410 Statement of Organization Recipient Committee -Initial Not Yet Qualified - Stamped by SOS 10_ ii 1ys313 . v ..,„.
Statement of Organization RE:- ` v.'" '• "i-�' CALIFORNIA 410
In the office of the Secretaryof State
Recipient Committee of the State of California FORM
Statement Type is Initial 0 Amendment ❑ Termination—See Part SAPR 27 nnie For Official Use Only
Not yet qualified Dr List 1.D.number: List LD.number:
" " Hand Delivered,Sacramento
Date qualified es committee Date qualified as committee Date of Termination
(If appliable)
1. Committee;Information • • c',--;.,,,, 2. 'Treasurer;and'OthersPrincipalOfficers ,^ .I '
NAME OF COMMITTEE . NAME OF TREASURER
Cupertino.Residents for Economic Progress and Schools
1
Ssohs e'ci ht.& R"T '• -•es STREET ADDRESS(NO P.O.BOX)
o O -
STREET ADDRESS(ND P.O.BOXI CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANTTREAjURER,IF ANY
MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS INO P.O.BOR)
FAX/E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE ,
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE I5 ACTIVE NAME OF PRINCIPAL OFFICERS)
Santa Clara City of Cupertino
STREET ADDRESS(NO P.O.BOND
__-
CITY STATE ZIP COOL AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
's: 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
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@fppe.ca.gov(865/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA 410
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
• Page 2
�'"upeif no Residents for Economic Progress and Schools, SrnfcreA 1 Not w *t' �coQeckies I.D.NUMBER
• All committees must list the financial Institution where the campaign bank account Is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Wells Fargo Bank, N.A. (
ADDRESS CITY STATE ZIP CODE
4 Type of Comfnittee Complete tfie-eppllcable sections.
Controlled Conmittee
• 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
0 Nonpartisan
0 Nonpartisan
Primarily Formed 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(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
North DeAnza Gateway Initiative City of Cupertino n n
SUPPORT OPPOSE
❑ ❑
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
I~ - r
Statement of Organization CALIFORNIA
Recipient Committee FORM 41 0
INSTRUCTIONS ON REVERSE
Page 3
tolieffilio Residents for Economic Progress and Schools, Sfoosoregl 1cl IJor. L.oesk rtiles I.D.NUMBER
4.T e of Committee; '. (c unwed)
YP
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee ❑ COUNTY Committee❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR .INDUSTRY GROUP OR AFFIUATION OF SPONSOR .
Northwest Properties Hospitality
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
S111o11 Contributor Committee
Date qualified
S.Termination Requirements by signing the verifiration,the treasurer,assistanttreasurer and/or candidate,offceholder,ar proponent certlfythat 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov