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410 Statement of Organization Recipient Committee – Amendment Stamped by SOS Statement of Organization Date Stamp me s _ Recipient Committee Statement Type ❑Initial ® Amendment ❑ Termination—See Parts ECE]VED rQ(1�� Q Not yet qualified n the off c:e of the Secretary f e or of the State of Californ S E P - ; 202008 020 Q} Date qualification threshold met Date qualification threshold met Date of termination ��� Z�ZU 13 0 0--/ 2020 08 / 02 2020 / •rn mittee Information D. Number 1428230 • • • ° i/ap Iicab le) NAME OF COMMITTEE ( NAME OF TREASURER J.R.Pruen for Cupertino City Council 2020 Joseph("J.R.")R.Fruen STREET ADDRESS(NO P.O.BOX) 6445 Bollinger Road STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6445 Bollinger Road Cupertino CA 95014 408-828-2859 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Cupertino CA 95014 408-828-2859 FULL MAILING ADDRESS(IF DIFFERENT) STREETADDRESS(NO P.O.BOX) E-MAIL ADDRESS(REQU)RED)/FAX(O➢TIONAL) CITY STATE ZIP CODE AREA CODE/PHONE jrfruen@gmail.coin COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S) Santa Clara City of Cupertino STREET ADDRESS(NO P.O.BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of C_aUaknia that the foregoing is true and correct. Executed on 08/07/2020 By DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on 08/07/2020 By GATE SIGNATURE OF CONTROLLING OFFICEHOLDER,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:adviceC@fpoc.ca.gov(866/275-3772) www.fapc.ca.gov Statement of Organization PALIFORNIA1 Recipient Committee • - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER L 4. of Committeei General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OFACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR J STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE AREA CODE/PHONE ContributorSmall ❑ Date qualified • • • 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(August/2018) FPPC Advice:adyice@fppc.ca.goy(866/275-3772) www.fppc.ca.gov