410 Organization
Statement of Organization
Recipient Committee
I I
Date of Termination
~
'JYpe or print In Ink
Statement Type 0 Initial
Not yet qualified 0 or
iI Amendment
Ust 1.0. number:
o Termination - See Pa
Ust 1.0. number:
I I
Date qualified as committee
# 1280503
09 I 01 I 2005
Date qualified as committee
(If applicable)
#
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Raj Abhyanker
STREET ADDRESS
859 Bette Ave
1. Committee Information
NAME OF COMMITTEE
Committee of Raj Abhyanker for City Council
859 Bette Ave
CITY
STATE
ZIP COOE
AREA COOEIPHONE
CITY
Cupertino CA 95014
NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014
STATE
ZIP CODE
AREA COOE/PHONE
STREET ADDRESS (NO P.O. BOX)
Cupertino CA 95014 650-380.... 3 I Cf" P'~
MAILING ADDRESS (IF DIFFERENT)
same
OPTIONAL: FAX I E-MAIL ADDRESS
none
STREET ADDRESS
CITY
none
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
STATE
ZIP COOE
AREA COOEIPHONE
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
Santa Clara
CITY
STATE
ZIP COOE
AREA COOEIPHONE
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 10/29/2007 By_
DATE ~OF TREASURER OR ASSISTANT TREASURER
Executed on 10/29/2007 By
DATE SIGNATURE OF CONTROLliNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
DATE
FPPC Form 410 (JanuarylO5)
FPPC TolI-Free Helpline: 8661ASK-FPPC (8661275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALlfOKNIA 41 0
FOKI\l
I.D. NUMBER
128 0503
COMMITTEE NAME
Committee of Raj Abhyanker for City Council
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 CANDIDATElOFFICEHOlDERlSTATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PARTY
iI Non-Partisan
Raj Abhyanker for City Council Cupertino City Council 2007
o Non-Partisan
. List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
AREA COOElPHONE
BANK ACCOUNT NUMBER
Addison Avenue Credit Union
ADDRESS
877-233-4766
40617979
CITY
STATE
ZIP COOE
PO Box 10302, Page Mill Road
Palo Alto
CA
94301
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:E:I=
Raj Abhyanker
City Council
FPPC Form 410 (JanuarylO5)
FPPC ToII-Free Helpline: 8661ASK-FPPC (8661275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CA~!t=ORN;'" 41 0
:=ORr,;,
COMMITTEE NAME
Committee of Raj Abhyanker for City Council
4. Type of Committee (Continued)
I.D. NUMBER
1~~()503
General Purpose Committee
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
iI CITY Committee 0 COUNTY Committee 0 STATE Committee
P8OV1DE BRIEF DESCRIPTION OF ACTMTY
Sponsored Cornr)7lttee
Ust 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 Cornmlttee
o
I I
Date qualified
Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a
small contributor committee on January 1, 2001, enter 1/1101.
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer andlor candidate, officeholder, or proponent certify that all of the foIlO1Ning 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 ha.s 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 ToII-Free Helpline: 8661ASK-FPPC (8661275-3772)