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410 Statement of Organization Recipient Committee - TerminationStatement of Organization Recipient Committee Statement Type ❑ Initial ❑ Amendment 0 Termination — See Part 5 Not yet qualified ❑ or List I.D. number: List I.D. number: 1367806 12 14 /2014 Date qualified as committee Date qualified as committee Date of Termination (If applicable) 1. Committee Information NAME OF COMMITTEE Hunsweck for City Council 2014 STREET ADDRESS (NO P.O. BOX) Date Stamp & u u w N For Official Use Only DEC 1 6 2014 UPERTINO CITY CLE K 2. Treasurer and Other Principal Officers NAME OF TREASURER Michael Hunsweck STREET ADDRESS (ND P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) Attach additional information on appropriately labeled continuation sheets, STREET ADDRESS (NO P.O. BOX) 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 OPFICEHCLDER, CANDInAS'E, OR STATE MEASURE PROPONENT ...-.� Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING DFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee . INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME J.D. 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 COD E /PHONE SANK ACCOUNT NUMBER Bank of America ADDRESS ( STATE ZIP CODE 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 "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 SUPPORT ❑ Nonpartisan 0 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 fINCLUDF DISTRII T Nn ciTY nR mi]KITY ac Loci Irea] of FPPC Farm 410 (Dec /2012) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT OPPOSE SUPPORT OPPOSE FPPC Farm 410 (Dec /2012) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Hunsweck for City Council 2014 4. Type of Committee (Continued) Page 3 Committee 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 OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR USTRY GROUP OR AFFILIATION OF SPONSOR n i net � Au URt SS NO. AND STREET CITY STATE ZIP CODE Date qualified 5. Termination Requirements By sing 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