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410 STATEMENT OF ORGANIZATION D)~IE ~-~te~taw IE Type or print in ink Statement of Organization Recipient Committee 2005 3 JAN o Termination - See Part List 1.0. number. D Amendment Ust 1.0. number: IKI Not yet qualified Initial Statement Type PERTINO CITY ClER # 1 I. Date of Termination # 1 I. Date qualified as committee (If applicable) or I 1. Date qualmed as committee [g) Officers Treasurer and Other Principa NAME OF TREASURER Charles B. Ahem STREET ADDRESS 10371 Miller Avenue CITY 2. Cupertino Committee Information NAME OF COMMITTEE Advocates for a Better 1 AREA CODEfPHONE 408.293.2540 ZIP CODE 95014 STATE CA BOX) STREET ADDRESS (NO P.O. Cupertino NAME OF ASSISTANT TREASURER, IF ANY Avenue 10371 CITY Cupertino MAILING ADDRESS Miller AREA CODE/PHONE 408.293.2540 ZIP CODE 95112 IF APPLICABLE Diane Tripousis STREET ADDRESS 123 E. San Carlos Street, CITY STATE San Jose CA NAME AND POSITION OF OTHER PRINCIF1>..L OFFIC"'E'R'('S) PMB411 AREA CODEfPHONE 408.293.2540 SanJose,CA 95112-3680 ZIP CODE 95014 STATE CA F DIFFERENT) 23 E. San Carlos Street, PMB 411 OPTIONAL: FAX I E-MAIL ADDRESS 408.351.0169 COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS AREA CODE/PHONE ZIP CODE STATE CITY Santa Clara certify under penalty of the information contained herein is true and complete. 1/26/2005 ~ ~ Executed on SIGNflWRE OF CONTROLLING OFFICEHOLDER, CANDIDIVE, OR STATE MEASURE PROPONENT ~ DATE Executed on ~ DATE Executed on SIGNfllURE OF CONTROLLING OFFICEHOLDER, CANDIDIVE. OR STATE MEASURE PROPONENT FPPC Form 410 (Janl03) FPPC Toll-Free Heloline: 866/ASK-FPPC CANDIDI>J"E, OR STATE MEASUI cEH SIGNfllURE OF CONTROLLING 0 ~ DATE Executed on D. NUMBER Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMM ITTEE NAME Advocated for a Better Cupertino the applicable sections. Complete 4. Type of Committee If candidate or officeholder controlled, also list the elective office sought or held, and List the name of each controlling officeholder, candidate, or state measure proponent. district number, if any, and the year of the election. · candidate is affiliated or check "non-partisan. If this committee acts jointly with another controlled committee, List the political party with which each officeholder or · · list the name and identification number of the other controlled committee. NAME OF CANDIDArEfOFFICEHOLDERfSTAT o Non-Partisan o Non-Partisan candidate election" committees only) BANK ACCOUNT NUMBER ZIP CODE 95113 STATE CA ed AREA CODEfPHONE 408,947,7562 CITY San Jose NAME OF FINANCIAL INSTITUTION San Jose National Bank ADDRESS One North Market Street - I Primarily formed · to support or oppose specific candidates or measures in a single election. List below: (INCLU ..--.. SUPPORT OPPOSE General Plan Amendments Ballot Measures Related to: City of Cupertino (ballot numbers to be assigned) ( SUPPORT OPPOSE (1) Height, (2) Density, and (3) Setbacks FPPC Form 410 (Janl03) FPPC Toll-Free Helpline: 866/ASK-FPPC CANDIDATE(S) NAME OR MEASURE{S) FULL TITLE .D.NUMBER Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Advocated for a Better Cupertino (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ¡¡g CITY Committee DCQUNTYCommittee DSTATECommittee 4. Type of Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Cupertino's General Plan Committee formed to oppose ballot measures seeking to modify the City of List additional sponsors on an attachment NDUSTRY GROUP OR AFFILIATION OF SPONSOR NAME OF SPONSOR the committee qualified as a If ZIP CODE committee. contributor STATE Check box and provide the date this committee qualified as a smal small contributor committee on January 1, 2001, enter 1/1/01. CITY NO. AND STREET 1 I. o Date qualified STREET ADDRESS been met: certify that all of the following conditions have assistant treasurer and/or candidate, officeholder, or proponent This committee has ceased to receive contributions and make expenditures; receiving contributions or making expenditures intention or ability to discharge al 5. Termination Requirements By signing the verification, the treasurer, in the future; This committee does not anticipate loans received, and other obligations; debts, has no or committee has eliminated This This committee has no surpius funds; and to FPPC Fonn 410 (Jan/03) FPPC Toll-Free Helpline: 866IASK-FPPC Refer candidates. disclosing all reportable funds held by elected officers who are leaving office and by defeated transactions. the Political Reform Act campaign required by surplus campaign statements There are restrictions on the disposition Government Code Section 89519. of This committee has filed al