410 Initial Statement of Organization tatement of Organization TATEWIENT OF oRGANIiaTtoN
Recipient Committee 'YPe ~'""~ "~ eIk D
~ ~
Statement Typo ®Inw,i D AmandmeM D termination -see AU G 10 2009 Fo-oRid.l ua only
~ ~ ~~ ® or LJ1t LD. II~MIIbM: List IA.
at! #t
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CUP RTINO CITY CLER
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!)ate gtliMAed as ooIlrllillee _
Dste quaWled as oorrll->lttee Date d Tennlrlation
(K+vv~~)
1. Committee Information 2. Trwsuror and Other Principal Officers
NAME OF COMMITTEE NAME OF TREASURER
Marty Mgler for Counal 2009 Claudette T. Miller
STREETADDRESS (NO P.O. BOX)
20348 Clay street
E CITY STATE ZIP CODE AREA CODEIPHONE
20348 Clay Street Cupertino CA 95014 408/253-1166
CITY 8TATE ZIP CODE AREACODE/PHONE NAME ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 408J253-1168
MAILING ADDRESS (IF DIFFERENT)
TREE E (N P. .
u i i STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MNL ADDRESS
rllarty~VOte~Orlllartytnlller.ODrn NAME OF PRNiCIPAL OFFICER(S)
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTNE IF DIFFERENT
THAN CWNTY OF DOMK~LE STREETAOORESS (NO P.O. BOX)
Santa Clara Count'
AKar~l ~ lI1AD~dNIH0l1 ~ N ~~ ~ CITY STATE ZW CODE AREA CODEIPIIONE
3.
Verification
I have used aN reasonabb diNgenoe in pn>Iparing this statement and b the best of my knowledge the irNormation oorltairled herein is true and oomplsle.
perjury under the taMrs of the State of Capfomia that the foregoing is true sa
Exe«Aed on 8'/~~-t~ 9 a),
Eloealted ~, ~/~. /~ ~ ~,
Exea~led «,
EIfeCUtBd Ofl
By
GATE
1 oertiy under penally of
FPPC Fonts 410 (JuIINelj
FPPC ToN~Fne : gHAaK~FPPC pW27b-1772)
CUNrROLUNf3 OF TE, STATE MEASURE NT
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Marty Miller for Couna12009
4. Type of Committee corrpbte the applicable .
OF ORCANIUTION
• List the rums of each oontroNaq offioeholdsr, candidate, or stele meawre proponent N candidate or officeholder oonUoMed, abo list tfle elective Office sought Or held, and
district number, if any, and the year of the ebction.
• List the political party with which each oAoeholder or candidate is affiliated or chsdc 'non-partisan.'
• If this oonlrrritlee ads jointy with another oontroNed committee, Net the name and identification number of tine other oontroged committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDERfSTATE MEASURE PROPONENT (INCLUDE dSTRICT NUMBER IF APPUCABLEj YEAR OF ELECTION PARTY
Marty Miller City Coundl of Cupertino 2009 ®~
- ~
r
I ^ Nor~Partlsan
• List the firurrcial instib,tion where the campagn bank aooo<urt is krcaled (controNed `candidate election" committees ony)
ADDRESS
y formed b support or oppote:pecific candidates or msnurea in a single election. Ust bebw.
ZIP CODE
FPPC Form 410 (June/0!)
FPPC Tollfne llelpline: iONAtiK-FPPC (OiN276-377
CANdDA S NAME OR MEASURE 3 FULL TRLE CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTWN
TE() () (INCLUDE BALLOT NO.OR LETTER) (Iwrl uru nfeTwrT wn r~TV no rn w*v .e •ee. 1n~m r.
Statement of Organization STATEMENT OF ORGANIZATION
!Recipient Committee
INSTRUCTIONS ON REVERSE
Marty Miller for Counci12009
4. Type of Committee cconunl,eal
Not tamed to support a oppose ~psdie carrdidabs a measuros in a sMlple eledlon. Check ony one Doz:
®~ sae. ^ couNTV t:or~miea. ^ srATE carNnlgea
PROVIDE BRIEF DESCRIPTION OF ACTMTY
^ ~~ 1
OaM quaMlfsd
5. Term inadon Requirements ®y sipnkg 0,e vertecatwn, the trsawer, assistant trsasaer arrdlor ccandldals, oaoelwldsr, a propone,k oerlNy that aA of sle tollowlrrp oorrdlllorlt rave beer, met:
• This committee has ceased to receive contributions and make expenditures;
• This contrnittee does not antiapate receiving contributions or making expendkures in the future;
• This committee has eliminated or has no intention or abiWy to discharge ant debts. kxltrts received, and other obligations;
• This committee has no surplus funds; and
• This oorrtrrattee has filed aM campaign ~ roquirod by the Pdidcell Reform Ad discbsing aq repatabb ttansacdona.
- Thero aro restrictions on the dion of surplus campaign funds held by elected officers who aro having office and by defeated candidates. Refer to
Goverrtment Code Section 89519.
Leftover funds of baNot measuro comrrt~tees may be used for poNtica3d, legislntive or governmental purposes under Government Code Sections 89511-
89518, and aro subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Fomn 410 (.lurrMOq
FPPC Totl~Fnse HelplWre: NNASK-FPPC (NH216J77~
Elected t0 the City COUncll Of Cupertino,CA
List addilionM sponsors on all ~.