410 Statement of Organization Recipient Committee –Amendment – Stamped by SOS Statement of Organization DateS[amp . � . . I '
Recipient Committee �������� ��� �i��y • -
StatementType of Stat� �,�o��y``.,�, _
❑ Initial � Amendment ❑ Termination—See Part 5 ���,1e o�{��e of 1he Secretary
List I.D.number. List I.D.number. pf the S{8tQ Of Ca4�ffl��a i`� (�l� I L,' I 9 `U� i L; �
Not yet qualified ❑ or ` _ i__v ��
#1385313 # MAY 2"7 2016 �
� � 05 �13 �2016 � � � JUN � � 2016 ,J
Date qualified as committee Date qualified as committee Date of Termination ���;d C�eliv�redr Sa�am
pfapplicable) - ..�._. ..
- --— —_. .._, � .�
1. Committee Information 2. Treasurer and Ot�er Principal OfFicers �Urtrt i !�`� �� t� ���:r�E
NAME OF COMMITTEE NAME OF TREASURER �
Cupertino Residents for Economic Progress and Schools, Steven G. Churchwell
Sponsored by Northwest Properties
MAILING ADDRE55(IF DIFFERENT) STREET ADDRESS(ND P.O.BOX)
� CITY STATE ZIPCODE AREACODE/PHONE
steve@churchwellwhite.com
COUNTY OF DOMICILE IURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(5)
Santa Clara ICity of Cupertino Steven G. Churchwell
CITY STATE ZIPCODE AREACODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verificafion
I have used all reasonable diligence in
.
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/2753772)
www.fppc.ca.gov
Statement of Organization , • - � '
Recipient Committee • - �
INSTRUCTIONS ON REVERSE
Page 2
MMITTEE ME I.D.NUMBER
�uper�iAno Residents for Economic Progress and Schools, Sponsored by Northwest Properties 1385313
• All committees must Ilst the financial institution where the campaign bank account is located.
NAME OF FINANCIALINSTITUTION AREACODE/PHONE BANKACCOUNTNUMBER
Wells Fargo Bank, N.A.
_ _ _ _ _ _ . .___
_ _ _ _ _ _
4.Type Of Co111t11ItteE Complete the applicable sections.
_
I .
. . •. .
• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
� • -� � Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5)NAME OR MEASURE(5)FULLTITLE(INCLUDE BALLOT NO.OR LETTER) �ANDIDATE�S)OFFICE SOUGHT OR HELD OR MEASURE(5)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
North DeAnza Gateway Initiative City of Cupertino ✓
$UPPORT OPPOSE
❑ ❑
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization � • - � '
i
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 3
`�C�'�3�r°�i`�o Residents for Economic Progress and Schools, Sponsored by Northwest Properties I.D.NUMBER
1385313
4.Type of Committee tcon��uedl
- � • �• - • 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 INDUSTRY GROUP OR AFF�LIATION OF SPONSOR
Northwest Properties I Hospitality
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
960 North San Antonio Road, Number 114 Los Altos CA 94022
. , . . . �
/ /
Date quallHed
5.Termination Requirements By slgning the veriNcation,the treasurer,asslstant treasurer and/or candldate,officeholder,or proponent certify that all of the followfng condlHons 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/2753772)
www.fppc.ca.gov