410 Statement of Organization Recipient Committee – Termination Stamped by SOSStatement of Organization CEIVl:ff.(Nb FILI
Recipient Committee ~ 1 office of the Secr!§ttry ofl
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® Not yet qualified
or JAN 27 2021 2 ~ 20 21
0 Date qualification threshold met Date qualification thres hold met Date of termination Cl.,
NAME OF COMM ITTEE NAME OF TREASURER
CUPERTINO CHAMBER OF COMMERCE PAC RICHARD ABDALAH
-ST-R-EE_T_A_D_D-RE-SS-(:-N-O-P.-0 -. B-□--,X):-----------------------------
STREET ADDRESS (NO P.O. BOX)
CUPERTINO
FULL MAILI NG ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
SANTA CLARA
STATE ZI P CODE AREA CODE/PHONE
CA 95014 (408)252-7054
JUR ISDICTION WHERE COMMITTEE IS ACT IVE
CITY OF CUPERTINO
Attach additional information on appropriately labeled continuation sheets.
~.~gtifiriatibn
20455 SILVERADO AVENUE
STATE ZIP CODE
CUPERTINO CA 95014
NAME OF ASSISTANT TREASURER, IF ANY
JAMES SUTTON
ST REET ADDR ESS (ND P.O. BOX)
STATE ZIP CODE
SAN FRANCISCO CA 94108
NAME OF PRINCIPAL OFFICER(S)
KEVIN MCCLELLAND
STRE ET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
CUPERTINO CA 95014
I have used all reasona e i igence in preparing t is statement an tot e est o my now e get e in ormation containe erein 1s true an compete.
penalty of pe rj ury under the laws of the State of
TREASURER
Executed on ______ 0 A_T_E _____ By----------------------------=-----------:-:-:--:-::-----------
s 1GNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE By-------------------------------------------SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Exec uted on
DATE By-------------------------------------------------------
AREA CODE/PHONE
(408)252 -7054
AREA CODE/PHONE
(415)732-7700
AREA CODE/PHONE
s1GNArnRE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
netfi/e .com
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAM E
CUPERTINO CHAMBER OF COMMERCE PAC
2a. Additional Officers I Assistant Treasurers
NAME
RICHARD ABDALAH
MAILING ADDRESS
CITY
CUPERTINO
NAME
MAILING ADDRESS
CITY
NAME
MAILING ADDRESS
CITY
NAME
MAILING ADDR ESS
CITY
STATE
CA
STATE
STATE
STATE
ZIP CODE
95014
ZIP CODE
ZIP CODE
ZIP CODE
AREA CODE/PHONE
(408)252 -7054
AREA CODE/PHONE
AREA CODE/PHONE
AREA CODE/PHONE
NAME
MAILING ADDRESS
CITY
NAME
MAILING AD DRESS
CITY
NAME
MAILING ADDRESS
CITY
NAME
MAILING AD DRESS
CITY
1299673
STATE ZIP CODE AR EA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE
STATE ZIP CO DE AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CO M MITTEE NAME
CUP ERTINO CHAMBER OF COMME RCE PAC
• All committees must list the financial institution where the campaign bank account is located.
NAM E O F FIN A NCIAL INSTITUTION AREA CODE /PHONE
BANK OF THE WEST (
ZIP CODE
CA 9 5 129
CALIFORNIA 410
FORM
Page 3 o f 4
l.D. NUMBER
1 29967 3
• 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.
NAME OF CANDIDATE/O FFICEHOLDER/STATE M EASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEA R OF
ELECTION
PARTY
CHECK ONE
Nonpartisan Partisan
Nonpartisan Pa rtisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDID ATE(S) NAM E OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO ., CITY OR COUNTY, AS APPLICABLE)
(list political party below)
(list pol itical party below)
CHECK ON E
I '""'"' I """
T OPPOSE .
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov {866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
@ CITY Committee O COUNTY Committee O STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
TO SUPPORT LOCAL AND STATEWIDE CANDIDATES AND BALLOT MEASURES
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR
CUPERTINO CHAMBER OF COMMERCE
STREET ADDR ESS NO. AND STREET
Small Contributor Committee o __ ; __ ; __
Date qualified
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
CITY
CUPERTINO
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
STATE
CA
• 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.
ZIP CODE
95014
AREA CODE/PHONE
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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov