410 Statement of Organization Recipient Committee – Initial Qualified.�,,atement ofOrganization � � � � vCEIEDDate ANStampD FI
Recipient Committee �j the secretary c
•
in the officee State Of Cailfo ia cia Use n y
Statement Type ® initial ❑ Amendment ❑ Termination -- See Part 5
Q Not yet qualified DEC 2 97} p ip
or ��IF [FTIA Ci 2DS
Date qualified as committee ---�-----��
Date qualified as committee Date of termination and DeiiveredE 7«tcra �
1z 17 2017 ,Y P�PT1N 1TY Rkk
`. I.D.Number Z. _ Treaurea.nd. Other Principal
ri. ipal 1. Committee Jnformation �Offi
cers
(if applicable)
NAMEOFCOMMITTEE NAME OF TREASURER
Tara Sreekrishnan for Council 2018 Deepti l-iardas
STREETADDRE55 (NO P.O. Box)
STREET ADDRESS (NO P.O. BOX; CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Krish Ellath
MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
COUNTYOF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFF:CER(S)
Santa Clara
STREET ADDRE55 (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3 V rif uation.reasonable diligence in preparing this
MEASURE PROPONFN.T
Executed on By
DATE SIGNATURE OF CON7ROLL[1160=FILE HO LDER, CANDIDATE, OR STATE MEASURE ?ROPCNENT
Executed on By
SIGNATURE OF CONTROLLING OFFICE]CLD-e R, CANDIDATE, OR STATE MEASURE ?RO?ONENT
FPPC Faure alfl October/2017j
FPPC Advice: advice@fppc.ca.gov (866J27S-3772)
www.fppc.Ca.gov
statement of Organization CALIFORNIA.
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME -
I.D. NUMBER
Tara Sreekrishnan for Council 2018
- All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIALIN5717UTION
Wells Fargo Bank
AREA CODE/PHONE
(
BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
4: Tyke of:Cornmlttee Complete the appllca.kile 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." Stating "No party preference" is acceptable.
- 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 YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKONE
Tara Sreekrishnan
Cupertino City Council
2018
Nonpartisan
✓
Partisan (list political party below)
Nonpartisan
Partisan (list political party below)
Primarily formed.to support Or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FLLL TITLE (INCLUDE BALLOT NO. OR LETTER)
1F A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDA7E(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
OPP05E
FPPC Form 410 (October/2017)
Clear Page Print FPPC Advice: advice @f ppc.ca.gov (866/275-3772)
www.fppc.ca.gov