HomeMy WebLinkAbout410 Statement of Organization Recipent Committee - Fantozzi for Cupertino City Council 2026_Initial_SOS - 07.27.2026Statement of Organization vi 17
Recipient Committee
Statement Type W1,,itii
❑ Amendment ❑ Termination — See
Not yet qualified
or
Date qualification threshold met Date qualification threshold met Date of termination
/--/ /-- -/ / /
I.D. Number
Date Stamp
CEIVEDAND FILED
C office of the Secretary of Slate
of the State of California
JUL 27 2026
RE€EWB
AUG 252026
CUPERTINO CITY CL
NAME OF COMMITTEE NAME OFTR£ASURFR
7 Y` %' 7 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODJc
i...,�� [ . /� ' Gam•' L� ! f.:. I 'f"'f i �...�' ��' �
EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE
STREET ADDRESS {NO P.O. BOX) `
CITY STATE ZIP CODE AREA` -CO 'e/PRD'NE
REST ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
FULL MAILIN ADDRES (IF DIFFERENT)
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE
OFPRINCIPALOFFICER(S)
COUNTY OF DOMCILE JURISDICTION WHfr E COMMITTEE IS ACTIVE
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
Attach additional Information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this stateJ. nt and to 1ibest of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Cp
on By
DATE SIGNATURE OF CONTROLLING OF-FICEIIOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPON ENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023}
FPPC Advice: fppc,cgov (866/275-3772)
WWW.fppc,ca.eov
Statement of Organization _
Recipient Committee f
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME 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 FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
• List 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.
• 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT nnirii inc nicr,,I r —
Q �r �p
sit V�[L/ c�L' i fl -d `a'
3
Nonpartisan
- partisan
(list political patty below)
Nonpartisan
Partisan
(list political party below)
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. ONri una nicruirr ,,in r1ry nn rnnniry •r �— i.- , -v
FPPCForm 410 (October/2023)
FPPC Advice: advice anf c.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
NAME OF SPONSOR
Page 3
/ I.D. NUMBER
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
List additional sponsors on an attachment.
STREET ADDRESS NO, AND STREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee •
5. Termination. Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate officeholder, or ponent certifythat all of the followIng conditions have been met
• 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-
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521,5.
FPPC Form 410 (October/2023)
FPPC Advice: ar�vice f pc.ca•gov (866/275-3772)
www.fppc.ca.gov