410 Statement of Organizational Committee - TerminationStatement of Organization
STATEMENT
Recipient Committee Type or print in ink
OF ORGANIZATION
to Stamp
W
Statement Type ❑ Initial Amendment
® Termination — See Part 5 or Official Use Only
Not yet qualified ❑ or List I.D. number:
List I.D. number:
#
130038 DECi�
12 r 18 f 2014
Date qualified as committee Date ualified as committee
�p�RTINQ CITY C�
Date of Termination RK
(If applicable)
7l r1
1. Committee information
2. Treasurer and Other principal Officers
NAME OF COMMITTEE
NAME OF TREASURER
Mark Santoro for City Council 2014
Mark Santoro
STREET ADDRESS
CA 95014 4088868300
MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS
OPTIONAL: FAX! E -MAIL ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IFAPPLICABLF
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
Attach additionsl information on appropriately labeled continuation sheets.
CITY STATE ZIP CODE AREA CODEIPHONE
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 12/18/2014
By��
DATE
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on 12/18/2014
By
''Y�
DATE
SIGNATURE OF CONTROLLING OFF }CEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on B
Y
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COM
""'I=
STATEMENT OF ORGANIZATION
10. NUMBER
130038
4. Type of Committee Complete the applicable sections.
• 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 OANDIDATE OFFICEHOLDERISTATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Non - Partisan
Mark Santoro Cupertino City Council 2014
Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Wells Fargo Bank 12476826710
ADDRESS CITY STATE ZIP CODE
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
OPPOSE
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)