410 Initial tatement of Organization
Recipient Committee
~ypeorprlntlnlnk /Z 5 G g ~'~Z,~'
Statement lype
[] Initial
Not yet qualified
[] Amendment
List I.D. numbec
[] Termination - Bee Part 5
List I.D. numbec
07 ! 27 / 01 I I
Date quatifled as committee Date qualified as committee
0f apf~leable)
1. Committee Information
NAME OF COMMITTEE
$¥pu::1=¥ ADDRE$8 (NO P.O. BOX)
21040
CITY
STATE ZIP CODE AREA CODE/PHONE
I I
Date of TermlnatloR
AUG 0
BILL JONES
OF
2. Treasurer and Other Principal Officem
STATEMENT OF ORGANIZATION
MAILING ADDRE88 (IF DIFFERENT)
CA 95014 (408) 773-1400
NAME OF TREASURER
~ ~.. F~T.T,
OPTIONAL: FAX/E-MAILADDRES8
COUNTY OF DOMICILE
ICOUNTY WHERE COMMITTEE 18 ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional lnformation on approprlatelylabeled con~uation ahee~.
For Official Uae Only
STREET ADDRE88
21040 HOMESTEAD RORD
CITY STATE ZIP CODE AflEA CODFJPHONE
O3P]~T~O CA 95014 (408) 773-1400,
N~E OF ASSISTANT TREASURER, IF ANY
STREET ADDRF.88
CITY STATE ZiP CODE AREA CODFJPHONE
NAMEAND POBITION OF OTHER PRINCIPAL OFFICER(8), IF APPLICABLE
MAILING AODRF-.ES
ci'rY STATE ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Information contained herein is true and complete, t certify under penalty of
perjury under the laws of the State of Califomia that the foregoing ia true and correcL
DATE
DATE By
SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, OR STATE MEA~ PROPONENT
8IGNATURE OF CONTROLUNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
FPPC Form 4t0 (Jan/O1}
FPPC Toll. Free Help#ne: 868/ASK.FPPC
tatement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE Page 2
COMM~ ~ I =E NAME I,D. NUMBER
4. Type of Committee complete the applicable sections.
APPLIED FOR
· 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 polllicel party with which each offlcoholder or candidate is affiliated or check "non.partisan,"
· If this committee acts jointly with another controlled committee, list the name end identification number of the other controlled committee,
ELECTIVE OFFICE BOUGHT OR HELD
NAME OF CANDI DATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
[] Non-PaA;~an
JAMES CUPERTINO CItY C~.TT, 2001
D N~an
· List the financial Institution where the ~ampelgn bank acoount Is Ioceted (cc.-~-c;isd "candidate olecflon" commllteee °nlY)
NAME OF FINANCIALINBTITU'rlON
BANK ACCOUNT NUM~P~
001143034
20230 STEVENS C~ BOULEVARD
IAREACODE/PHONE
(408) 996-1144
CITY
6TATE ZIP CODE
OJ-P]~TINO
CA 95014
CANDIDATE(B) OFFIOE BOUGHT OR HELD OR MEA~URE~) JU R~ DICTK)N
CANDIDATE(8) NAME OR MEASURE(B) FULL "nTLE (INCLUDE ~LLOT NO. OR LETTER) (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 410
FPPC Toll.Frae Help#ne: 866/ASK-FPPC
Statement of OrganizatiOn
Recipient Committee
INSTRUCTIONS ON REVER~
COM~a~ ~ ~ t== ......
STATEMENT OF ORGANIZATION
I.D. NUMBER
4. Type of Committee (conanuad)
B,~t,,,=.,,.~,,,,,,,,..~m.,.,,,,,,,,,,,,,. Notformadtoaupportoropposespedflocandldatesormea~ureslnaelngleele~, Checkonlyonebox:
[] CiTY Comm#tee [] COUNTY Comm#~e [] STATE CommXtee
PROVIDE "kiF- r- DESCRiP¥iON OF ACTIVITY
APPr,~'~ FOR
~ L~ additional 8ponaom on an attaohmanL
NAME OF SPONSO~
8T~T ADDRE,~ NO. AND ~TRE. E¥
IINDUSTRY GROUP OR AFFILIATION OF SPONSOR
CRY ~TATE ZIP CODE
~'"'""=ef'""'"'"'"'"'"'""""iM" [] I I Check box and provide the date this committee qualified as a small contributor committee, If the ~ommlttee qualified as a small
Date qualified contributor committee on January 1,2001, enter Illl01.
5. Termination Requirements By~gn~ngtheved~uat~n~thetre~urer'~t~nttrea~urerand/~ruandidat~ft%:d~der~rpr~ponent~ert~fy~bata~dthef~w~ngcond~t~r~hav~beanmet:
· 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 flied all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- Them are reelrictlons on the disposition of surplus campaign funds held by elected officers who are lesvlng office and by defeated candidates. Refer to
Government Code Section 89519.
-- Additional filing obligations will be incurred If, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,
repayments of loans made to others, or any other receipts.
FPPC Form 4t0 (Jan/O1)
FPPC Toll-Free Help#fie: 8~6/ASK.4=PPC