410 Statement of Organization Recipient Committee – TerminationStatement of Organization
Recipient Committee
Date stamp
,
Statement Type
For official Nye only
] Initial 0 Amendment
0 Termination —See Part 5
Filed Date:
0 Not yet qualified
07117/2023 09:58
or
0Date qualificationthreshold met Date qualification threshold met
Date offermination
AM
03/29/2023
1. Committee InformationLD.
Number 14528942.
Treasurer and Other
Principal Officers
�lapp�icanle�
NAME OF COMMITTEE
NAME OF TREASURER
Govind Tatachari For Cupertino Council 2022
Balaji Seshachalam
STREETADDRESS (NO P 0. BOX)
18820 Barnhart
O BOX)
CITY
STATE ZIPCODE
AREACODE,!PFONE
10219 Judy
95014
(408�771-
ZIP CODE AREACODEJPHONE
NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 (408)206-
ADDRESS IF DIFFERENT)
STREETADDRESS (NO P,0. BOX;
P.O.
ADDRESS [REQUIRED)/FAX IOPTIONAL)
CITY
STATE ZIP CODE
AREACODE,!PFONE
govind4council@gmail.com
DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICERiS)
Santa Clara
Cupertino
GOVINDTATACHARI
STREETADDRESS (NG P 0. BOX)
PO Box
CITY
STATE ZIP CODE
AREACODE;PHONE
CUPERTINO
CA 95014
(408)206-
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 of California that the foregoing is true and correct.
Executed on 07/17/2023 By Balaji Seshachalam
CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca,gov (866/275.3772)
www•fppc.ca•gov
Statement of Organization CALIFORNIA410
Recipient Committee FORm
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Govind Tatachari For Cupertino Council 2022 1452894
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
Cupertino CA 95014
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.
i List the political party with which each officeholder or candidate is affiliated or check "nonpartisan," Stating "No party preference" is acceptable
i If this committee actsjointly 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 CAN DIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT(IN C JUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHEK ONE
GOUINDTATACHARI
CUPERTINO CITY COUNCIL City CITY OF
Nonpartisan
Partisan
(list political partVbelow)
2022
D
D
CUPERTINO
Govind Tatachari
Nonpartisan
Partisan
list political party below)
0
D
Primarily formed to support or oppose specific candidates or measures in a single election, List below,
CANDIDATE(S) NAME OR MEASUREIS) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CAN OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT
OPPOSE
D
D
SUPPORT
OPPOSE
D
D
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca,gov (866/275.3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMIM 17EE NAME I . NUMBER
Govind Tatachari For Cupertino Council 2022 1452894
Not formed to support or oppose specific candidates or measures in a single election, Check only one box:
0 CITYCommittee 0 COUNTYCommittee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
- List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRYGROUP OR AFFILIATION OF SPONSOR
STREETADDRESS NO AND STREET CITY STATE ZIP CODE AREACODE,!PHONE
D
I .
• This committee has ceased to receive contributions and make expenditures;
This committee does not anticipate receiving contributions or making expenditures in the future;
e 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 maybe 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.
FW Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov