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410 Amendment (Stamped by SOS) Statement Type o Initial Not yet qualifled 0 or @ .-....-.',., /J 0 ~ 1i-~_.:L~'.~. -:. :~" . " '\ I REC 4- ~ pe or print in ~\\ ,_ r "U; fnt \ JI ' ,.-..... \ I ,~ Ln i. ermlnA"OA BeL ~rt 5 \ cupt~~~~\TY CLERK .\ B I!J Amendment List 1.0. numbeJ: ----1----1_ Date of Termination SEP 2 1 2006 UCE McPHERSO ecretary of State JAN 1 2 2007 Statement of Organization Recipient Committee ----1----1_ Date qualified as committee # 1287457 ~~~ Date qualified as committee (W appllceble) EGISTRAR OF VOTERS OUNTY OF SANTA CLARA , Dep ty By STATE ZIP CODE AREA CODElPHONE 2. Treasurer and Other Principal Officers NAME OF TREASURER Alfred J. DiFrancesco STREET ADDRESS 10423 Norwich Avenue CITY Cupertino NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE 1. Committee Information NAME OF COMMITTEE Cupertino Against Re-zoning (CARe), NO on Measures D & E 10423 Norwich Avenue CITY Cupertino MAILING ADORESS (IF DIFFERENT) PO Box 1466, Cupertino, CA 95015 OPTIONAL: FAX I E-MAIL ADDRESS CA 95014 AREA CODElPHONE 408-252-7930 STREET ADORESS (NO PO. BOX) CA 95014 408-252-7930 STREET ADORESS CITY STATE ZIP CODE AREA CODE/PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE Patty Chi, President MAILING ADDRESS 10273 Norwich Avenue CITY Cupertino STATE ZIP CODE COUNTY OF OOMICILE COUNTY I!I.1-IERE COMMITTEE IS ACTNE IF DIFFERENT THAN COUNTY OF OOMICILE Santa Clara Attach additional information on appropriately labeled continulltion sheets. CA 95014 AREA CODEIPHONE 408-366-0332 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the infonnation contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 9/14/06 By DATE 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 (868/276-3772) Statement of Organization Recipient Committee STATEMENT OF ORGANIZATION CALlFORr~IA 41 0 FORr" INSTRUCTIONS ON REVERSE COMMITTEE NAME Cupertino Against Re-zoning (CARe), NO on Measures D & E I. D. NUMBER 1287457 4. Type of Committee Complete the applicable sections. Controlled Conllmttee . List the name of each controlling officeholder, candidate, or s1ate 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-parlisan.. . If this committee acts jointly with another controUed committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATEIOFFICEHOLDERJSTATE 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) AREA CODElPHONE BANK ACCOUNT NUMBER NAME OF FINANCIAL INSTITUTION ~ CITY STATE ZIP CODE ADDRESS Prt/llanly Fot med ConllrJ/ttee 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 Measure D (Vallco) City of Cupertino " SUPPORT OPPOSE Measure E (Toll Brothers) City of Cupertino " FPPC Form 410 (JanuaryI05) FPPC Toll-Free Helpline: 866JASK-FPPC (866/275-3772) Statement of Organization Recipient Committee STATEMENT OF ORGANIZATION INSTRLlCTIONS ON REVERSE CALIFORNIA 41 0 FORM COMMmEE NAME Cupertino Against Re-zoning (CARe), NO on Measures D & E 4. Type of Committee (Continued) I.D. NUMBER 1287457 General Purpose Coml1l1ttee Not formed to $Upport or oppose specific candidates or measure$ in a single election. Check only one box: o CITY Convnlttee 0 COUNTY Committee 0 STATE Committee PROVIDE BRIEF DESCRIPTION OF ACT IVITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILlA TlON OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Small ContllbutOl 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 1/1101. 5. Termination Requirements By signing the verification, the treasurer, aS$istant treasurer and/or candidate. otrlC8holder, or proponent certify that all ofthe follolllling 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/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)