410 Statement of Organization Recipient Committee – Initial Not Yet Qualified Stamped by SOS �,
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�t�te�ner�t of �rganizatQon � � � �� ,�;
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e�ecipsera� Cor�mit�ee � oftheStatFafCalifc�m��= ;
Stai�;t�ent Type 3
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Not yet qualified � ��� �� � � �� ` � �
or :. `��,� � ��6� ,
a Date qualified as committee
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Date qualified as committee Daie o`termination ��������� ������ C�
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1. Committee Information ��Q� Number 2. Treasurer and �ther Pri��cipa! Of�cers � � „3� �
(if applicab�eJ
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Cupertino Getting Things Done Together, Supporting Vaidhyanathan, Rebecca J. �Ison
Mahoney and Wei 2018 ,:K��,A�:,„Ess,y��,,_5;;�;
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Russell Miller
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Santa Clara City of Cupertino See Attached
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Attach�dditianal informatron on approprio[ely labeled cor�tinuacion sheets.
3. Verification
I have used all reasonable diligence in preparing this
Execuied on By
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�xecuted on E•y
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rxecu:zd en By
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FPPCForm 41�;FebruaryJ2Q18j
rpoC Advice:acivice@¢ppc.ca.gou(856jL75-3772t
rvwrw.fip�c.ca.g�v
�t�p�r#ir�� ����e�g �"hi��s ��n� �'c�g�the�,
�up�or��r�c� '�a�e�������ha�, ah�r��� �nd ��
���r�c���� �ff��ers_
Dolly Sandoval
JosEph Ryan Fruen
Sta�ement af Qrganizatian "'" " � . " °`
F2ecipient Car�mittee � _ i �
INSTRUCTI�N<QN REVERSE
Page 2
CGr.ir�I�T�E NGM1;iF
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Cupertinc Getting Things Done Tagether, Sup�orting Vaidhyanathan, Mahoney and Vvei 2018
� All committees must list the financial institution where the campaign 6ank account is located.
�.ar.,.�. ;t Fin;ar ..=Ncti1 .�rd Fsr��oee,��>�en: �,rrivacc�uti.tiur�ce�
US Bank ( 157516263157
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4. Ty�e o€Committee Complete the applicable sections.
* List the name of each controlling officeholder, canciidate, or state measure proponent_ IT candidate or ofFiceholder controlied, also list the elective office scught or held, and
district number, if any, and the year of the election.
• List the political party with vvhich each officeholde�or candidate is afFiliated or check "nonpartisan" Stating "No party pr2f�rence"is acceptable.
� li this cornmittee acts jointly with another controlled cammittee, Ilst the name and identifiication number of the other controlled committee.
"cLECTIVE GFfICE�OUGH;OP,HELD �Ea.R OF p;iR?y
.+.>. . �ANDIOATEIQFFICEHQLDER�STATE MEPSUftE PRGPONENT (INCLUDE DI_STRICT NUMBER IF kPPLICABLE) ELECTiQPJ
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Nonpartisan Partisan (list oolific?i par,�beiatvJ
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Nonpartisan ParTsan (Iist political party 6eloav;
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Primarily formed to support or oppose specific candidates or measures in a single election. �ist below:
CANO'GATE(Si NHME OR MEASUP,EiSI FULL T!TLE(INCLUDE 6A��QT N2 OR LETTeR� CANDIDHTEl51 FJ=FICE SOUGHT QR HELQ OR MEASURE{SI JURISDICTI�N
IF r�ReCAL"STATE"RECaLL"IN FRON7 OF THE QFFICENQLDE�`5 NAME (INCLUt]E GISTRIC7 NO.,'ITY OR COUNT,,AS APPLICABLEj �E,,_���,�
_„7Pl:ii, i.�P'.__r
Savita Vaidhyanathan Council Member City of Cupertino � �
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FPPC Form 41G(Fe6ruaryf2018j
FPPC Advice:advice@fppcca.gov(86b/275-3772j
wivw.�ppc.ca.gov
Statem'�nt of Organizatian �"� ����p��� � ,
Recipient Cammittee � ' !�
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INSTRUCTIQNS ON REVEPSE
Page 2
t�nr.�r.=.iiree raar:�; i D r:1�6�9EP.
Cupertino Getting Things Done Together, Sup�orting Vaidhyanathan, (��ahoney and Wei 2Q18
� All committees must list the financial institution where the campaign 6ank account is Iocaced.
f-i4h1 - �=1F.,'1N�=. NSili .;..v AnE . i ..�.�., tlAFJA:�IC'UN.7NUf�7YEK
;i.l;-�!F.[]S IIIt tiTp.�E <.. ��;111=
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4. Type of Committee Camplete the applicable sections.
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• �ist the name af each controlling officeholder, candidate, or state measure proponent. iT candidate or officehalder control,ed, also list the elective office sought ar held, and
district number, if any,and the year of the election.
• �ist the political party with which each ofiFiceholder or candidate is affiliated or check"nonpartisan" Stating"Ne party preference" is acceptable.
� If this committee acts jointly with another controlled committee, list the name and id2r�tification number af the other contrclled committee.
ELECTIitE OFFICE SQUGHT OR HEL� YEAR OF PH.RTV
fvAN?E OF CANDILIATEICIFHCEHQLDER(STATE it�lE�15URE P�t(]PQNENT (IPJCLUDE�ISTElCT Ntj6�16E^n IF:�PPLI�.48LE� ELE�TI�N C:HECK<Nv�
I�or,partisar Partisan (Iist political party beic�v}
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Nonpartisan Partisan (list po!itical party belo�v)
� �
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CaNDIDPSEISI NANlE QR ME�SURE?5I FULL TITLE(INCl.UOE GA�LOT N0.QR LETTEft) CHNDIDATE(S1 OFNCE SGUGHT QR HELD QR MFASUREIS!JURIS�ICTICN
IF A RECALL,STFiTE"REC�L�"IN FROtdT GF THE OFR�EHOLDER'S NHP✓lE. i�NCWDE QISTRICT NQ,QTt OR COUNTV,AS aPP�ICA6�E} �y_cK�p,E
SuPPuti7 _�CP;'r5E
Orrin Mahoney Cou�cil Member City of Cupertino � �
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FPPCForm 410(February/2Q18)
FPPC Advice:advice@fppc.ca.go�(8o6J275-3772j
wu w.fppc.ca.gov
Statement of Qrganization 4��-� "
Recipient Committee � - � �
INSi RUCTIQNS ON REVERC_E
Page 3
._C:r,�.l&1i-i;c Nar:iF �D.�:un4Eck
Gupertino Getting Things Done Together; Supporting Vaidhyanathan, Mahoney an� Wei 2Q18
4. Type of Committee tco�ti��ed)
� � • ' - (Vot formed to support or oppose specific candidates o�measures in a single election. Check only one hox:
❑ CITY Committee ❑ COUNTY Committee❑ STATE Committee❑ Politica) PartyfCentral Committee
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...��,...:f,� .,<<t�:.,,�' List additional sponsors on an attachment.
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'rJ. �ermir�ation Requirements 8y signing the verincation,the treasurer,assistart treasurer andfer candidate,o�ceholder,or prflponent c=_��ti`y tnat alI of the fallowing canditions have been met:
0 This committee has ceased to receive contribuiions and make expenditures;
� This c�r�mittee does not anticipate receiving contributions or making expentlitures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and oiher o6ligations;
• This committee has no surplus funds;and
� This committee has filed all campaign statements required by the Political Reform Fct disclosing all reportable transactions.
-- There are restrictions on the dispasition of_urplus campaign funds held by elected ofFicers Urho are leaving ofFice�nr�by defeated candidates. Refer to Government
Code Section$9519.
— �efiover funds of ballot measure committees may be used for political, legislative or govemmental purposes under Government Code Sections 89511-89518, and are
su6iect to Elections Code Section 18680 anc FPPC Regulation 18521.5.
�=PPC Form 410(FebruaryJ2018j
Clear �ag� �r��� FPPC Advice:advice@fppc.ca.gov{866j275-3772)
www.fppcca.gov