410 Termination Friends
Statement of Organization
Recipient Committee
ST IlrEMENT OF ORGANIZATION
Typeorprlnllnlnk
o.teStemp
Statement Type
0 Initial
Not yet qualified 0 Of
0 Amendment
List 1.0. number:
00 Tenn_on - See Pari 5
List I.D. runber:
fE[;IE~WI
#
# 851028
¿_L~-1 ~
Date of Termination
JUL 2 1 2004
----1----1-
Date qualified as c.ommittee
----1---1-
Date qualified as c.ommittee
(11_1
J.fUPERTINO CITY C~
2. Treasurer and Other Principal Officers
1. Committee Infonnation
NAME OF COMMITTEE
NAME OF TREASURER
Ed Hoffman
Friends of Dolores Sandoval
STREET ADDRESS
10720 Alderbrook Lane
STREET ADDRESS (NO 00. BOX)
S1Þ.TE
ZIP CODE
AREA CODEIPHONE
10720 Alderbrook Lane
CI1Y
S1Þ.TE
ZIP CODE
AREA CODE/PHONE
CI1Y
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
CA
95014
4081725-8939
Cupertino
MAILING ADDRESS (IF DIFFERENT)
CA
95014
4081725-8939
STREET ADDRESS
STATE
ZIP CODE
AREA COOEIPHONE
CITY
DP11ONAL: FAX I E-MAIL ADDRESS
NAME ANO POSITION OF OTHER PRINCI""- OFACER(S), IF APPLICABLE
COUNTY OF DOMICilE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICilE
MAILING ADDRESS
CI1Y
S1Þ.TE
ZIP CODE
AREA CODE/PHONE
Attach additional In_ion on appropttataly laba/ad continuation sheats.
3. Verification
I have used BII reasonable diligence in preparing this statement and to the best of my knowledge the inf<)rmation contained herein is true and complete. I certify under penalty of
pe~ury under the laws of the State of California that the foregoing Is tNe and colTee!.
Executed on July 21, 2004
DAn;
Executed on July 21, 2004
DATE
Executed on
OATE
Executed on
DATE
B{
B{
B{
SIGNIO'URE OF CDNTROWNG OFFICEHOlDER, CAND""'E. OR STAlE MEASURE F'R<:JPONENT
B{
SIGWlURE OF CDNTROWNG OFFICEHCJlD£R. CAND"KE, OR STAlE MEASURE PRCPONENT
FPPC FDIm 410 (JanlO3)
FPPC TofI.Fra. Halutlne: 886/ASK-FPpC
Statement of Organization
Recipient Committee
STA. , OF. 0RGÞl>I. . . lZ!\'iIlON&
CAliFORNIA 41 0
FORM
P' og'. 2
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
1.0. NUMBER
Friends of Dolores Sandoval
851028
4. Type of Committee COmpietetheapplicabiesadions.
. List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elee!ive office sought orhekl, and
distrie! number, if any, Bnd the year ofthe elee!ion.
. List the political party with which each officeholder or candidate is affiliated or check "non-partisan."
. Ifthis committee ae!s jointly with another controlled committee, list the name and identification number oflhe other controlled committee.
NAME OF CANDIDA'EIOFACEHOlDERISTATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABlE)
YEAR OF ELECTION
PAR TY
IRI Non-Partisan
Dolores "Dolly" Sandoval Member, Cupertino City Council 2001
DNon-PartIA
. List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAllNSmUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
Citibank
ADDRESS
800/274-6660
~
11326060800
S1Þ.TE
ZIP CODE
1303 S. Mary Avenue
Sunnyvale
CA
90487
.
Primarily formed to support Of oppose specific candidates or measu,,", in a single election. List below:
CANDIDME(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
-,- - ~ ~~ - ~ - ~ ~ ~ I _"Œ~m=~.=~~~.Œ- ~
FPPC Form 410 (JanlO3)
FPPC T~ree Halpftne: 866/ASK-FPPC
INSTRUCTIONS ON REVERSE
Statement of Organization
Recipient Committee
COMMITTEE NAME
Friends of Dolores Sandoval
4. Type of Committee
(Continued)
.
Not formed to support Of oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTYCommltt.. 0 STATECommm..
PROVIDE BRŒF DESCRIPTION OF ACTIVITY
Us! additional spon&OfS on an attacI1men!.
NAME OF SPONSOR rOUSTRYGROUPOR AFFllL<nONOFSPONSOR
STREET ADDRESS NO. AND STREET CITY S1Þ.TE ZIP CODE
Small Go,,'n/JU,n¡ GOf""""",,
0 ----1---1- Check box and provide the date this committee qualified as a smaR contributor committee. If the committee qualified as a
Date qualified small contributor committee on January 1, 2001, enter 1/1101.
5. T ennination Requirements By signing the verification, thetreasurer, assistant treasurer and/or candidate, ofIiœholder, Of proponBf1t œrtify that all of the following conditions have been met:
. 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 filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
n There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates.
Govemmen1 Code Section 89519,
Refer 10
FPPC Fann 410 (JanlO3)
FPPC Tol~F..... Helpline: 866/ASK-FPPC
Instructions for
Statement of Organization
CALIFORNiA 41 0
FORM
General Purpose Committee
A committee is a general purpose committee if its
principal activity is supporting or opposing a variety
of candidates or measures not voted upon in a
single election.
. A city committee makes contributions and
expenditures in connection with a single city's
elections and includes special districts located
within a single city.
. A county committee makes contributions and
expenditures in connection with a single county's
elections. A county committee also includes
elections for special districts located in a single
county or any number of cities located in a single
county.
. A state committee makes contributions and
expenditures in connection with state electiOrlS,
or in connection with elections held in more than
one county.
Provide a brief description of the committee's
political activities such as whether or not it supports
candidates or measures that share a common
political affifiation. If the general pu¡pose committee
meets the sponsored committee definition, also
complete the sponsored committee section.
Sponsored Committee
A "sponsored committee" is a general purpose or
primarily fomned committee, other than an
officeholder or candidate controlled committee, that
has one or more sponsors.
An organization, business, or other emity is a
sponsor if one or more of the fullowing apply:
. The committee receives 80% or more of its
contributions from the entity or organizalion or its
members, officers, employees, or shareholders,
. The entity or organization collects contributions
for the committee by use of payroll deductiOrlS or
dues from its members, officers or employees.
. The entity or organization, alone or in
combination with other entities or organizations,
provides all or neatly all of the adminisllalive
services for the committee.
. The entity or organization, alone or in
combination with other entities or organizations,
sets the policies for contribution solicitations or
payment of expenditures from committee funds.
See the instructions for Pari 1 for name
identification requirements.
Small Contributor Committee
A "small contributor committee" is one that
. Has been in existence for more than six months;
. Receives contributions from 100 or more
persons;
. Makes contributiOrlS to five or more candidates;
and
. Has not received more than $200 from one
person in a calendar year.
See FPPC Regulation 18503.
5. Tennination Requirements
Recipient committees do not auiomatically
telTninate; they may only terminate under the
following circumstances:
. They have ceased to receive contributions and
make expenditures; and
. They do not anticipate receiving contributions,
repayments of outstanding loans made to others,
or any other receipts in the future, and they do
not anticipate making expenditures in the future;
and
. They have eliminated or have no intention or
ability to discharge all their debts, loans received,
and other obligations; and
. They have no campaign funds; and
. They have filed aU required campaign
statements disclosing all reportable transactions,
including disposition of funds.
State Candidates: There are specific mandatory
termination deadlines applicable to your controlled
committees. See FPPC regulation 18404.1.
How to Terminate
State Recipient Committees
. FOe an original and one copy of the Form 410
Statement of Organization Termination along
with an original and one copy of your Form 450
or 460 with the Secretary of State.
. File two copies of your FOITO 450 or 460 with
your local filing officials.
Local Recipient Committees
. File an original and one copy of the Form 410
Statement of Organization Termination with the
Secretary of State; and
. File a copy of the Form 410 Statement of
Organization Termination, along with an original
and one copy of your FOITO 450 or 460 with your
filing officer.
FPPC FDIm 410 (JanlO3)
FPPC Toll-F... Helpline: 8661ASK.FPPC