410 Statement of Organization Recipient Committee - Amendment TerminationStatement of Organization
Recipient Committee
Statement Type ❑ Initial ❑x Amendment
List I.D. number.
Not yet qualified [:1or
# 1383796
f L 03 1 _0.3 I 2016
Date qualified as committee Date qualified as committee
(If applicable)
❑x Termination — See Part 5
List I.D. number.
# 1383796
0� 031 2017
Date of Termination
1. Committee Information
NAME OF COMMITTEE NO ON C AND YES ON D - CUPERTINO NEIGHBORS, RnUCATORS, AND
THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIELE AND SUSTAINABLE
REVITALIZATION OF VAI,LCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
MAILING ADDRESS (IF DIFFERENT)
FAX 1 E-MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE ISACTIVE
MARIN CITY OF CUPERTINO
t! AY 1 6 2017
PERTINO CITY
2. Treasurer and Other Principal Officers
NAME OF TREASURER
SEAN P. WELCH
STREET ADDRESS (NO P.Q. BOX)
CITY
For Official Use Only
STATE ZIP CODE AREA CODEIPHONE
NAME OF ASSISTANTTREASURER, IFANY
HILARY J. GIBSON
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF PRINCIPAL OFFICER(S)
REED MOULDS
Attach additional information on appropfiately/ labeled Continuation Sheets. STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
3. Verification
I have used all reasonable diligence in preparing this
Executed On
DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on Ey
DATE SIGNATURE OF CONTROLL€NG OFFICEHOLDER, CANDID)WE, OR STATE MEASURE PROPONENT
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan/2016)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I I.D. NUMBER
NO ON C AND YES ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND TEE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE
REVITALIZATION OF VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) 1383796
• All committees must Iistthe financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODEIPHONE BANK ACCOUNT NUMBER
BANK OF MARIN {
ADDRESS CITY $TATE ZIP CODE
4. Type of Colmlmitkee 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 parry 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 CANDIDVE/OFFICEHOLDERISTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IFAPPLICABLE) 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 SOUGHTOR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICTNO., CITY OR COUNTY, ASAPPLICABLE) CHECK ONE
SUPPORT OPPOSE
MEASURE ➢ CITY OF CDPERTiNO X
MEASURE C
CITY OF CUPERTINO
OPPOSE
X
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FPPC Form 410 (Jan12016)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3 of 4
COMMITTEE NAME I.D. NUMBER
NO ON C AND YES ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND THE CTPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLI 1383796
REVITALIZATION OF VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME)
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 ❑ COUNFYCommittee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
• List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
SAND HILL PROPERTY COMPANY AND VALLCO PROPERTY OWNER LLC DEVELOPMENT
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
Date qualified
5. Termination Requirements Bysigning theverification, thetreasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthefollowing 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 (Jan/2016)
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Additional Comments
For Form 410
ADDITIONAL COMMENTS
Page 4 of 4
COMMITTEE NAME NO ON C AND YES ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE I.D. NUMBER
AND SUSTAINABLE REVITALIZATION OF VALLCO, (SEE ATTACHMENT FCR COMPLETE COMMITTEE NAME) 1383796
ADDITIONAL ADDRESS: COMPLETE COMMITTEE NAME - NO ON C AND YES ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND
THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF VALLCO, WITH MAJOR FUNDING BY SAND HILI, PROPERTY COMPANY AND VALLCO
PROPERTY OWNER LLC
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