410 Statement of Organization Recipient Committee – Initial Not Yet Qualified Statement of Organization ❑ Termination—See Pa • - '
Recipient Committee • - A
Statement Type ®Initial ❑ Amendment JUL 2 4 202Q For Official Use Only
to Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met Date of termination UPERTINO CITY CL RK
Committee1. 2. Treasurer and Other Principal Officers
a Trcoae
NAME OF COMMITTEE NAME OF TREASURER
Kitty Moore for Council 2020 Margaret S.Griffin
STREET ADDRESS(NO P.O.BOX)
10727 Randy Lane
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIPCODE AREA CODE&HONE
867 Ferngrove Dr. Cupertino CA 95014 (408)314-0990
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Cupertino CA 95014 (408)930-4459 Joan Chin
FULL MAILING ADDRESS IIF DIFFERENT) STREET ADDRESS(NO PO.BOX)
P.O.Box 2109,Cupertino,CA 95015 10162 Bdich Place
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAU CITY STATE ZIP CODE AREA CODE/PHONE
kitty4cupertino@gmail.com Cupertino CA 95014 (408)887-7435
COUNTY OF DOMICILE IURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Santa Clara County Cupertino
STREET ADDRESS(NO P.O.BOX)
Attach additionol information on appropriately labeled continuation sheets. ECITY STATE ZIP CODE AREACODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best o my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under he laws of the State of Califor ' that h qre ing is tru and correct.
Executed on G' �v By �
GATE S ATUR !TREASURER OR ASSISTANT TREASURER
Executed on !i!� By T
DAT
SIGNATURE OF CONTROLLING OFFICEHO R,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice:advice(Pfppc.ca.eov(866/275-3772)
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www.faoc.Ca.Qov
Statement of Organization CALIFORNIA '
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Pale 2
COMMITTEE NAME
I.D.NUMBER
Kitty Moore for Council 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY
STATE ZIP CODE
4. •' of Committee
• 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
NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Catherine"Kitty"Moore Cupertino City Council 2020 Nonpartisan Partisan (list political party below)
J
Nonpartisan Partisan (list political party below)
FormedPrimarily 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 SOUGHT OR HELD OR MEASURE(S)JURISDICTION
IF A RECALL,STATE-RECALL-IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
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is
FPPC Form 410(August/2018)
FPPC Advice:advicePfppc.ca.goy(866/27S-3772)
r
www.fppc.ca.Rov
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