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410 Statement of Organization Recipient Committee – Initial Not Yet Qualified 09-08-22 Stamped by SOSExecuted on R%t D AT E SIGNATURE OF CONTROLLING OFFICE)IOLDER, CANDIDATE. OR STATE MEASURE PROPONENT Executed on By DATE SIGNATIIRE OF CONTROLLING OFFICEHOtDER, CANDN)ATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@)fppc.ca.gov 1866/275-3772) www.fppc.ca.gov s.iff !:lffl !I l :I iWTC1.1'Q I-a:'I-;:I E Aij l=..I 111 I,J I k.J&@ ois I !W!&Ji' 14 J Ivll'l W I I@%iI I f Fage 2 COMMITTEE NAME Steven Scharf for Cupertino City Council 2022 I D. NIIMBER - All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIALINSTITLITION Wells Fargo Bank AREA CODE/PHONE CITYADDRESS STATE ZIPCODE Cupertino CA 95014 HalamlialH4aMWritl'r<44jffla 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 ilNCLUDE DISTRICT NIIMBER IF ARPLICABIE) YEAR OF ELECTION PARTY CHEC): ONE Steven Scharf Cupertino City Council Member 2022 Nonpartisan { pamsan ilist polihcal party below) Nonparhsan Partisan (list polihcal party belowl 1;iil(if4ilqd*7iHf4104((IH(1l44 Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASLIRE(S) FULtTITLE (INCLLIDE BALIOTNO. OR LETTER) IF A RECALL, ST ATE aaR ECALL'aIN FRO NT OF TH E OFFICEHOLDER'S N AM E. CANDIDATE(S) OFFICE SOtlGHT OR HEID OR MEASURE(S)JURISDICTION (INCLIIDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)CHECK )NE SLIPPORT OI'POSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME Steven Scharf for Cupertino City Council 2022 ' t - a a oo ' qa u rr ta - ISlnt formed to support or oppose specific candidates or measures in a single election. Check only one box: g CI1Y Committee [] COUNT/ Committee [1 STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTMTY fffiJ%hH4i%4'Ari'b'tlh{4 Iist additional sponsors on an attachment. STREET ADDRESS NO. AND STREET CITY ZIP CODE AREA CODE/PHONE 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 polit'cal, 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.gov (866/275-3772) www.fppc.ca.gov