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1 C�mm�ttee Informat�on >�_ . Number 2:�Trea�urer:and;Qt�er Rrine�pal C�ffice�r���„�a�,�>��� ��� �.�����
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NAMEOFCOMMI'fTEE NAME OF TREASURER
Jara Wi�ley for Cupertino Counci! 2018 ,Joan Lawle�Chin �±
STREET ADDRE55(NO P.O.BOX) �
Eric Shaefer
MAIUNG ADDftESS(IF�IFFERENT) STftEET ADDRESS(NO P.O.BaX)
COUNTV OF DOMICILE lURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(5)
Santa Clara ity of Cupertino
STREET ADDRE55{NO P.O.BOX}
��7y STATE 2IP CODE AftEA CODEfPHONE
Attach additional information on appropriately labeled continuation sheets.
� V�CIflCaC7011.... ..�_. . ;,_- '''" .:., `: ;'. . ........:... . � .,.. ._..�'-.;:;::.:: . ,. .._ _ , .._�_::;
I have used all reasonable diligence in preparing this statement and to�the best of my knowiedge the information contained herein is true and complete.�I certify under
penalty of perjury under the laws of the
OR STATE MEASURE PROPONENT
/
Executed on By
DATE SIGNATURE Of CONTROLLING OFFICEHOIDER,CAN�IDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLOER,CANDIDATE,OR STATE MEASUftE PROPCNENT
FPPC Form 410(Fe6ruary/2018)
FPPC Advice:advice@fppc.ca.gov(866J275-3772)
www.fppc.ca.gov
Statement of Organization I � II�I
. � - . I ,
Recipient Committee • '
INSTRUCTIONS ON REVERSE
- Page 3
COMMI77EE NAME I.D.NUMBER
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�.��'�YF�e;of Cornmit#ee ���teo�,�;r,��d�� � . � � v .,va_ . .. _ ,, � �. ,_, _
� , • << � Not formed to,support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Commiitee ❑ COUNTY Committee❑ STATE Committee❑ Political Party/Gentral Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITV .
�.'" �',� � �'� List additional sponsors on an attachment.
NAME OF SPONSOft INDUSTRY GROUP OR AFFILIATIQN OF SPONSOR �
STREET ADORESS N�.AND STREET CITY STATE ZIP CODE AREA COOE(PHONE
❑ j /
Date-aualified
�o fi@C!'t'tltl�'hQtl:�B UfC�'!'YIf'.t1tS 6y signing ttie verification,the treasurer,,assistant treasurer andjor candidate,officeholdec;or proponent certifiy that aII of thefol(ow�ng conditions have been sneic °
a � � . _ _
e This committee has ceased io rewive contributions and make expendituresr �
• This committee does not anticipate receiving contributions or making expend'itures in the future;
e This committee E�as 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 Politieal 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, (egislative or governmental purposes under Government Code Sections 89511-89518,and are
subject to Elections Cocie Section 1$680 and FPPC Regulation 18521.5.
FPPC Form 410(February/2018)
C�gar Pagg, PCltlt FPPC Advice:advice@fppc.ca.gov(866J275-3772)
www.fppc.ca.gov