HomeMy WebLinkAbout410-A Statement of Organziation Recipient Committee - Santosh Rao for Cupertino Council 2026_AmendmentStatement of O rganization
Recipien t Committee
Date Sta m p
Statement Type ~1□-ln-it-i a-1-------~I --------~i -----------ll IZI Ame ndmen t D Te rm inati o n -See Part 5
D Not yet qualified
or
RECEIVED
JUL 2 3 2026
D Date qualification threshold met I Date qualification threshold met Date of termination
__ / __ / __ _!I!__;_1_3_; 20:ci
,-------:----'---------------'-----
1. D. Numbe r
(if app licable)
NAM E O F CO M MITTEE
Santosh Rao for Cupertino C ity Counc il 2026
NAM E OF T REAS URER
Santosh Rao
STREET A DD RESS (NO P 0 . BOX)
EMA IL AD DRESS OF TRE ASURER (RE Q UIRED )
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N AME oF Ass IsTANTTR EAsu RER, IF A NY
CITY STATE ZIP CO DE A RE A CO DE/PHONE
I Cupertino CA 9501 4 ( I STR EE T A D DREss (No Po Box)
FULL M A ILI NG ADD RESS (IF DIFFERENT)
I EMA IL ADDR Ess o F Ass IsTA NTT REAS URER (REQ UI RED )
E-MA IL A DDRES S O F COM M ITTEE (REQUI RED)/ FAX (OPTI O N A L)
NAME OF PRI NC IPA L O FFICER (S)
CO UNTY OF DOMICILE JURI SDICTION W HER E COMM ITTEE IS ACTI V E Santos h Rao I Santa Clara County I City of Cupertino I STREET A D DRE ss (No P.o. Box1
Attach additional information on appropriately labeled continuation sheets.
EMA IL AD DRESS OF PRINC IPA L O FFI CER (S) (REQ UIRED)
CITY
Cupertino
CITY
CITY
Cupertino
CALIFORNIA 41 Q
FORM
For Official Use On ly
STATE ZI P COD E
CA 950 14
A RE A CODE/PH ON E
(
STATE ZIP CODE
AREA CO D E/PHONE
STATE ZIP CODE
CA 950 14
AREA CODE/P HONE
(
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information cont ained herein is true and complete . I certify unde r
pen alty of perjury under the laws of the State of California t hat the foregoing is true and correct .
I I
SIGNATURE OF CONTRO LLIN G OFF I CE HO LDER, CANDIDATE, OR STATE M EA SURE PROPONE NT
By------
SIGNAT U RE OF CONTRO LLI NG OFF ICE HO LDER, CAND I DATE, OR STATE MEASURE PROPONENT
By------
D
DATE SIGNATURE OF CON T ROLLING O FFICEHO LDER, CAND I DATE, OR STATE MEASURE PROPONENT FPPC Form 4 10 (Oct ober/2023)
FPPC Advice: advice@fppc.ca.gov (866/275 -377 2)
www.f~o v
Statement of Organization
Recipient Committee
INSTR UCTI ONS ON REVERSE
COMMITTEE NAME
Santosh Rao 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 FIN ANC I A L INSTITUTION AND PERSON(S) A UTHORIZED TO OBTA IN BA N K RECORDS AREA CO D E/P HONE BANK ACCO UNT NUMBER
West Coast Community Bank 831-457-5003
ADDRESS OF FINANCIAL I NST ITUTI ON
75 River Street
Controlled Committee
CITY
Santa Cruz
• List the name of each controlling officeholder, candidate, or state measure proponent . If candidate or officeholde r controlled,
also list the elective office sought or held , and district number, if any, and the year of the election .
STATE
CA
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan ." Stating "No party preference " is acceptabl e.
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee .
NAME OF CANDIDATE/OFFICEHOLDER/STATE M EAS UR E PROPONENT
ELECTI VE OFF I CE SOUGHT OR HELD
(INCLUDE DI STRI CT N UMBER IF APPL ICAB LE)
YEAR OF
ELECT I ON
PARTY
CHECK ONE
Nonpartisan
Santosh Rao Cupertino City Councilmember 2026 ✓
Nonpartisan
Primarily Formed Committee Primarily formed to support or oppose spec ific candidates or measures in a single election . List below :
CAN DIDATE(S) NAME OR M EASURE(S) FULL TITLE (INCLUDE BAL LOT NO . OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NA ME .
CANDIDATE (S) OF FI CE SO UG HT OR HE LD OR MEASUR E(S) JURI SD ICT ION
(INCLUDE DISTRICT NO ., CITY OR COUNTY, AS APPLICAB LE)
Parti san
Partisan
Z IP CODE
95060
(list political party below)
(list political party be low)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (October/2023 )
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.f~ov
Statement of Organization
Recipient Committee
INSTRUCTIO NS ON REVERSE
COMMITTEE NAME
CALIFORNIA 41 Q
FORM
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election . Check only one bo x :
0 CITY Committee O COUNTY Committee O STATE Committee
PROV ID E BRIEF DESCR IPT ION OF ACTI V ITY
Sponsored Committee List additional sponsors on an attachment .
N AM E OF SPONSOR INDU STRY GROUP OR A FFILI AT ION O F SPO N SOR
STREET ADDRESS NO . AND STREET CI TY STATE ZIP CODE AR EA CODE /PHONE
Small Contributor Committee □--1--1--
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions 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 ;
• Thi s 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 -
89518 , and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5 .
FPPC Form 410 (October/2023}
FPPC Advice: advice@fppc.ca.gov (866/275-3772}
www.fppc.ca.gov