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410 Statement of Organization Recipient Committee – AmendmentStatement of Organization Recipient Committee SiaTementTVPe Initial 2 Amendment [] Termination- Not yet qualified or [lDate qualification threshold met Date qualification threshold met Date of / / o"" / oa / 2022 -/ * - - * 1.D. Number 1451685 (If appllcable) NAME OF COMMITTEE Steven Scharf for Cupertino City Council NAME OF TREASURER Nicole Woon E E[IV 5 EP 6 2022 @ " A j *- For Official 11se Only I STREET At)DRESS INO p.o. tiox) STREET ADDRESS INO p.o. BOX) CITY Cupertino FtlLL MAILING ADDRESS ilF DIFFERENT) STATE CA ZIP CODE 95014 AREA CODE/PHONE CITY Cupertino NAME OF ASSISTANTTREASuRER, IF ANY STREET ADDRESS iNO p.o. BOXI STATE CA ZIP CODE AREA CODE/PHONE 95014 E-MAIL ADDRESS iREQlllRED) / FAXIOPTIONAL) COUNTY OF DOMICILE luRIS[)ICTION WHERE COMMITTEE IS ACTIVE Santa Clara Cupertino Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICERlSi Steven Scharf STREET ADDRESS iNO p.o. BOX) CITY Cupertino STATE CA ZIP CODE AREA CODE/PHONE 95014 I have used all reasonable diligence in preparing this statement and to the best Executed on Executed on [)ATE DATE Rv B%t SIGNATURE OF CONTROLLING OFFICEHOLDER, CAN[)IDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOu)ER, CAN[)IDATE, 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 NSTRUCTIONS ON REVERSE COMMITTEE NAME Steven Scharf for Cupertino City Council Page 2 I.D. NUMBER 1451685 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIALINSTITuTION Wells Fargo Bank A[)DRESS AREA CODE/PHONE STATE ZIPCODE 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. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOLIGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE Steven Scharf Cupertino City Council Member 2022 Nonpartisan / Pamsan (list political party below) Nonpartisan Partisan (list political party below) j$iii Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASuREiS) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) F A RECALL, STATE "RECAu" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE[S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)CHECK :)NE SIIPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.Hov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee NSTRUCTIONS ON REVERSE COMMITTEE NAME Page 3 l.[). NUMBER Steven Scharf for Cupertino City Counci 1451685 2am77mii riint formed to support Or OppOSe specific candidates Or MEASURES in a single election. Check only One box: € CITY Committee 0 COUNTY Committee g STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTMTY - * ( * - * * (1 44 I - Iist additional sponsors on an attachment. STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Date qualified I I This committee has ceased to receive contributions and make expenditures; This committee does not ant'cipate 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: advice@fppc.ca.Hov (866/275-3772) www.fppc.ca.gov