410 Statement of Organization Recipient Committee - Amendment 09-06-22 Stamped by SOSDECEflVE
Statement of Organization
Recipient Committee SEP 2 7 2022
StatementType "'
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ONotyetqualified UPERTI
or
ODatequalificationthresholdmet Datequalificationthresholdmet DateofTermination
09/02/2022
Date Stamp
CENI-/ED AND FNLE
office of the Secretary of
cf the State of Chl!forhla
*-
j
*-
Foy Official Use Only
SEF 06 2022
: 1.D. Number 1452894
[4 applicable)
Govind Tatachari For Cupertino Council 2022
STREET ADDRESS iNO p.o. BOXI
'
CITY STATE 21PCODE
Cupertino CA 95014
FIILL MAILING ADDRESS ilF DIFFERENT)
AREA CODE/PHONE
(
E-MAIL ADDRESS iREQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE
Santa Clara
JURISDICTION WHERE CO MITTEE IS ACTIVE
Cupertino
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Balaji Seshachalam
STREET ADDRESS INO p.o. BOX)
CITY
Ccipertino
NAME OF ASSISTANT TREASURER. IF AIW
STATE ZIPCODE
CA 95014
AREA COCIE/PHONE
(
STREET ADDRESS (NO p.o. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERiS)
GOVIND TAT ACH ARI
STREET ADDRESS iNO P O. BOXI
CITY
CUPERTINO
STATE III' CODE
CA 95014
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
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASLIRE PROPONENT
ck
Executed on B%I
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE I'ROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
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COMMITTEE NAME
Govind Tatachari For Cupertino Council 2022
1.D. NUMBER
1452894
' All committees must list the financial institution where the campaigr bank account is located.
NAME OF FINANCIAL INSTIMION
Bank of America
AREA CODE/P)10NE BANK ACCOUNT NUMBER
ADDRESS CTTY STATE 21PCODE
Cupertino CA 95014
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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/OFFICEHOIDER/ST ATE MEASURE PROPONENT
ELECTIVE OFFICE SOtlGHT OR HELD
(INCLUDE DISTRICI' NLIMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHE)= ONE
GOV1ND TAT ACH ARI CUPERTINO CITY COUNCIL City CI1Y OF
CUPERTINO 2022
Nonpartisan
[;d
Partisan
€
illst politlcal party below)
Nonpartlsan
[3
Padisan
€
illit political party below)
jg%/di%aQlkifJ444-4 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)
IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HEID OR MEASURE(S) 1URISDICI'lON
(INCLLIDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)CHECK UNE
SUi'?ORT
€
Ol"POSE
€
Sul'PORT
[)
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
COMMnTEE NAME
Page
1.0. NuMRER
Govind Tatachari For Cupertino Council 2022 1452894
gl!ii hrntformedtosupportoropposespecificcandidatesormeasuresinasingleelection. Checkonlyonebox:
0 CITYCommittee € COUNTYCommittee [1 STATECommittee
PROVIDE BRIEF DE5CRllmON OF ACTIVITY
mm Iist additional sponsors on an attachment.
STREET AD0RESS NO. AND STREET CITY STATE ZIP CODE AREA CODUI'HONE
ffll* a a u xi '; - Q
Date qualifled
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 transadions.
- 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.gov (866/275-3772)
www.fppc.ca.gov