410 Statement of Organization Recipient Committee - Amendment Statement of Organization
Recipient Committee j D � (�,� �at�st� � I � ° _ , t
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Statement Type ❑ Initial �x Amendment ❑ Termination —See Part ,�I �� J� ForOfficial UseOnly
List I.D.number: List I.D.number: lJ L� AUG 1 8 2016 �LJ
Not yet qualified ❑ or I
# 1383796 # --- 5
CUF'ERTINO CITY CLERK
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Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
1. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE No oN c aNn YEs oN n - cvnERTzrro N�zcfiaoRs, r•.nvc�TORs, n.Nn NAME OF TREASURER
THE CUPERTINO CIiAMIIBR OF COMMFRCE POR THE SENSIIILE AND SUSTAINAALE
REVITALI7,ATION OP VALLCO, (SEE ATTACHMP•.NT FOR COMPLETE COMMITTEE NAMG) S�AN P. WELCH
STREET ADDRESS (NO PO. BOX) STREET ADDRESS(NO P.O.BOX)
2350 KERNER BLVD., SUITE 250 2350 ICERNER BLVD., SUITE 250
ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
SAN RAFAEL CA 94901 (415)389-6800
NAME OF ASSISTANTTREASURER, IF ANY
2350 KERNER BLVD., SUITE 250 SAN RAFAEL, CA 94901 HILARY J. GIBSON .
STREET ADDRESS(NO P.O.BOX)
FORM410C�NMGOVLAW.COM 2350 KERNER BLVD., SUITE 250
OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE
MARIN I CITY OF CUPERTINO
NAME OF PRINCIPAL OFFICER(S)
REED MOULDS
AtI8CI7 BCIC�Ir1011aI 117fOr1178t1011 017 apprOpClaf@Iy IaIJ2I6CI C011f111Uat1017 SIl@BtS. STREET ADDRESS(NO P.O.BOX)
10123 N. WOLFE ROAD, SUITE 1095
CITY STATE ZIPCODE AREACODE/PHONE
CUPERTINO
3. Verification
I have used all reasonable diligence in preparing
OF TREASURER OR ASSISTANT TREASURER
1
Executed on By
DATE SIGNKTURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on �' SIGNFUURE OF CONTROL�ING OFFICEHOLDER,CANDID/UE,OR STAT[M[ASURE PROPONENT
DATE
Executed on � '
DATE SIGN/CI'URE OF CONTROLLING OFFICEHOLDER,CANDIDIUE,OR STATE MEASURE PROPONENT
FPPC Form 410(Jan/2016)
www.netfile.com FPPC Advice:advice@fppc.ca.gov(866/275-3772)
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Statement of Organization
Recipient Committee � � ' �
. -
INSTRUCTIONS ON REVERSE
Page 2 o'i 4
l
COMMITTEE NAME I.D.NUMBER
NO ON C AND YES ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE AND SUSTAINABLE
REVITALIZATION OF VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) 1383796
• Ail committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIALINSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER
BANK OF MARIN (415)927-8902 I
I
ADDRESS CITY STATE ZIP CODE
504 TAMALPAIS DRIV�
4.T)/p@ Of COI'Tll'Tlltt@@ Complete the applicable sections.
i��i•��►��•�II��Y�ri�i uiuil�t��
. 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 CANDIDRfE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR TY
❑ Nonpartisan
❑ Nonpartisan
�ii�'Y1f16�•����►a•r •u�� Primarilyformed to supportoroppose specificcandidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHTOR HELD OR MEASURE(S)JURISDICTION
QNCLUDE DISTRICTNO.,CITY OR COUNTY,ASAPPLICABLE) CHECK ONE
SUPPORT OPPOSE
MEASURE D CITY OF CUPERTINO x
SUPPORT OPPOSE
MEASURE C CITY OF CUPERTINO X
FPPC Form 410(Jan/2016)
www.netfile.com FPPC Advice:advice@fppc.ca.gov(866/275-3772)
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Statement of Organization
Recipient Committee ' � � 0
. -
INSTRUCTIONS ON REVERSE page 3 of 4
1
COMMITTEE NAME I.D.NUMBER
NO ON C AND YES ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OP COMMERCE FOR THE SENSIBLE AND SUSTAINABLE 1383796
REVITALIZATION OF VALLCO, (SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) ,
4.Type of Committee (Continued)
i�Ylauai:i�lnl•i•ti7�h•�u����ii�--�-� Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITYCommittee ❑ COUNTYCommittee ❑ STi4TECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
�.�•1•��e-�•�«•��•��n�n��t:�'.�1 List additional sponsors on an attachment.
NAME OF SPONSOR IINDUSTRY GROUP OR AFFILIATION OF SPONSOR
SAND HILL PROPERTY COMPANY AND VALLCO PROPERTY OWNER LLC DEVELOPMENT
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
2882 SAND HILL ROAD, STE. 241
I�lu�!u��i•�ul�l���t(•��ri•��uiul�t�lillr � / /
Date qualified
�J.Termination Requirements Bysigningtheverification,thetreasurer,assistanttreasurerand/orcandidate,officeholder,orproponentcertifythatallofthefollowingconditionshavebeenmet:
• 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.neffile.com FPPC Advice:advice@fppc.ca.gov(866/2753772)
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Additional Comments ADDITIONAL COMMENTS
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For Form 410 � . � 1
Page � of �
COMMITTEE NAME NO ON C AND YSS ON D - CUPERTINO NEIGHBORS, EDUCATORS, AND THE CUPERTINO CHAMBER OF COMMERCE FOR THE SENSIBLE I.D.NUMBER �
AND SUSTAINABL� REVITALIZATION OF VALLCO, �SEE ATTACHMENT FOR COMPLETE COMMITTEE NAME) 1383796
ADDITIONAL ADDRESS: 10123 N. WOLFE ROAD, SUITE 1095, CUPERTINO, CA 95014 COMPLETE COMMITTEE NAME - NO ON C AND YES ON D - CUPERTINO NEIGHBORS, �DUCATORS, AND
THE CUPERTINO CHAMBER OF COMM�RCE FOR THE SENSIBLE AND SUSTAINABLE REVITALIZATION OF VALLCO, WITH MAJOR FUNDING BY SAND HILL PROPERTY COMPANY AND VALLCO
PROPERTY OWNER LLC
www.ne�le.com