410 Statement of Organization Recipient Committee – Initial – Stamped by SOS •
/ 38"37 `76
Statement of Organization
Recipient Committee Dale Stamp CALIFORNIA 410
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RECEIVED AND FIL -
Statement Type ❑X lnitial 0 Amendment 0 Termination—See Part 5 in the office of the Secretary of S .'- C.or-kw of ::oiit V '
Not yet qualified❑ Dr List I.D.number. List I.D.number, Of the State ofCafdomla •
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# # MAR 112016 MIR 1 12016
03 / 03 / 2016 �� _J�
Date quarfied as committee Datequafified as committee Date of Termination Hand Delivered,$acraRle)f
"°°��N°) . hi IPFPTINO CIN CL^RK
1. Committee Information 2. Treasurer and Other Principal Officers -
NAME OF COMMITTEE CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO NAME OF TREASURER _
CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF
VALLCO, WITH MAJOR FUNDING BY VALLCO PROPERTY OWNER LLC SEAN P. WELCH
STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANTTREASURER,IF ANY
HILARY J. GIBSON
FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREACODE/PHONE
CITY OF CUPERTINO
NAME OF PRINCIPAL OFFICER(S)
REED MOULDS
Attach additional information onapprop/iatelylabeledcontinuationsheets. STREET ADDRESS(NO P.o.BOX)
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CITY STATE ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this
OR ASSISTANT TREASURER
Executed on B/
DATE SIGNATURE OF CONTROLUNG OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDNE,OR STATE MEASURE PROPONENT
Executed on
DATE SIGNATURE OF CONTROWNG OFFICLUOLDER,CANUIUATE,OR STAT t MEASURE PROPONENT
FPPC Form 410(Jan/2016)
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www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORNIA 41 0
FORM
INSTRUCTIONS ON REVERSE
Page 2 of 4
COMMITTEE NAME I.D.NUMBER
CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF
VALLCO, WITH MA,7OR FUNDING BY VALLCO PROPERTY OWNER LLC '
• All committees must listthe financial institution where the campaign bank account is located. •
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER •
BANK OF MARIN (
ADDRESS CITY STATE ZIP CODE
4.Type of Committee Complete the applicable sections.
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Controlled Committee
• List the name of each controlling officeholder,candidate,orstate 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 CANDID/PE/OFFICEHOLDER!STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
'Primarily Formedtommittee Pdmanlyformedto support or oppose specific candidates ormeasuresina single election.List below:
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHTOR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
VALLCO TOWN CENTER SPECIFIC PLAN INITIATIVE CITY OF CUPERTINO SUPPORT OPPOSE
X
CUPERTINO CITIZENSSENSIBLE GROWTH INITIATIVE CITY OF CUPERTINO SUPPORT OPPOSE
X
www.nettle.com FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(8661275.3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORNIA 410
FORM
INSTRUCTIONS ON REVERSE
Page 3 of 4
COMMITTEE NAME
I.D.NUMBER
CUPERTINO NEIGHBORS, EDUCATORS, MU) THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF
VALLCO, WITH MAJOR FUNDING BY VALLCO PROPERTY OWNER LLC
4.Type of Committee (Continued)
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election.Chock only one box
0 CITY Committee 0 COUNTY Committee 0 STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
VALLCO PROPERTY OWNER LLC DEVELOPMENT
STREET ADDRESS NO.MD STREET CITY STATE ZIP CODE
Small Contributor Committee
Date qualified
5.Termination Requirements By signing the verification,the treasurer,asslstanttreasurerand/orcandldate,officeholder,or proponent certifythat 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.
www.netfire.com FPPC Form 410(JaN2016)
FPPC Advice:advice(dfppc.ca.gov(8661275-3772)
www.fppc.ca.gov
Additional Comments _ ADDITIONAL COMMENTS .
For Form 410 CALIFORNIA
FORM•
410
Page 4 of 4
COMMITTEE NAME CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPBRTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE I.D.NUMBER
REVITALIZATION OF VALLCO, WITH MAJOR FUNDING.BY VALLCO PROPERTY OWNER LLC
ADDITIONAL ADDRESS: 10123 N. WOLFE ROAD, SUITE 1095, CUPERTINO, CA 95014
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