Patnoe 410 Termination tatement of Organization
Recipient Committee
Statement Type [] Initial
Notyetquaflfled [] o~
~/pe or print In Init
[] Amendment
List I.D. number.
I · ! ! ,
Date qualified as =omml~ee Date qualified as committee
1. Committee lnfomiation
G~OFF PATNOE FOR CITY COUNCIL
STREET/~DDRESS (NO P.O. BOX)
10384 ALPINE DRIVE #2
CiTY ~TAiE ZIP CODE AREA CODE/PHONE
OJ~]~RT~O CA 95014 (408) ?73-1400
MAILING ADDRESS (IF DIFFERENT)
OPTIOHA~ FAXI E.MAILADDRESS
COUNTY OF DOMICILE
I COUNTY WHERE COMIviii~EE IS ACTIVE IF D;F;~-' ;'~ENT
THAN COUNTY OF DOMICILE .
[] Tenalnation - See Part 5
Ust I.D. number:,
# 1 233R7R
Date of Termination
DEC 1.3'2001
C'F CUPE
2. Treasurer and Other Principal Officers
I
STATEMENT OF ORGANIZATION
NAME OF TREASURER
STREET ADDRESS
21040 HOMESTEAD ROAD
cn'Y ~la& = ZIP CODE AREA COD. E/PHONE
CU~ CA 9501 4 (408) 773-1 400
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS
CITY = &a~ ~- ZIP CODE AREA CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IFAPPUCABI-E
MAlUNG ADDRESS
cFrY ul~t= 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 heroin Is true and complete. I certify under penalty of
perjury under the laws of the State of Califomla that the foregoing is true and correct.
OF TREASURER OR ASSISTAN I i ~_ASURER
SIGNATURE OF CONTROLUNO OI*~-~uF. HOLDER- C~IDIO~.TE, ce STALE MF~SUI~
~IGNAIURE OF CONTROl.UN G ~ r ~,=rlOU)ER, ~IDATE, OR. BTAI ~' MEASURE
SIGNATURE OF CONTROUJNO OFFICEHOLDER, CANDIDATE, OR STATE MEASU RE PRm,~',?-~ENT
FPPC Form 410 (Jan/O1)
FPPC Toil-Free Helpllne: 86NASK-FPPG
Statement of Organization
Recipient Committee,
INSTRUCTIONS ON REVERSE
COMtal i i':E NAME
G~0FF PATNOE FOR Ci'i'x COU~C._TT,
STATEMENT OF ORGANIZATION
1233678
4. Type of Committee Complete th~ applicable scions.
· List the name of each controlling officeholder, candidate, or state measure proponenL 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 whlch each officeholder or candidate is affiliated or check "non-partisan.'
· If this committee acts Jointly with another controlled committee, list the name and identification number of the other controlled committee.
· ELECTIVE OFFICE SOUGHT OR HELD P~RTY
ICT NU~;_R IF APPUCAaU;) YEN~ OF a. EUnON
NAME OF CANDIDATE/OI-~' ~u EHOLD E R/~ iai = MP.A~UI,[= ~,~u~-,..~=r~ ~ p~.~.uu= u,~, n,,.,, ,. = ................... ·
GEOFF PATNOE CUPERTINO CITY OOUNCIL 2001
· Ust the'financial institution where the cempaign bank account Is located (contr°lled "candidate electl°n" c°mmittees °nly)
NAME OF FINANCIALIN~, itJT1ON
ADDRESS
AREA CODE/PHONE
CITY
IBANK ACCOUNT NUMBER
ZIP CODE
~l.'~. j~.~.~;z.z~,.~.4';.--,,-~'-;~-- Primarily rotated to support or oppose specific candidates or measures In a single election. Ust below:.
CANDIOATE(S) OFFICE SOUGHT OR HELD OD. MEASURE(S) JURISDICTION
~J.J. OT NO. ORIETTER) CITY OR COUNTY, AS APPUCABLE) CKEC~ ONE
CANDID^TE(S)NAMEOI~,MP-.%~UI'-.r-F~/ruu- I-uti,r:'-~-'-''-';'~'-'-~' ° ,.v. ~,. ...... ~ ur~ca.uu= um,n,~.. ,-~...--, , ~,- ....... , ..... SuPPOPJ ~PO
FPPC Form 410 (Jard01)
FPPC Toll-Free Helpllne: 86rdASK-FPPC