410 Statement of Organization Recipient Committee - Amendment (Qualified) Statement of Organization D E C p
Recipient Committee "a G '_AL'IFC)RFJIAI r4" O)
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Statement.Type ❑Initial ❑x Amendment 0 Termination—See ParMAO 1 (i 2016 -if
Official Use Only s,
Not yet qualified 0 or
List I.D.number. List I.D.number.
# 1383796 • #
• CUPERTINO CITY CLERK
_/_J D3 f 03 / 2016 _________/___/
Date qualified as committee Date qualified as committee Date of Termination
(0 opprrable)
es
1. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO NAME OF TREASURER
CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF
VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) SEAN P. WELCH
STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX) •
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
SAN RAFAEL CA 94901 (415)389-6800
MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANTTREASURER,IF ANY
'
HILARY J. GIBSON
FAX!E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE
MARIN CITY OF CUPERTINO
NAME OF PRINCIPAL OFFICER(S)
REED MOULDS
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
TREASURER OR ASSISTANT TREASURER
Executed on B/
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
www.nerflle.com FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(8661275-3772)
www.fppc.ca.gov
Statement of Organization @ �] `�� 71 (in!) tregrAp
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l Recipient Committee 10 . . L
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INSTRUCTIONS ON REVERSE fcI (
UI Page 2 of 5
COMMITTEE NAMEf I.D.NUMBER
CUPERTINO NEIGHBORS, ED CATORS,..A1 .-TEE-CUPERTINO BER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF
VALLCO, (SEE ATTACHMENT FOR,cO(M411E7(E-COMP1InTEErNAM6h;1rs 1383796
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
BANK OF MARIN (
ADDRESS CITY STATE ZIP CODE
•
CORTE MADERA CA 94925
4.Type of Committee Complete the applicable sections.
e
!C,on'follgd Coin'mittee,•
• 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 CANDID/VE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
(Piimaii(yFormed,Committed'; Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5)NAME OR MEASURE(s)FULL TITLE(INCLUDE BALLOT N0.OR LETTER) CAN OFFICE SOUGHTOR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
VALLCO TOWN CENTER SPECIFIC PLAN INITIATIVE CITY OF CUPERTINO SUPPORT OPPOSE
CUPERTINO CITIZENS' SENSIBLE GROWTH INITIATIVE CITY OF CUPERTINO SUPPORT OPPOSE
X
•
FPPC Form 410(Jan12016)
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www.fppc.ca.pov
Statement of Organization
Recipient Committee �, reek eNIA\ '410'
F;Otem•
•
INSTRUCTIONS ON REVERSE
Page 3 of 5
COMMITTEE NAME I.D.NUMBER
CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF 1383796
VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME)
4..Type of Committee (Continued)
IGeneral Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITYCommittee 0 COUNTYCommittee 0 STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
ISponsoredCommlttee- List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
•
VALLCO PROPERTY OWNER LLC DEVELOPMENT
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
[Small Contributor Committee ❑ _1_1
Date qualified
5.Termination Requirements By signing the verification,the treasurer,assistanttreasurerandlorcandidate,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(Jan/2016)
www.neMle.eom FPPC Advice:advice@fppc.ca.gov(8661275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORNIA 41 0
FORM
INSTRUCTIONS ON REVERSE
Page hof
COMMITTEE NAME LD.NUMBER
CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OP
VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) 1383796
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFF1UATION OF SPONSOR
SAND HILL PROPERTY COMPANY DEVELOPMENT
MAILINGADDRESS NO.AND STREET CITY STATE ZIP CODE
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
MAILINGADDRESS NO.AND STREET CITY STATE ZIP CODE
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
MAILING ADDRESS NO.AND STREET CITY STATE ZIP CODE
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
MAILING ADDRESS NO.AND STREET CITY STATE ZIP CODE
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
MAILING ADDRESS NO.AND STREET CITY STATE ZIP CODE
NAME OF SPONSOR
MAILINGADDRESS NO.AND STREET CITY STATE ZIP CODE
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(8661275-3772)
www.fppc.ca.Rov
•
Additional Comments ADDITIONAL COMMENTS
For Form 41Q CA FIFORNIA 410
Page 5 of s
COMMITTEE NAME CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE I.D.NUMBER
REVITALIZATION OF VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) 1383796
ADDITIONAL ADDRESS: 10123 N. WOLFE ROAD, SUITE 1095, CUPERTINO, CA 95014; COMPLETE COMMITTEE NAME - CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER
OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF VALLCO, WITH MAJOR FUNDING BY SAND HILL PROPERTY COMPANY AND VALLCO PROPERTY OWNER LLC
•
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