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410 Statement of Organization Recipient Committee Type or pilnlln Ink ~ Slat8m8nt Type IiIlnitl8\ Not yet quaIItIed 0 or o~ UoII.D. rurber: 0 Term\n8tIan -... Pi UoII.D. number. # # 03/24,04 DatIl quailed . -- MAR 3 a 2004 ~- D8Io quoIIed . -- ør- ---1---1- D8Ioo/T- 1. Committee Information NAME OF COMIIITTEE Primarily Fonned Commiltaa for the Amendments to the Ganaral Plan STREET ADDRESS (NO F!O. BOX) 20622 ChBfYI Drive (Sand any govammental matters to this eddress, not PO) OTY STATE ZIP CODE AREACOOEIPHONE CA 95014 408/255-8527 Cupertino MAIlING ADDRESS OF DIFFERENT) PO Box 1466 , Cupertino, CA 95015 (PO Box Is for donations only) -, FAX/E-MAILADDRES8 4081255-02591 denwhitlak@aol.com COUNTY OF DOMICILE I ~~Wo, c:maJE IS ACTIVE IF DIFFERENT Santa Clara A- -- /nIomI8IIoII on apIIOIIfeI8Iy - contInuafIan _. 2. Treasurer and Other Principal OffIcers NAME OF TREASURER Elizabalh L. Whittaker (aka "Penny") STREET ADDRESS 20622 ChøIyI Drive ãi'Y S1Jl\TE CA ZIP CODE AREA CODEIPHONE 95014 408125>8527 Cupertino NAME OF ASSISTANT TREASURER, IF - Kathay Holland STREET ADDRESS 10318 Cold Harbor Ava. OTY S".TE ZIP CODE AAEACODEIPHONE Cupertino CA 95014 4081996-0842 NAME AND POSITION OF OTHER PRlNe!"'L OFF1CER(S).1F APPLICABLE Dannis S. Whittaker, Prasidenl MAIlING ADORES8 20622 Charyl Drive aTY S1J\TE ZIP CODE AAEACODE/FHONE Cupartlno CA 95014 408125>8527 3. Verification I have U88d ell reuonable dIUgsncs in pnlpSring IhIs atal8mlllt end to Iha best of my EJooc:ulld on 3/2!i1O4 Bt . DAn¡ ...... ...... - ........-.. , E>ooc:uIId on ÖÃfË Bt II"""" OF CONTRCIU.ING OFFICEHOLDER. """""". OR ...... """""... PROPONENT E>ooc:uIId on DAn¡ Bt _O>OUN'OOJWN<JO>'",""""",",""""""'~""".M""""""""""'" FPPC Fenn 410 (J8n/11S) PPPC Tal""", -.., HIIA8K-FPPC Statement of Organization Recipient Committee 1'\' .. ..... , '-.= .iJ1ON. CAcifORN,A 41 0 FORM ,..... 2 A' A I.D.NUMSER INSTRUCTIONS ON REVERSE COMMITTEE NAME Primarily Formed Committee for the Amendments to the General Plan None yet 4. Type of Committee eorr.,IelBtI1eappllœblesections. . Listthe name oføach controlling officeholder, candidate. or state measure proponent. If candidate or officeholderconlrolled, also list the elective office sought or held, and district number, if any, and the yøør of the election. . List the political party with which each officøholder or candidate is affiliated orchøck "non-partisan." . 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 I ,-~,~,--,,~, I-~~ I ~ = NAME OF CANDIDA'EIOFFICEHOLDEA/STATE MEASURE PROPONENT FAR 1Y . List the financial institution where the campaign bank account is located (controlled "candidate election" oommittees only) NAME OF FINANCIAL INSTrfunoN AREA CODEIPHONE SANK ACCOUNT NUMBER CITY S'I'oTE ZIP CODE ADDRESS Primarily formed to sUJlOl'l or oppooe specIIIc"'- or me...18S In a sInØO election. Ust below: CANDIDATE(S) NAME OR MEA8URE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDArE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISOICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE) C"'OKONE I"""'" OPIiöIE General Plan Amendment Restricting Heights Cupartlno, CA ( ......... OPPOSE General Plan Amendment Restricting Housing Denslly Cupertino, CA ( FPPC Fonn 410 (.Jan/O3) FPPC Toll-F... Halpin: 888IABK.fPPC INSTRUCTIONS ON REVERSE . =,.. , ,- .=-' . CA~'O.RNIA 41 0 lOR',' ,..... 2 A' A I.D.NUMaER Statement of Organization Recipient Committee COMMITTEE NAME Primarily Formed Committaa for the Amendments to the General Plan None yet 4. Type of Committee CornpIetetl1eapplicableseclions. . List the nama of each controlling officeholder, candidate, or Slate measure proponent. If candidate or officeholder controlled, also liat the elective ollice sought or held, and district number, if any, and the year of the election. . List the political party with which each olliceholderorcandldate is affilIated or check "non-partisan.. . If this committee actsjolnflywith another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD I ,~..~cr'~-'~' I ~~~~ I ~ = NAME OF CANDIDREIOFFICEHOLDEAlSTATE MEASURE PROPONENT FAR TV . List the financial institution where the campaign bank aCODunt is located (controlled "candidate etøcliDn" committees only) NAME OF FINANCIAL INSTITUTION I AREA CODEIPHONE I SANK ACCOUNT NUMSER ADDRESS CITY S,",TE ZIP CODE Primarily formed to support or - opecIftc cand- or II188SUI9S in a single eIectton. UBI below: CANDIDJ<IE(S) NAME OR MEASURE(S) FUll TITLE (INCLUDE _LOT NO. OR LETTER) CANDIDRE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO" CITY OR COUNTY. AS APPLICABLE) CH£Q(ONE ......... - General Plan Amendment Restricting Heights Cupartino, CA It ......... -- General Plan Amsndment Resbicting Housing Density Cupertino, CA It FPPC Fonn 410 (.JanlO3) FPPC TolW'... Helpline: 8ll8lAllKoFpPC Statement of Organization Recipient Committee . L' "~ '. """'~,o.Ô.~ CAL.WORNIA 41 0 fORM p. _. . 2 13. '-213 ï:ë:iiüMãËR INSTRUCTIONS ON REVERSE COMMITTEE NAME Primarily Formed Committee for the Amendments to the General Plan None yet 4. Type of Committee CompIetetheapplicablesections. . Listthe name of each controlling officeholder, candidate, or state measure proponent. Ifcendldate or officeholder controlled, also list the elective office sought or held, and district number, ifeny, and the year of the election. . List the political party with which each officeholder or candidate is affiliated or check "non-partisan." . If this committee actsjoinUy with another controlled committee, list the name and identification numberofthe other controlled committee. ELECnvE OFFICE SOUGHT OR HELD (INCLUDE DtSTRICT NUMBER IF A,pI.lCAeI.E) I I I~=- NAME OF CANOIONEIOFFICEHOLDEAlSTATE MEAaURE PROPONENT VEAR OF ELECTION PAR"IV . List the financial institution where the campaign bank account is located (controlled .candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODEIPHONE SANK ACCOUNT NUMSER ADDRESS aTY STATE ZIP CODE PrImarily - to support or QIIOII8 spec/IIc cand- or me...... In S single 8IectIon. U8I below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE SALLOT NO, OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICAIIlE) Ct£CKONE _.____n- I""""'" I..."""E General Pian Amendment Restricting Building Set Back LInes Cupertino, CA . ""0'" ...POSE . FPPC Form 410 (JanlO3) FPPC ToIH'ree Helpline: 888IASK-FPPC Statement of Organization Recipient Committee STATEMENr OFORGIINZATION CALIcORN'A 41 0 fORM p. .... . INSTRUCTIONS ON REVERSE COMMITTEE Primarily Formed Committee for the Amendments 10 the General Plan 4. Type of Committee (Continued) II.D.NUMSER Not formed to support oroppoBe specific candidates or measures In a single election. Check only one box: 0 CnYCommIIIH OCOUN1YCommltt.. OSTATECommltt.. PROVIDE SRIEF DESCRIPTION OF ACTIVITY LIst _anal sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFIUI<TION OF SPONSOR STREET ADDRESS NO. AND STREET aTY STATE ZIPCOOE 0 ---1---1- Check box and provide the da'" II1Is oommlttee qualified as a smal contributor oommlttøe. W the cornrrittee qualified as a Date qualified small oontributor oommlttee on January 1, 2001, enter 111101, 5. Termination Requirements By signing the verification. the tnIasu...., assistant _surer and/or ca_, oIfiœhoIder, or proponent œrllly that aU 01 the following condIlIons have been met: . This committee has ceased to receive conb'lbutlons and make expenditures; . This committee does not anticipate receiving contributions or making expendlhlres In the future; . This committee has ellminalad or has no intention or ability to discharge a8 debts, loans received, and other obligations; . This committee has no surplus funds; snd . This committee has fllad all campaign slalaments required by the Political Reform Ad disclosing all reportable transactions, - There are resb'lctions on Iha disposition of surplus campaign funds held by elected ofIIœrs who are leaving 011108 and by defealad candlda1es. Government Code Section 89519. Refer to FPPC Fonn 410 (JanIO3) FPPC ToII-Free HelpHno: IIIIIASK-FI'PC