410 Statement of Organization Recipient Committee - Termination 1-31-19 Statement of Organiza#ion � • ' �
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Recipient Committee , t • '
�ta#eEnentType ��nitiat ❑ Aroendment � Termination—SeePaii�t5� • Fo�ot���aGuseoniy
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�Date quat�cation threshoid met Date qualification fhreshoid met Date of termination
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1. Committee Informatian l.�. Number 2. Treasurer and Other Principal O#ficers
(!f aPPlicable)
NAMEOPCOMMITTEE � NAArE OF TR£ASURER
TARA SREEKRtSHNAN F�R COUNCIL 2018 DEEPTI HARDAS
KR1SH ELLATH
PULL MAiLING ADDRE55(IF DIFFERENT}
COUNTY OF DOMICILE 1UftIS�tCT10N WHERE COMMITTEE IS ACTIVE iSAME OF PRINCIPAL DFFlCER(SJ
STREET ADDRESS{NQ P.O.BOX)
CfTY ' S7A7E ZIPL6DE AREACODE/PHONE
Attach additiona!inforrnation on appropriately iabe/ed continuation sheets.
3. Veri 'cation
1 have used al[reasonable ditigence in preparing this statement and#o fihe best of my knowledge the informatian contained herein is true and comp}eta I certify under
penaity of perjury under the laws of the State of California
Executed on By
BAFE SIGNATURE OF CONTROLLING OFFICEHOLOER,CANDiDATE,OR STATE MEASURE PROPONENT
PPPC Form 410(August/2818}
• PPAC Advice:advice@fppc.ca.gov(866/2753772j
www.fppc.ca.gov
Statement of Organization
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Recipient Commi#tee ,
INSTRUCTtONS ON REVERSE
• -
GOMM{'REE NAME -
Page 2
� 1.D.NUMBER
TARA SREEKRISHNAN FOR COUNCIL 2018 1400946
• All committees must list the financiai institution where the campaign bank account is located.
NAiv1E OF FINANCIALiNSTITUTION
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• List the name of each controlling officeha[der,candidate,or state measure proponent, ff candidate or officehotder contro[led,aiso list the etective office sought or held,and
district number,i#any,and the year of the etectian.
• List the politicat party w�th which each ofFiceholder or candidate is affiliated or check"nonpartisan:' Stating"{Vo party preference"is acceptabfe.
• If this committee acts jointiy with anather controlied committae,list the name and identification number of the other controlled committee. �
NAME OF CANQIDA7E/OFPICEHOIDER/STATE MEASURE PROPONENT ELECTIVE OFFICESOU6HT OR HELD yEpp pp PAR-n,
{tNCLU�f DISTRICT NUM6ER IF APPLICABLE) ELELTION CNECKONE
Nonparttsan Partisan (fist pofitical party be3ow)
Tara Sreekrishnan Cupertino City Council 2p�g � �
(Vonpartisan Partisan �{ist political party belowj
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• � '� •� Primarily formed to support or o p
ppose s ecific candidates or measures in a sing(e election. List below:
CANDIDATE(S}NAME OR MEASURE{Sj FULLFiTLE(INCLUDE BALLOT NO.OR IETTER) CANDIDATE(S}OPfICE SDUGNTOR HELD OR MEASURf(5}}��{ISDICTtON
IP A RECALL,STA3E"RECALL"tN FRONT OP THE OFFICEHOLOER'S NAME. (INCLUDE DIS7RICT ND.,GTY OR C�UNT1;AS APPLICABLEj
CHECKONE
SUPPORF DPPOSE
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� SU�7 OPPOSE
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FPPC Porm 410(August/201!
• FPPC Advice:advice@fppc,ca.gov(866J275-377:
w�uw fppcca.ga