410 Termination tatement of Organization
Recipient Committee
Type or print in Ink
Statement Type [] Initial
[] Amendment
Not yet qualified [] or List I.D. number:
I I I
Data qualified as committee Date qualified ss committee
1. Committee Information
NAME OF COMMII-rEE
COMMITTEE TO RE ELECT SANDRA JAMES
STREET ADDRESS (NO P.O. BOX)
21040 HOMESTEAD ROAD
[] Termination - See Part 5
List I.D. number:
# 1236842 Cl'
12/ 31 ~ Ol
Date of TamllnaUon
DEC 2 8 20~,.~
OF CUPERTIN
2. Treasurer and Other Principal Officers
STATEMENT OF ORGANIZATION
CITY STATE ZIP CODE AREA CODE/PHONE
CUPERTINO CA 95014 (408) 773-1400
MAILINGADDRESe: [IF DIFFERENT)
NAME OF TREASURER
STREET ADDRESS
21040 HOMESTEAD ROAD
For Oft~cial Use
CITY STATE ZIP CODE AREA CODE/PHONE
CUPERTINO CA 95014 (408)773-1400
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER[S), IF APPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAiL ADDRESS
COUNTY OF DOMICILE J COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
I THAN COUNTY OF DOMICILE
Attach additional information on apprc~#ately labeled continuation sheets.
3. Verification
I have used sII reasonable diligence in preparing this stetement end te the beet of my knowledge the information contained herein is true and complete. I certify under penalty of
perjury under the laws of the Slate of California that the foregoing is
alGNAI'L/RE OF CONTRO LLIN~ OFFICE HOLD{~ANDIDATE. OR STATE MEASURE PROPONENT
Executed on By
Executed on By
FPPC Form 4t0 (Jan/01)
FPPC Toll-Frae Helpllne: 8661ASK-FPPC
Statement of Organization
Recipient Committee
INSTRUCTIONS; ON REVERSE
COMMITTEE NAME
STATEMENT OF ORGAN 17-ATION
COMMITTEE TO RE ELECT SANDRA JAMES
4. Type of Committee complete the applicable sections.
· List the name of each controlling officeholder, candidate, or state measure pmponS;nt. If candidate or officeholder controlled, also list the elective office sought or held, an'd
district number, if any, and the year of the election.
· List the political party with which each officeholder or candidate iS; affiliated or check "non-)artisan.'
· it~ this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLr(~ YEAR OF
[] Non-Padisen
SANDRA JAMES CUPERTINO CITY COUNCIL 2001
[] Non-PafIisan
· List the financial institution where Ihs campaign bank account is iocalad (controlled .candidate election, commiffees only)
NAME OF FINANCIAL INSTITUTION
ADDRESS
IAREACODE/PHONE
CITY
JBANK ACCOUNT
NUMBER
STATE ZIP CODE
W;~it'*P"i~r~'z't.'i'-T"l~e~,~',~ltHll~:?~ Primarily formed to support or oppose spm'.lfic candidates or msesuroa In s 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(B) JURISDICTION
'rNCLUDE DIST
FPPC Form 4t0 (Jenl0'J)
FPPC Toll-Free Hslpllns: 8661ASK-FPPC