410 Initial tatement of Organization
Recipient Committee
Statement Type
[] Initial
Not yet qualifed [] or
2 16 01
I., I
Dale qualifed as committee
1. Committee Information
Type or print in Ink
[] Amendment
Lisl I.D. number:
__/.~/
Dale qualified as committee
(if applic eble)
co Y
[] Termination- See Part 5
List I.D. number:
/ /
Date of Termination
CA
BILL JONES
~ECRETARy OF STAT
2. Treasurer and Other Principal Officers
STATEMENT OF ORGANIZATION
For Olficlal Use Only
NAME OF COMMfl-rEE
Geoff Patnoe for City Council
STaEET ADDRESS (NO P.O. BOX)
10384 Alpine Drive #2
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 (408) 746-2940
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX / E-MAIL ADDRESS
gpatnoe@yahoo, com
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional, information on appropriately labeled continuation sheets.
NAME OF TREASURER
Tom Hall
MAILING ADDRESS
21040 Homestead Road
CITY STATE ZIP CODE AREA CODE/P~tONE
Cupertino CA 95014 (408) 773-1400
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(Si, IF APPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREA COOE.43HON E
3. Verification
I have used all reasonable diligence in preparing Ihis statemenl and 1o the best of my knowledge Ihe inlormation contained herein is Irue and complele. I certify under penally ol
perjury under the laws of the State of California Ihat the foregoing is true and correct.
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE M~ASURE PROPONENT
SIGNATURE OF CONTROLLING OFF CEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410 (8/99)
For Technical Assistance: 916/'32~.-5660
tatement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Geoff Patnoe for City Council
STATEMENT OF ORGANIZATION
Page 2
I.D. NUMBER
applied
4. Type of Committee complete the applicable sections.
· List the name of each controlling officeholder, candidate, or state measure proponent. II candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of Ihs election.
· List the political party with which each of~eholder or candidate is affiliated or check "non-partisan."
off this committee acts joinlly with another controlled committee, list the name and identilication number ol Ihs other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
· [] Non-Partisan
Geoff Patnoe Cupertino City Council 2001
[] Non-Padisan
· List the financial inslitulion and Ihs disposition ol surplus funds (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
Cupertino National Bank
IAREACOO~PHONE
(408) 996-1144
IBANKACCOUNTNUMBER
001142135
DISPOSlTIONOFSURPLUSFUNDS
as law allows
DATE OPENED
2/16/01
ADDRESS
20230 Stevens Creek Boulevard
STATE ZiP CODE
CA 95014
~,m~tt~.;~.[.,~/,;.l~m~¢:~. 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
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LET[ER) (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK OhlE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (8/99)
For Technical Assistance: 916/322-5660
Statement ol Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMII-rEE NAME
STATEMENT OF ORGANIZATION
Page 3
Geoff Patnoe for City Council
4. Type of Committee (Conllnued)
f~:]~'l~l~'ll~2'r[°f'z"'~'~'l"l~irll(¥'! Nol formed ID support or oppose specllic candidales or measures in a single elsction. Check only one box:
[] CITY Committee [] COUNTY Cornmlttee [] STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
I.D. NUMBER
applied
List additional sponsors on an attachment.
NAME OF SPONSOR
MAILINGADDRESS NO, AND STREET
CITY
IINDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
B:~l'~.[~ll:hl-'f,~F[ff. lrir. ill~ [] (For purposes ol speciaJ elecllon contrlbulion Ilmlls)
5. Termination Requirements By signing ~e verilication. He treasurer, esslstan! Ireasurer and/or candidate, officeholder, or proponent certih/that all of the follo~ng conditions have been mol:
· This committee has ceased 1o receive'conlributJons and make expendilures;
· This committee does not antic!pate receiving contributions or making expenditures in the lulure;
· 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 commJltee has filed all campaign stalemenls required by the Political Reform Ac/disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elecled officers who are leaving office and by delealed candidates. Refer to
the Information Marlu~l orl Cami~al(~n Disclosure Provisions of Ihe Poliflcal Reform Acl. for Elected Officers. Candidates and Iheir Controlled Committ~
(Manual A).
-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness ota loan,
repayments of loans made Io others, or any other receipts.
· FPPC Form 410 (8/99)
For Technical Assistance: 916/322-5660