410 Initial
Statement of Organization
Recipient Committee
#
#
AI If'
L \.1
STA 1Bv1ENT OF ORGANIZA TlOO
Type or print in ink
Statement Type
[KJ Initial
Not yet qualified IKI or
o Amendment
List 1.0. number.
o Termination - See Pa
List 1.0. number.
L r n06
-_,-_..L---1_
Date qualified as committee
-----1-----1_
Date qualified as committee
(If applicable)
-----1-----1_
Date ofTermination
CUPERTINO CITY CLER
1. Committee Information
NAME OF COMMITTEE
2. Treasurer and Other Principal Officers
NAME OF TREASURER
YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL
ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY
TOLL BROS., INC.
MR JASON D. KAUNE
STREET ADDRESS
STREET ADDRESS (NO P.O. BOX)
591 REDWOOD HIGHWAY, #4000
591 REDWOOD HIGHWAY, #4000
CI1Y
STATE
ZIP CODE
AREA CODE/PHONE
415-389-6800
CI1Y
STATE
ZIP CODE
AREA CODE/PHONE
MILL VALLEY, CA 94941
NAME OF ASSISTANTTREASURER. IF ANY
MILL VALLEY, CA 94941
MAILING ADDRESS (IF DIFFERENT)
415-389-6800
MR SEAN P. WELCH ..
STREET ADDRESS
591 REDWOOD HIGHWAY, #4000
CI1Y
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
415-389-6874
COUNTY OF DOMICILE
MILL VALLEY, CA 94941
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
415-389-6800
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
MARIN
SANTA CLARA
CI1Y
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. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on <j{/:2:)..}t:J6 Bt
DATE
Executed on Bt
DATE
Executed on Bt
DATE
Executed on Bt
DATE
www.netfile.com
-;:::> - p ::::e ~
SIGNI'JURE OF TREASURER OR ASSISTANT TREASURER
SIGNI'JURE OF CONTROLLING OFFICEHOLDER. CANDlDI'JE. OR STATE MEASURE PROPONENT
SIGNI'JURE OF CONTROLLING OFFICEHOLDER. CANDIDI'JE, OR STATE MEASURE PROPONENT
SIGNI'JURE OF CONTROLLING OFFICEHOLDER, CANDIDI'JE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Statement of Organization
Recipient Committee
STA 1Bv1ENT OF ORGANIZATION
COMMITTEE NAME
YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR
FUNDING BY TOLL BROS., INC.
I CA~~~:NIA 410-
INSTRUCTIONS ON REVERSE
I.D. NUMBER
PENDING
4. Type of Committee Complete the applicable sections.
rl{fljJ iT.1 (m 1~'I';";1 j i~
· List the name of each contrDlling 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 CANDIDI'JE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PAR 1Y
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
ADDRESS
I AREA CODE/PHONE
CI1Y
BANK ACCOUNT NUMBER
STATE
ZIP CODE
- - ---
Primarily Formed Committee
Primarily fonned 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 E CITY OF CUPERTINO X
SUPPORT OPPOSE
www.netfile.com
FPPC Form 410 (Jan/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Statement of Organization
Recipient Committee
STA 1Bv1ENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
.~--- ------ --
CA~lb~~NIA 41 0
COMMITTEE NAME
YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR
FUNDING BY TOLL BROS., INC.
I.D. NUMBER
PENDING
4. Type of Committee (Continued)
~;!~']lIlli1IiGJI Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
o CITY Committee 0 COUNTYCommittee 0 STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
~'I'IIf."i'Ii:!~.it'III{WliG1 List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
TOLL BROS. INC. HOME BUILDER
STREET ADDRESS NO. AND STREET
250 GIBRALTAR ROAD
CITY
STATE
ZIP CODE
Small Contributor Committee
HORSHAM PA, 19044
o ----.1-----1_ Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small
Date qualified contributor committee on January 1, 2001, enter 1/1/01.
5. Termination Requirements By signing the verification, the treasurer, assistanttreasurerand/orcandidate, officeholder, or proponent certify that all Dfthefollowing 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.
-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,
repayments of loans made to others, or any other receipts.
www.netfi/e.com
FPPC Form 410 (Jan/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC