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410 Amendment Statement of Organization Recipient Committee Type or print in ink Statement Type o Initial Not yet qualified 0 or 1&1 Amendment List 1.0. number: o Termination - See Part 5 List 1.0. number: rE~rE~\YI[E # 1287457 # ____1-_--1_ Date qualified as committee ---1---1_ Date qualified as committee (If applicable) ---1---1_ Date of Termination 1. Committee Information NAME OF COMMITTEE Cupertino Against Re-zoning (CARe), No on Measures D & E STREET ADDRESS (NO PO. BOX) 10423 Norwich Avenue CITY STATE ZIP CODE AREA CODE/PHONE Cupertino MAILING ADDRESS (IF DIFFERENT) PO Box 1466, Cupertino CA 95015 OP110NAL: FAX I E-MAIL ADDRESS CA 95014 408-252-7930 COUNTY OF DOMICILE COUNTY 'M-JERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE Santa Clara Attach additional information on appropriately labeled continuation sheets. STATEMENT OF ORGANIZATION Dale Stamp SEP 2 0 2006 C PERTINO CITY CL RK 2. Treasurer and Other Principal Officers NAME OF TREASURER Alfred J, DiFrancesco STREET ADDRESS 10423 Norwich Avenue CITY Cupertino NAME OF ASSISTANT TREASURER. IF ANY Danny Luk STREET ADDRESS 10419 Denison Avenue CITY STATE CA ZIP CODE 95014 AREA CODE/PHONE 408-252-7930 STATE ZIP CODE AREA CODE/PHONE 408-257-6338 Cupertino CA 95014 NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE Patty Chi, President MAILING ADDRESS 10273 Norwich Avenue CITY Cupertino STATE ZIP CODE AREA CODEIPHONE 408-366-0332 CA 95014 3. Verification 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 penalty of perjury under the laws of the State of California that the foregoing is true and correct.. . /) . Executed on 9 - / 9 - 0 (, By ( Executed on By DATE Executed on By DATE ~ecuted on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Statement of Organization Recipient Committee STATEMENT OF ORGANIZATION INSTRUCTIONS ON REVERSE CALIFORNIA 41 0 FORM COMMITTEE NAME Cupertino Against Re-zoning (CARe), NO on Measures D & E 1.0 NUMBER 1287457 4. Type of Committee Complete the applicable sections. Controlled Committee . 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 "non-partisan." . If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDERlSTATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY o Non-Partisan o Non-Partisan . List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER CITY STATE ZIP CODE ADDRESS Pnmal/ly FOllned Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO, CITY OR COUNTY, AS APPLICABLE) CHECKONE SUPPORT OPPOSE Measure D (Vall co ) " SUPPORT OPPOSE Measure E (Toll Brothers) " FPPC Form 410 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Statement of Organization Recipient Committee STATEMENT OF ORGANIZATION INSTRUCTIONS ON REVERSE CALIFORNIA 41 0 FORM I.D. NUMBER 1287457 COMMITTEE NAME Cupertino Against Re-zoning (CARe), NO on Measures D & E 4. Type of Committee (Continued) General Purpose COlllrtlltlee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: o CITY CommiUee 0 COUNTY Committee 0 STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Sponsored COllll1l1ttee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR NO. AND STREET CITY STATE ZIP CODE STREET ADDRESS Small Contl/butol Committee o ---1---1_ Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a Date qualified small contributor committee on January 1,2001, enter 1/1101. 6. Termination Requirements By signing the verification. the treasurer, assistant treasurer andlor candidate, offICeholder, or proponent certify that all ofthe following conditions have been met: . 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. FPPC Form 410 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)