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410 Statement of Organization Recipient Committee - Amendment noting ID numberStatement of Organization Recipient Committee Statement Type ❑ Initial © Amendment ❑ Termination —See Part 5 Not yet qualified ❑ or List I.D. number: List I.D. number: # 1367806 # -----1 1 08 2 /2014 Date qualified as committee Date qualified as committee Date of Termination (If applicable) 1. Committee Information NAME OF COMMITTEE Hunsweck for City Council 2014 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara City of Cupertino Attach additional information on appropriately labeled continuation sheets. Date Stamp • QLC LUWm For Official Use Only SEP - 2 2014 C PERTIN0 CITY CLERK. 2. Treasurer and Other Principal Officers NAME OF TREASURER Michael Hunsweck STREET ADDRESS (NO P.O. BOXI STATE CA ZIP CODE AREA CODE /PHONE 95094 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFSCER(S) STREET ADDRESS (NO P.O, BOX) CITY STATE ZIP CODE AREA CODE /PHONE 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. 1 certify under penalty of perjury under the laws of the State of California that the f regoing is true and correct. Executed on 08/29/2014 By GATE SIGNATURE OF TREASURER OR ASSISTANTTREASURER Lxecuted on By 08/29/2014 r DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATUR£OFCONTROLLING OFFICEHOLDER, CANDIDATE, OR STATF MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMM3TTEE NAME Hunsweck for City Council 2014 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Bank of America ADDRESS AREA CODE /PHONE ( STATE ZIP CODE 4" Type of Committee Complete the applicable sections. Page 2 I.D. NUMBER 1367806 • 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 "nonpartisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY ❑ Nonpartisan Michael Hunsweck Cupertino City Counciimember 2014 ❑ Nonpartisan Formed Primarily Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEA5URE(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 I OPPOSE rN FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 Hunsweck for City Council 2014 1 1367806 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET Small Contributor Committee CITY DUSTRY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE S. Termination 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. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(Dec/2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov