDICTION (INCLUDE DI STRICT NO., CI T Y OR CO UNTY, AS A PPLIC AB LE ) Partisan Partisan Z I P CODE (list political party below) (list political party below) CHECK ONE SUPPORT OPPOSE SU PPORT O PP OSE FPPC Form 410 (October/2023 ) FPPC Advice : advice@fppc.ca.gov (866/275-3772) www.f~ov Statement of Organization Re cipient Committee INSTRUCTIONS ON REVERSE COMM ITT EE NAME CALIFORNIA 41 0 FORM General Purpose Committee Not formed to support or oppose specific candidates or measures in a si ngle election . Check only one box: 0 CITY Committee O COUNTY Committee O STATE Committee PRO V IDE BRIEF DESCRIPTION OF ACTIV ITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPON SOR INDUSTRY GROUP OR A FFILI AT ION OF SP ON SO R STREET A DDRE SS NO. AND STR EET CIT Y STATE ZIP COD E AR EA CODE/PHONE Small Contributor Committee □--1--1-- Da te qualifi ed 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or cand idate, officeholder, or ponent certify that all of the following cond itions have been met : • 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 has eliminated or has no intention or ability to discharge all debts, loans received , and other obligations ; • This committee has no surplus funds ; and • This committee has filed all 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 candidates. 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 - 89 518 , and are subj ect to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (October/2023) FPPC Advice: advice@fppc.ca .gov (866/275-3772) ww_w.f~o_v