410 Amended
~
Statement of Organization
Recipient Committee
o Tennination - See Pal
List 1.0. number:
print In Ink
IX] Amendment
List 1.0. number:
# 1264630
'Jype or
Initial
o
Not yet
Statement Type
CUPERTINO CITY CLEIRK
#
-----1-----1_
Date of Termination
~~~
Date qualified as oommittee
(tløpplicable)
or
-----1---1_
Date qualified as committee
o
qualified
Principal Officers
"Penny")
2. Treasurer and Other
NAME OF TREASURER
Elizabeth L. Whittaker (aka
STREET ADDRESS
Committee Information
NAME OF COMMITTEE
City, a Primarily Formed Committee to Support Measures A, B,
Save Our
andC
1
AREA CODE/PHONE
408/255-8527
liP CODE
95014
STATE
CA
10318 Cold Harbor Ave.
CITY STATE ZIP CODE
Cupertino CA 95014
NAMEAND POSITION OF OTHER PRINCIPAl OFFIC""E'R(S):' IF APPLICABLE
Dennis S. Whittaker
CITY
Cupertino
NAME OF ASSISTANT TREASURER. IF ANY
Kathey Holland
STREET ADDRESS
20622 Cheryl Drive
STREET ADDRESS (NO P.O. BOX)
this address)
AREA CODE/PHONE
408/255-8527
20622 Cheryl Drive
CITY
Cupertino
MAILING ADDRESS (IF DIFFERENT)
PO Box 1466, Cupertino, CA 95015 (PO Box is for donations oniy)
OPTIONAL: FAX / E-MAIL ADDRESS
matters to
ZIP CODE
95014
(Send any governmental
STATE
CA
AREA CODE/PHONE
408/996-0642
4081255-0259
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
AREA CODE/PHONE
408/255-8527
ZIP CODE
95014
STATE
CA
MAILING ADDRESS
20622 Cheryl Drive
CITY
Cupertino
Santa Clara
Attach additional informatìon on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and
perjury under the laws of the State of California that the foregoing is
on 8-/8-
penalty of
certify under
to the best of my knowledge the information contained herein is true and complete.
true and correct.
By
By
o~
~
~-O'"
DÄTË
Executed
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
SIGNATURE OF CONTROLUNG OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
Có-NTROLUNG OFFICEHOLDER, CANDIDATE, OR STATE MEAS-URE PROPONENT
FPPC Fonn 410 (JanuaryI05)
866IASK·FPPC (866127~377Z)
FPPC Toll-Free Helpline:
SIGNATURE OF
By
By
OATE
OATE
Executed on
Executed on
.0. NUMBER
1264630
ff candidate or officeholder controlled, also list the alective office sought or held. and
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMllTEE NAME
Save Our City, a Primarily Formed Committee to Support Measures A, B, and C
4. Type of Committee Complete the applicable sections.
Conl/Olled Committee
· List the name of each controlling officeholder, candidate, or state measure proponent
district number. if any, and the year of the election.
affiliated or check Knon-partisan.
list the name and identification number of the other
· List the political party with which each officeholder or candidate is
· If this committee acts jointly with another controlled committee,
controlled committee.
1 1 10---
o Non-Partisan
ElECTIVE OFFIC
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PRO
committees only)
located (controlled "candidate election'
IS
paign bank account
·
BANK ACCOUNT NUMBER
STATE ZIP CODE
- -
to support or oppose specific candidates or measures in a single election. List below:
AREA CODElPHONE
CITY
NAME OF FINANCiAl INSTITUTION
ADDRESS
CANOl
,-------- --- - ....',......"...."....
SUPPORT OPPOSE
Measure Regarding Housing Density (Measure A) Cupertino, CA IC
SUPPORT OPPOSE
Measure Regarding Buiiding Height (Measure B) Cupertino, CA IC
Primarily formed
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO
FPPC Form 410 (JanuarylO5)
FPPC Toll-Free Helpline: 8Ø6/ASK,FPPC (8861275-3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CQMMITIEE NAME
Save Our City, a Primarily Formed Committee to Support Measures A, B, and C
4. Type of Committee Complete the applicabte sections.
candidate or officeholder controlled, also list the elective office sought or held, and
If
check ~non-partÎsan.
· List the name of each controlling officeholder, candidate, or state measure proponent.
district number, if any, and the year of the election.
List the political party with which each officeholder or candidate is affiliated or
If this commijtee acts jointly with another controlled committee,
·
list the name and
,,,....,,..,,_........-.,...~,._. ,.~, ~.._... \"......LV..............,.u..... .n............,,, ".. ~'~..~w_1
I I 10-.-
o Non-Partisan
List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREA CODElPHQNE BANK ACCOUNT NUMBER
("'ITV -----
BANK ACCOUNT NUMBER
ZIP CODE
STATE
AREA CODElPHQNE
CITY
NAME OF CANDIDAT
ADDRESS
·
N
·
d
'., .....,., ....."'v............ "............" ............_.../ I...MI:......"v"'<=
SUPPORT OPPOSE
Measure Regarding Building Setback (Measure C) Cupertino, CA It
SUPPORT OPPOSE
to support or oppose specific
Primarily formed
CANDIDATE(S) NAME OR
FPPC Fonn 410 (JanuarylO5)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3112)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME .0. NUMBER
Save Our City, a Primarily Formed Committee to Support Measures A, B, and C 1264630
4. Type of Committee (Continued)
Gene/al Purpose> COfJl/111tt('e Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
o CITY Comml1lee o COUNTY Comml_ o STATE Comml_
PROVIDE BRIEF DESCRJPTlON OF ACTIVITY
Spons()fcd CorrJfmttee list additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE liP CODE
Small Contnbuto, Como1/ttee o --1----1_ Check box and provide the date this committee qualified as a small contributor oommittee. If the committee qualified as a
Date qualified small contributor committee on January 1,2001, enter 1/1101.
5. Termination Requirements By signing the verifICation, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certìfy that all of the following oonditions 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 ail 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 reportabie transactions.
There are restrictions on the disposition of surplus campaign funds held by elected officers who are ieaving office and by defeated candidates. Refer to
Government Code Section 89519.
FPPC Fonn 410 (JanuaryI05)
FPPC TolI·F"'e Helpline: B66/ASK·FPPC (866127$-3772)