410 Amendment
STATEMENT OF ORGANIZATION
Statement of Organization
Recipient Committee
II
o
WIlE
Date Stamp
~
!E~!E
o Tennination - See Part 5
List I.D. number:
Type or print in ink
181 Amendment
List I.D. number:
or
D
Initial
yet qualified
o
No
Statement Type
2006
JAN 3
#
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Date of Termination
273991
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Date qualified as committee
(If applicable)
#
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Date qualified as committee
RK
PERTINO CITY CL
C
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Charles B. Ahern
STREET ADDRESS
10371 Miller Ave.. #1
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Committee Information
NAME OF COMMITTEE
Advocates for
1
Cupertino
a Better
AREA CODE/PHONE
821-6414
(408)
ZIP CODE
95014
STATE
CA
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
#161
STREET ADDRESS (NO P.O. BOX)
20660 Stevens Creek Blvd
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AREA CODE/PHONE
ZIP CODE
95014
STATE
CA
Cupertino
MAILING ADDRESS
STREET ADDRESS
(IF DIFFERENT)
AREA CODE/PHONE
ZIP CODe
STATE
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E-MAIL ADDRESS
FAX
OPTIONAL:
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
info@abettercupertino.org
COUNTY OF DOMICILE
COUNTY WI-IERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
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Santa Clara
certify under penatty of
true and complete.
By
Attach additional information on appropriately labeled continuation sheets.
Verification
I have used all reasonable diligence in preparing this statement and
pe~ury under the laws~f the St, of California that the foregoing is
~
Executed on
3
Executed on
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
DATE
Executed on
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 4tO (January/OS)
FPPC TolHree Helpline: 866/ASK·FPPC (866/275-3772)
By
DATE
Executed on
Statement of Organization
Recipient Committee
D. NUMBER
1273991
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Advocates for a Better
Cupertino
4. Type of Committee Complete the applicable sections.
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
Ithis
controlled, also list the elective office sought or held, and
candidate or officeholder
II
·
party with which each officeholder or candidate is affiliated or check "non-partisan.
committee acts jointly with another controlled committee,
·
·
controlled committee.
list the name and identification number of the other
NAME OF CANDIDATE/OFFICEHOLDER/STATI
committees only)
. I
ate election
BANK ACCOUNT NUMBER
ZIP CODE
STATE
AREA CODE/PHONE
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NAME OF FINANCIAL INSTITUTION
ADDRESS
measures in a single election. List below:
Primarily formed to support or oppose specific candidates or
IINC
I 1··~~1~
SUPPORT OPPOSE
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE
FPPC Form 410 (January/OS)
FPPC Tol~Free Helpline: 866/ASK·FPPC (866/275-3772)
STATEMENT OF ORGANIZATION
Statement of Organization
Recipient Committee
.0. NUMBER
1273991
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Advocates for a Better Cupertino
Check only one box:
(Continued)
Not formed to support or oppose specific candidates or measures in a single election.
181 CITY Committee 0 COUNTY Committee 0 STATE Committee
4. Type of Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
To participate in general political. legislative, and governmental activities in Cupertino, including future ballot measures and other campaigns.
List additional sponsors on an attachment
NDUSTRY GROUP OR AFFILIATION OF SPONSOR
NAME OF SPONSOR
f the committee qualified as a
ZIP CODe
contributor committee.
STATE
Check box and provide the dale this committee qualified as a small
small contributor committee on January 1,2001, enter 1/1/01.
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NO. AND STREET
0----1----1_
Date qualified
STREET ADDRESS
By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
5. Termination Requirements
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
to discharge all debts, loans received, and other obligations;
intention or ability
and
This committee has no surplus funds;
This committee has filed all
Refer to
FPPC Form 410 (January/OS)
FPPC Tol~F..e Helpline: 8661ASK-FPPC (866/275-3772)
required by the Political Reform Act disclosing all reportable transactions.
There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates.
Government Code Section 89519.
campaign statements