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410 Statement of Organization Recipient Committee - Amendment (Stamped by SOS)Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or Date qualified as committee © Amendment List I.D. number: #1347578 05 /11 /2012 Date qualified as committee (If applicable) ❑ Termination —See Part 5 List I.D. number: # 1. Committee Information NAME OF COMMITTEE Silicon Valley Taxpayers Association PAC STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) - FAX / E -MAIL ADDRESS COUNTY OFI'DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE Date of Termination Date Stamp EC E i VE-11) A N D F iU11 the office of the ;secretary of y 1 of tin tt4 ;:: of California JAN 2 0 2015 2. Treasurer and Other Principal er- NAME OF TREASURER Steven B. Haug STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. CITY NAME OF PRINCIPAL OFFICER(S) John Roeder ZIP CODE AREA CODE /PHONE Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO P.O. BOX) 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 an correct. Executed on 01/14/2015 By DATE TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE Executed on DATE By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE 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 FORM 410 INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Silicon Valley Taxpayers Association PAC 1347578 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Wells Fargo Bank, N.A. ADDRESS AREA CODE /PHONE ( STATE ZIP CODE 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 "nonpartisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY 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 OR CCHINTY AS APPI IfARI FI FPPC Form 410(Dec/2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT F-1 OPPOSE El SUPPORT O[n FPPC Form 410(Dec/2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee F1111112717 4 INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Silicon Valley Taxpayers Association PAC 1347578 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: m CITY Committee [I COUNTY Committee ❑ STATE Committee r VlUt IJKItF Ut]L.n IYIIUN OF ACIIVIIY Support and oppose state and local ballot measures and candidates List additional sponsors on an attachment. NAMI, OF SPUN50N JINDUSTRY GROUP OR AFFILIATION OF SPONSOR Silicon Valley Taxpayers Association Taxpayers Advocacy non - profit - 1 —.1—t» NU. ANU S I RttI CITY STATE ZIP CODE Small Contributor Committee Date qualified 5. 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