410 Termination
Statement of Organization
Recipient Committee
Type or print in ink
Statement Type
o Initial
Not yet qualified D or
o Amendment
List 1.0. number:
#
----1----1_
Date qualified as committee
----1----1_
Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Advocates for a Better Cupertino
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional information on appropriately labeled continuation sheets.
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IKI Termination - See Part ~ I ::
List 1.0, number: U w
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# 1273991
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Date of Termination
CU ERT!iJO CITY CLE
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Charles B. Ahern
STREET ADDRESS
10371 Miller Ave., #1
CITY
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
STATE
ZIP CODE
AREA CODE/PHONE
(408)821-6414
CA
95014
STREET ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
in is true and complete. I certify under penalty of
Executed on By
Executed on By
DATE
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALIFORNIA 410
FORM
COMMITTEE NAME
Advocates for a Better Cupertino
I.D. NUMBER
1273991
4. Type of Committee Complete the applicable sections.
Controlled Committee
· List the name of each controlling officeholder, candidate, or state measure proponent. 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 which 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PARTY
o Non-Partisan
o Non-Partisan
· List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
ADDRESS
CITY
STATE
ZIP CODE
Primarily Formed Committee
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO" CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
Measures D & E City of Cupertino "
SUPPORT OPPOSE
FPPC Form 410 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)