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410 Statement of Organization Recipient Committee - Amendment Stamped by SOS Statement of Organization Date Stamp Recipient Committee RECEIVEDANDHin Office of[he Secretary cf7For70ffldalUselyStatement Type ❑Initial ® Amendment ❑ Termination—See Part 5 of theState of California Q Not yet qualified ( or AUG 051010 0 Date qualification threshold met Date qualification threshold met Date of termination 0 / 2 / 2020 0� 29 2020 .1 committeeI.D. Number 1�lZ$ �S2. Treasurer and Other PrincipalOfficers i a licoble 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 ZIP CODE AREA CODE/PHONE 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(IF DIFFERENT) STREET ADDRESS(NO P.D.BOX) P.O.Box 2109,Cupertino,CA 95015 10162 Bilich Place E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE kitty4cupertino@gmad.com Cupertino CA 95014 (408)887-7435 COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(5) Santa Clara County Cupertino STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 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 Calif 'a th t th re ng i e and correct. Executed on / i/ By DATE 316NAT RE OF TREASURER OR ASSISTANT TREASURER Executed on 7 QBy BATE SIGNATURE OF CONTROLLING OFFICE HOL ER,rAN D I DAT ATE 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@fPPc.ca.Rov(866/275-3772) www.fppc.ca.gov Statement of Organization . NIA Recipient Committee . M 410 INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER Kitty Moore for Council 2020 AT 2 • All committees must list the financial institution where the campaign bank account is located. T NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE RANK ACCOUNT NUMBER Wells Fargo Bank (408)863-6100 3694283742 ADDRESS CITY STATE ZIP CODE 10260 S.De Anza Blvd.,Cupertino,CA 95014 Cupertino CA 95014 • 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Catherine"Kitty"Moore Cupertino City Council 2020 Nonpartisan Partisan (list political party below) 40, Nonpartisan Partisan (list political party below) Primarily Formed Committee 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 SOUGHTOR HELD OR MEASURES)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 FPPC Form 410(August/2018) FPPC Advice:advicePfppc.ca.Rov(866/275-3772) www.fppc.ca.gov