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410 Statement of Organization Recipient Committee InitialStatement of Organization Recipient Committee Statement Type ■ Initial Not yet qualified D or 5/11/2012 Date qualified as committee 1. Committee Information NAME OF COMMITTEE SILICON VALLEY TAXPAYERS ASSO CIATION PAC STREET ADDRESS (NO P .O .BO X) Type or print in ink. D Amendment List I.D . number: # Date qualifi ed as co mmittee CITY CUPERT I NO STATE ZIP CODE AREA CODE/ PHONE CA 95014 ( MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX/ E-MAIL ADDRESS stev en_haug@sbcglobal.net CO UNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Attach additional information on appropriately labeled continuation sheets. 3. Verification D Termination -See Part 5 List I.D . number: JAN 9 2019 1 # Date of Termination 2. Treasurer and Other Principal Officers NAME OF TREASURER Steven Haug STREET ADDRESS C ITY CUPERTINO STATE ZIP CO DE CA 95014 NAME OF ASSISTANT TREASURER , IF ANY STREET ADDRESS AREA CODE/ PHONE ( CITY STATE ZIP CO DE AREA CODE/ PH ON E NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE Mark Hinkle -President MAILING ADDRESS CITY Cupertino STATE ZI P CODE AREA CODE/ PH O NE CA 95014 (408 ) 279-5000 of 3 I have used all rea sona ble dil ige nce in preparing this statement and to the best of my knowledge the information contained herein is true and complete . I ce rtify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. E xecuted on 1 /7/2019 By DATE E xecuted on By DATE E xecuted on By DATE E xecuted on By DATE 2332618-0 SIGNATURE OF CONTROLLING OFFICEHO LDE R, CANDIDATE , OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE , OR STATE ME ASURE PROPONENT SIGN ATURE OF CONTROL LI NG OFF IC EH O LDER, C ANDIDATE , OR STATE MEASURE PROPONENT FPPC Form 410 (Dec/2012) FPPC Toll-Free Helpline : 866/ASK-FPPC (866/275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REV ERSE COMMITTEE NAME S ILI CON VA LLE Y TAXPAY ER S ASSOC IATION PAC • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/ PHONE ADDRESS 4. Type of Committee Complete the applicable sections. Controlled Committee BANK ACCOUNT NUMBER CITY STATEMENT OF ORGANIZATION CALIFORNIA 41 0 FORM Page 2 of 3 1.0 . NUMBER 1347578 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 . ~332618~ • List the political party with which each officeholder or candidate is affiliated or check "non-partisan". • If this committee acts jointly with another controlled committee , list the name and identification number of the other controlled committee . EFFECTIVE OFFICE SOUGHT OR HELD NAME OF CAN DIDATE/OFFICE HOLDER/STATE MEASURE PROPONENT Y EAR OF ELECTION PARTY 0 Non-Partisan □ Non-Partisan Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election . List below : CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION SUPPORT OPPOSE ' l --. . -------1 □ □ • i i -. ! • ·•\ ~ \ l f t. 1'\,. ; '.. ,, 1 L -.. ,.a,,.,.,\...,--\ 'v! £.;.;;,\_ r ----· ···• ··--·--'I g I I ) i ···· ia --,I □ □ J, \\e .. ;,; :.-·li ; i . . . FP ,PC Form 410 (Dec/2012) t If PPC;;-;:r--ar1=fiije"flil"'p line 1 ·S:6'6/ASK l FPPC (866/275-3772) I ' -' .\ ' ·a d l.1-\ [[,,,: , · 1 ,,.__1 ; . ·• ~ l.f .... , ~~ -~ ~---·" i --~-----"·~·~----.._,.-~,. Statement of Organization Recipient Committee INSTRU CTI ONS ON REVERSE COMMITTEE NAME SILICON VAL LE Y TAXPAYERS ASSOCIAT ION PAC 4. Type of Committee (Continued) General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check o nly one box: 0 CITY Committee 0 COUNTY Committee ■ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Support and oppose state and local bal l ot measures and candidates Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS CITY STATEMENT OF ORGANIZATION CALIFORNIA 41 0 FORM Page 3 of 3 I.D . NUMBER 1347578 STATE ZIP CO DE Small Contributor Committee □ Date qualified Check box and provide the date this committee qualified as a small contributor com mittee. If the com mittee qualified as a small contributor committee on January 1, 2001, enter 1/1 /01. 5. Termination Requirements By signing the verifi ca ti on , the treasurer, assistant treasurer and/or c andidate , officeholder, or proponent certify that al l of the following co nditions have been met: 2332618-0 • 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 . FPPC Form 410 (Dec/2012) FPPC Toll-Free Helpline : 866/ASK-FPPC (866/275-3772)