410 Statement of Organization Recipient Committee – Initial Not Yet QualifiedAttoch additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this
Executed on By
Executed on By
Executed on By
FPPC Form 410(February/2018)
rPPC Advice: advice@fppc.ca.gov (866,x275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
Cn N;rT rEe NAME
n rd!r.•iFF
Cupertino Getting Things Done Together, Supporting Vaidhyanathan, Mahoney and Wei 2018
All committees must list the financial institution where the campaign bank account is located.
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US Bank (
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Clit 514TE lir CUJE
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" Stating "No party preference" is acceptable.
• 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 YEAR OF PARTY
NANIIE OF CANDIDATE""FFiCEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NOORLETTEW
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
;INCLUDE DISTRICT NO-, CITY OR COUNTY; AS APPLICABLE)
Savita Vaidhyanathan
Council Member City of Cupertino
SU PPOfirPp[)c:
®
Nonpartisan
Partisan
(list political party below)
SI PPORT
®
E
D
Nonpartisan
Partisan
(list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NOORLETTEW
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
;INCLUDE DISTRICT NO-, CITY OR COUNTY; AS APPLICABLE)
Savita Vaidhyanathan
Council Member City of Cupertino
SU PPOfirPp[)c:
®
❑
Council Member City of Cupertino
SI PPORT
®
E
FPPC Form 410(February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
:ANI
I c r:Ir.iE
Cupertino Getting Things Done Together, Supporting Vaidhyanathan, Mahoney and Wei 2018
All committees must list the financial institution where the campaign bank account is located.
.i '.1R i,
_,ANK AcL SUNT NUP;18ER,
STA,L ['i CODE
CA
4. Type of Committee Complete the applicable sections.
,t ul
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" Stating "No party preference" is acceptable.
• 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 YEAR OF
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
PARTY
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)
IFA RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME
-
CANDIDATES) OFF -ICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(,INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Orrin Mahoney
Council Member City of Cupertino
SUPP ER 1
EZI
Nonpartisan
Partisan
(list political party below)
El
D
D
El
Nonpartisan
Parvsan
(list political party belo4%,)
El
D
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)
IFA RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME
-
CANDIDATES) OFF -ICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(,INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Orrin Mahoney
Council Member City of Cupertino
SUPP ER 1
EZI
0pposE
El
El
D
FPPC Form 410(February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
StatementOrganization
lF'}RNl4 �`
Recipient'.'f!
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 ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party/Central Committee
:,),I ti -RI FD k J% Ot A�Tl'Jli\
r r List additional sponsors on an attachment.
hAAt i. .F SPC-NSUR thDU� ..Y F:RDUP OR A-FMATIUN OF SPOIN,CI-R
sTart IF cutt „„ _�..
r r r r ❑
Oa[e qualihad
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe 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.
Clear Page Print
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppcca.gov (866J275-3772)
www.fppc.ca.gov