410 Termination
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
--1--1_
Date qualified as committee
--1--1_
Date qualified as committee
(II applicable)
# 1278918
~-1!LJ 2006
Date of Termination
Date Stamp
'tYpe or print In Ink
Statement Type
o Initial
Not yet qualified 0 or
o Amendment
List 1.0. number:
oa Termination - See Part 5
List 1.0. number:
#
AUG 2 4 2006
Elect Jeanne Bradford
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Edward Grant
STREET ADDRESS
AREA CODE/PHONE
STREET ADDRESS
r--~~ ZIP CODE
"l
~. ~
NAME AND POSITION OF OTHER PRINCIPAl:OFFICER(S), IF APPLICABLE
AREA CODE/PHONE
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
COUNTY OF DOMICilE
COUNTY 'M-tERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICilE
MAILING ADDRESS
Santa Clara
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete.
perjury under the laws of the State of California that the foregoing is true and correct.
t~-
I certify under penalty of
Executed on
By
SIGNATURE OF CONTROLLING OFACEHOlDER, CANOIDATE, OR STATE MEASURE PROPONENT
DATE
By
Executed on
Executed on
DATE
By
Executed on
By
SIGNATURE OF CONTROlliNG OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
DATE
FPPC Form 410 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization
Redpient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALIFORNIA 41 0
FORM
COMMITTEE NAME
Elect Jeanne Bradford
1.0. NUMBER
1278918
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
rn Non-Partisan
Jeanne Bradford City Council 2005
o Non-Partisan
. List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
AREA CODElPHONE
BANK ACCOUNT NUMBER
Cupertino National Bank
ADDRESS
(
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
I ,"WUU 10-'
SUPPORT OPPOSE
FPPC Form 410 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALIFORNIA 41 0
FORM
COMMITTEE NAME
d
4. Type of Committee (Continued)
I.D. NUMBER
1278918
General Purpose Committee
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
o CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS
NO. AND STREET
CITY
STATE
ZIP CODE
Small Contributor Committee
o ---1---1_ Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a
Date qualified small contributor committee on January 1, 2001, enter 1/1/01.
5. Term ination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify 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.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to
Government Code Section 89519.
FPPC Form 410 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)