410 Amendment (2) tatement of Organization
Recipient Committee
Statement Type ^ brltlal
Not yet aueMed ^ a
~ a pN~t M tnk
~ Aneendnrent
lief lQ nweber.
~ 1320352
^ Tinalnatfbn - tiee Pat 6
list 1.D. nurnbar:
aY
AUG 3 - 2009
STATEMENT OF ORQJWITJ1Ti0N
_~ 1 ~ ~ ~ 1 ~ 1 1 ,
Date se oornolase Data IK•vv~'+aH Dal. of Tilmination U P E FiT l N O CITY _ E R K
1. Conttnir~tee Mformation 2 Tnaaunr and OtlNr PrNtcipal OMk~rs
NAME of COMMITTeE NAME of TREASURER
Marty Miller for Courlc~ 2009
20348 Clay Street
CITY STATE ZIP CODE AREA CODERNONE
Cupertino CA 95014 4081253-1168
MAILING ADDRESS (IF DIFFERENT)
O-TIONAL: FAX / E-AAAtI ADDRESS
1118fty~VOt@fOrfYlBr(yr11111ef.0WYI
Santa Clefs
COUNTY OF Ot>MICM.E
AKach adlEEfonal irNbrnuMon an rppaprlaley IebaNd oaMin;sa0fon aheWa.
Claudette T MiNsr
STREET ADDRESS (NO P.O. SOX)
20348 Clay Street
CITY STATE ZIP CODE AREAOOOEIPIIONE
Cupertino CA 95014 408 253-1188
NAME ASSISTANT R, M ANY
P.O. BOIq
w ~ . a ~n~ c iw' bwt ARtn L(J{7tJ!'M(Jllt
NAME OF PRINCIOAL OFFICER(S)
STREET ADDRE88 (NO P.O. BOD()
Cm STATE ZIP CODE AREA CODEIPIIONE
3. Ve~iflcaaon
I have used aN roasonable di6panoe in proparirp this statement and to the best d my knowMdpa the irl/ormstlon oorNairled tNMelfl is true and oomplsfls.
perjury under the hws d tdhe Stab d Calitomia IhN the taDrepoilg is true aM .~
Exelxdad an ~ ~~.~ ?~ ~ ~
W.~a
Excaded on ~ e o ~' ~
-~-
EXacubd on g),
DA
ExeaAed «,
GATE
1 osrtily under penally d
FPPC Fonle 110 (.IanalOl)
FPPC ToafRea FNlpanr. NiIASK-FrPC (ONf27if7rn
i~
tatement of Organization
Recipient Committee
s~sTRUCTIONS oN REVERSE
Many Miller for Cound12009 11320352
4. Type of Committee c«npkla aye .ea+on..
ORGAPMZATtt)N
• Litt Ihs rlanls of each oonbvfiirp olBoatlokler, carldidtle, a stab nlsasuro prDponsrll H arldidde a o1RoMwldsr oonb~otNd, aMo list the ekcliw o16os aoupht a held, and
district number, i(any, and the year ot'tM eleclwxl.
• Lint the polNiad party with which each DRosholder or carldidaM it att'~'ialed or cllsclc 'non~partital.'
• K Mlis oorrlrnillee acts jointly with anger ooMroNsd corrllrlilMe, Nst MIa name and idsngRcation rwnlbsr of the other oontroNed oolrlrnilMs.
ELECTIVE OFFICE SOUGHT OR MELD
NAME OF CANdDATEIOFFICEHOLOERISTAT EMEASURE PROPONENT (INCLUd: dSTRICT NUMBER IF AVPIICAaIE) YEAR Of ELECTION PARTY
Malty Miler Oily Coundl of Cupsrtirw 2009 ®Na-parwan
^ Nd-~ParYtsn
• List the finanaal institution whsro the carrlpaiprl ~ aooount is baled (oorlbolad'carldidats ekctiorl' oornmit0ses ony)
NAME of
4081366-2671
8123968894
Wells FargD Bank, N.A.
ADDRESS
cITY
STATE
10260 South De Anza BNd. Cupertino CA 95014
®~ lonnsd b suppoA or oOPas i ealldldsMt ar moauras >n a aNgte aNction. LIq tlNorr.
Ft~C Foes Ne (.IrnNN)
FMC TeN.FIw 1NIaMr. NM/-tK-FPt~C pW:~~.37f2)
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (MICIUDE BALLOT NO.OR LETTEIq C/1NDIOATE(S) ~~ SOUGHT OR MELD OR AAFJIBURE(f) ,IURKOICTION
(rNCLUDE dSTRICT NO.. CIT1I OR COUNTY. AS APPIICAaLEf ....~.......~
Statement of Organization sTATEt~iT of OROIINIZATION
Recipient Committee . ~
INSTRUCnoNS oN REVERSE
Marty Miller for Council 2009 ~ 1320352
4. Type of Committies c~~~
Not romled to ~4PoM ar oppore tpedAc celldidelers ar 111eWlrr~ N1 ~ angle Nscson. Chsck ony one box:
®CITY ComllNlbe ^ COUNTr Collllllwee ^ aTATE C~R11Mpee
PROVIDE BRIEF DESCRIPTION OF ACTMTY
lbr addMlonal 1p01M01t 011 B11 araclr11e111.
^ / 1
Dale qudMd
6. Tetra ination Requirements ar rte wlslcwon. r» w.w.-, anwant Yenurr aldlbr cendietle, asloellorder, a proporlalt oelry r,.r r a we bsorrMp ooedwale rlsve been elet
• This committee has ceased to receive corl±ribtdions and make e~cpsrnditures;
• This cornrnittee does not antictipate rooeiving oorltrilwtions or makirp e~snditures in the tuhrr~e;
• This oormrliltee has etirrlinated or has no intention or ability to dischar'ps aM debts, ka~s roceived, and other obligations;
• This corrwnittee has no surplus funds; and
• This committee has filed aN carnpapn ~ required by the Political Reform Act disclosing aN roportable transactions.
There are restrictions on the disposition of surplus campaign funds held by elected ol6oers who arse leaving olfRx and by dafeatsd canalidstes. Rater b
GovemmeM Code Section 89519.
LeRover funds of baNot meawro corrlrMltees may be used for poMical, legislative a go+rerm~al purposes under GoMemment Code Sections 89511-
89518, and are subject to Flattens Code Section 18680 and FPPC Regulation 16521.5.
FPrC Fonr1110 (.IwleNr)
FP'C ToN~Free Ilelpaae: pf/AS14FPrC (rWl7iJ7T2)