410 Statement of Organization Recipient Committee – Amendment 04-11-22Statement of Organization Recipient Committee Statement Type l .... □-,n-it-ia-,---------.-1--------.... ,--------~1 IZI Amendment 0 Termination -See Part 5 APR 1 1 0 Not yet qualified or 0 Date qualification threshold met I Date qualification threshold met 08 1 02 I 2020 1428230 J.R. Fruen for Cupertino City Council 2022 STREET ADDRESS (NO P.O. BOX) 6445 Bollinger Road -CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-828-2859 FULL MAILING ADDRESS (IF DIFFERENT) E-MAll ADDRESS !REQUIRED)/ FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara City of Cupertino Attach additional information on appropriately labeled continuation sheets. Date of termination NAME OF TREASURER Joseph Fruen STREET ADDRESS (NO P.O. BOX) 6445 Bollinger Road CITY STATE Zll'CODE AREA CODE/PHONE Cupertino CA 95014 408-828-2859 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) Joseph Fruen STREET ADDRESS (NO P.O. BOX) 6445 Bollinger Road CITY STATE ZIPCOOE AREA CODE/PHONE Cupertino CA 95014 408-828-2859 I have usedaff reaSC>na61edffigence in preparing this statement and to the best of my knowledge tfieinformation containedherefn is true and-complete. penalty of perjury under the laws of the State of ~nia !hat the foregoing is true and correct. Executed on 04/0l/2022 DATE Executed on 04/01/2022 DATE Executed on DATE Executed on DATE By ~r::::; = V SIGNATURE OF TREASURER OR ASSISTANT TREASURER By > ,g:,c:..,_.,.....--~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By------------------------------------------SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT By-----------------------------------------SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018} FPPC Advice: advice@fppc.ca.gov {866/275-3772) www.fppc.ca.gov
Statement of Organization Recipient Committee CALIFORNIA 41 0 FORM INSTRUCTIONS ON REVERSE Page? COMMITTEE NAME 1.0. NUMBER J.R. Fruen for Cupertino City Council 2022 1428230 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION MEA CODE/PHONE BANK ACCOUNT NUMBER Wells Fargo Bank {408) 863-6100 3694216510 ADDRESS CITY STATE ZIP CODE 10260 S De Anza Blvd Cupertino CA 95014 Controlled 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. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE Joseph "J.R." Fruen Member, City Council, City of Cupertino 2022 Nonpartisan ./ Nonpartisan 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) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFF.ICEHOLDER'S NAME. CANOIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) Partisan Partisan (list political party below) {list political party below) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 {August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fopc.ca.gov