410 Termination
Statement of Organization
Recipient Committee
~ rOffic",1 Use Only
(Qj
iii Tenninalion - See Part 5
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2 2
DEC
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Date of Termination
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2. Treasurer and Other Principal Officers
NAME OF TREASURER
Elizabeth L. Whiliaker
Committee Information
NAME OF COMMITTEE
Save Our City, a Primarily Formed Committee to Support Measures A, B,
andC
1
AREA CODfJPHONE
408/255-8527
ZIP CODE
95014
STATE
CA
STREET ADDRESS
20622 Cheryl Drive
CITY
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
20622 Cheryl Drive
CITY
AREA CODE/PHONE
408/255-8527
ZIP CODE
95014
STATE
CA
Kathey Holland
STREET ADDRESS
10316 Cold Harbor Ave.
Cupertino
MAILING ADDRESS
AREA COOE/PHONE
408/996-0842
ZIP CODE
95014
APPLICABLE
CITY STATE
Cupertino CA
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S)
(IF DIFFERENT)
PO BOX 1466, Cupertino, CA 95015
OP11ONAL: FAX I E-MAIL ADDRESS
408/255-0259
COUNTY OF DOMICILE
IF
IF DIFFERENT
COUNTY WHERE COMMITTEE IS ACTIVE
THAN COUNTY OF DOMICilE
MAILING ADDRESS
AREA CODEIPHONE
ZIP CODE
STATE
CITY
Santa Clara
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and
pe~ury under the laws of the Slate of California that the fona90in9 is
Executed on
penalty of
certify under
to the best of my knowledge the information contained herein is true and complete.
true and correct.
By
12/22105
DATE
12/22105
DAi"E
OR STATE MEASURE PROPONENT
SIGNATURE OF
By
Executed on
SIGNATURE OF CONTROLUNG OFFICEt-K>LDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
DATE
Executed on
SIGNATURE OF CONTROLUNG OFFICEHOlDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (JanuarylO5)
866/ASK-FPPC (8661275-3772)
FPPC Toli-Free Helpline:
By
DATE
Executed on