410 Initial Statemen of Organization tatement of Organization ~3
Recipient Committee
Statement Type ~ Initial
Not yet qualified Q or
07 / 11 / 09
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
Darcy Paul for Cupertino City Council 2009
Type or print in ink
~ Amendment
List I.D. number:
Date qualified as committee
(If applicable)
~31gb2s
ate Stamp
~ Termination -See Part 9~t th office of sj~ ~ccl-Utary
List LD. number: Of Etta S:atr ;~< Californi
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Date of Termination
JUL 2 2 2009
~~ ~~E
2. Treasurer and Other Principal Officers
STATEMENT OF ORGANIZATION
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For Official Use Only
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~'E~?T(~!O CITY CAE K
---~___
STREET ADDRESS (NO P.O. BOX)
20370 Town Center Lane Suite 100
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014 (408) 517-0977
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX / E-MAIL ADDRESS
exerciseyourdemocracy@g mai Isom
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional information on appropriately labeled continuation sheets
NAME OF TREASURER
Betsy Shoup
STREET ADDRESS
440-12 Galleria Drive
CITY STATE ZIP CODE AREA CODE/PHONE
San Jose CA 95134 (408) 456-0403
NAME OF ASSISTANT TREASURER. IF ANY'
STREET ADDRESS
CiTr" STATE ZIP CODE AREA CODE/PHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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 July 20, 2009 By
DATE
Executed on July 20, 2009 ~
DATE
Executed on
Executed on
DATE
~'
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan/01)
FPPC Tnll-Free Halnlinec 8661ASK-FPPC
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
tatement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I.D. NUMBER
Darcy Paul for Cupertino City Council 2009
4. Type of Committee Complete the applicable sections.
• 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 CANDIDArE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Darcy Paul
Cupertino City Council
2009 ^Q Non-Partisan
Non-Partisan
• Listthe financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Wells Fargo Bank (408) 725-2311 2222862696
ADDRESS CITY STATE ZIP CODE
20230 Stevens Creek Blvd Suite A Cupertino CA 95014
• . Primarily formed to support or oppose specif c 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) CHECK ONE
OPPOSE
FPPC Form 410 (Jan/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC