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410 Statement of Organization Recipient Committee – Amendment (3)Statement of Organization Recipient Committee Statement Type Initial DECEOVE sive'BTh'b r- Amendnnent Not yet qualified or Date qualification threshold met Date qualification threshold , 09 , 06 1.0. Number 1451685 (if appircribre) , 2022 NAME OF COMMITTEE Steven Scharf for Cupertino City Council STREET ADDRESS (NO p.o. tiox) CITY STATE ZIPCCIDE AREACODE/PHONE Cupertino CA 95014 FULI MAILING ADDRESS IIF DIFFERENT) E-M AIL ADDRESS iREQul RED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara Cupertino Attach additiowl information on appropriately labeled continuation sheets. NOV 2 ':' oftheSecretaryof z Te rmination - See Part the State of CalHornla UPERTINOCITYCLE K NOVO82022 NAME OF TREASURER Nicole Woon STREET ADDRESS irto p.o. sox) NAMEOFASSISTANTTREASuRER,IF ANY STREET ADDRESS INO p.o. sox) Cl'n'STATE NAME OF PRINCIPAL OFFICER(S) Steven Scharf STREETADDRESS INO p.o. BOXI CI'lY Cupertino STATE CA ZIP CODE 95014 ZIF' CODE ZLP CODE 950-14 For Official Use Only AREA CODE/PHONE AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing this statemen't and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of CANDIDATE, OR STATE MEASURE PROPONENT Executed on Executed on DATE DATE Rli BV SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT SIGNATIIRE OF CONTROLLING OFFICEHOLDEFI. CANDIDATE, OR STATE MEASURE PROI'ONENT FPPC Form 410 (August/2018) FPPC Advice: advice(a)fppc.ca.gov (866/275-3772) www.fppc.ca.gov jii& I a 19* r k< Ik 114f v 1AjJ, @ II I )l I MIlffl Vlll ffl JI a Page 2 COMMITTEE NAME Steven Schaf for Cupertino City Council 1.D. NUMBER 145"l685 ii All committees must list the financial institution where the campaign bank account is located. NAME OF FlNANCIALlNSTITuTION Wells Fargo Bank AREA CODE/PHONE CITYADDRESS STATE ZIPCODE Cupertino CA 95014 .' J _'e-'lit-ia+iiir !"A'S#'!a!ffl"xs -tiafiJAji.]-*aiffi,4 aafiiN i'al l!(:=l '€9 J :I K{::J'U r,Hl !]ll W !.!k KM!2:>2 )8J4 l'Wl&A!'e!'M.iiaT'!;mJl!ICL!:Cl I:jSYT-jJii INN "..?n'lTj?t'Yltaa*F" I i W t !'aNJi'm)aal!l}m : ..' -'. . ' . . ... . . aatp T'f'ffiff'brfig'M:nfl!' 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/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (lNCluDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE Steven Schaf Cupertino City Council Member 2022 Nonparkisan / Partisan (list polih'cal party below) Nonpartisan Partisan (list political party below) a H - a (1 i 4i H H I Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOTNO. OR LETTER) IF A RECALL, STATE "RECALI IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASLIRE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)CHECK :)NE SUPPORT OI'POSE I I SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee NSTRuCTIONS ON REVERSE COMMITTEE NAME Page 3 1.0. NIIMBER 1451685 " o a aa - a;m'jl Not formed to support or oppose specific candidates or measures in a single election. Check only one box: [] CITY Committee [] COUNTY Committee [] STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY STREET AD[)RESS NO. AND STREET CITY STATE ZIP CaOE AREA CODE/PHONE u a a t o a a n n kt a a rl Dake qualified This committee has ceased to receive contributions and make expenditures; This committee does not ant'cipate 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 dis,closing all reportable transactions. - Therearerestrictionsonthedispositionofsurpluscampaignfundsheldbyelectedofficerswhoareleavingofficeandbydefeatedcandidates. Referto 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