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410 Statement of Organization Recipient Committee - Termination stamped by SOSStai,s ment of Organization Recipient Committee Statement Type ❑ Initial ❑ Amendment Notyetqualified ❑ or L1St I.D. number: Date qualified as committee Date qualified as committee (If appiicablej +0 Termination — see Part 5 List I.D. number: 1367806 12 /14 !2014 Date of Termination Date Stamp ECENED AND FIL the offico of the Secretary of of the, Otp'sa n- f rRiOrniz DEC V? 014 &) eef a IVea JAN 7 20e 5) 1, Committee Information 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER Hunsweck for City Council 2014 Michael Hunsweck STREET ADDRESS (NO P.O. BOXI STREETADORESS (NO P.O. SOX) 95015 FAX/ E- MAILADDRESS STREET ADDRESS (No P.D. 80X} info @hunsweck.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE C17Y STATE ZIP CODE AREA CODE /PHONE Santa Clara City of Cupertino NAME OF PRINCIPAL OFFICER(5) Attach adddtianal information on appropriately labeled continuation sheets STREET ADDRESS (NO PO, BOX) CITY STATE ZIP CODE AREACODE /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 DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT Executed an By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Stavc�ment of Organization , Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME LD NUMBER Hunsweck for City Council 2014 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION I AREA CODE /PHONE BANK ACCOUNT NUMBER Bank of America ADDRESS ( STATE ZIP CODE 4. Type of Committee Complete the applicable sections. i 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 "nonpartisan" • if this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Michael Hunsweck Cupertino City Councilmember 2014 Nonpartisan SUDT ❑ Nonpartisan Formed Primarily 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(5) JURISDICTION IINCI tIDF rnsTRICT Nn my nR rni]KITV a, appl Irani pl FPPCForm 410 (pec /2012) FPPC Advice: advice @fppc.ca.gov (566/275 -3772) www,fppc.ca.gov SUPPORT OPPOSE SUDT OPPOSE FPPCForm 410 (pec /2012) FPPC Advice: advice @fppc.ca.gov (566/275 -3772) www,fppc.ca.gov Stal.10ment of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Hunsweck for City Council 2014 4. Type of Committee (Congnued) General Purpose Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ® CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OFACTIVITY List additional sponsors on an attachment. Page 3 NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO AND STREET CITY STATE ZIP CODE Small r ntributor CommitteCl Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the 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. - Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5, FPPC Form 410 (Dec/2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov