410 Statement of Organization Recipient Committee – Amendment stamped by SOSStatement of Organization
Recipient Committee
Date Stamp CALIFORNIA
FORM
41 O"
Statement Type
,, ;-
For Official Use Only
I Initial
,i) Amendment
rJ Termination — See Part Sin
e office of the Secretary of Stat
_
of the State of California
!Not yet qualified
or
JUN 2 4 2024
i_i Date qualification threshold met
Date qualification threshold met
Date of Termination
07/29/2020
- . I.D. Number 1428355
2. Treasurer and Other'
' Officers
(i/ npplirnbleJ
_
7AMEMMITTEE
OFTREASURER
oore for Council 2020
FAIE
argaret Griffin
EET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE
AREA CODE/PHONE
Cupertino
CA 95014
(
CITY STATE ZIP CODE
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95015
(
Joan Chin
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
y
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY
STATE ZIP CODE
AREA CODE/PHONE
Cupertino
CA 95014
(
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Santa Clara County
Cupertino
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
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 L ue anu L:ompleLO. I cel Lily L,l l—
penalty of perjury under the laws of the
MEASURE PROPONENT
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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
GAL11-SARIA 410
Recipient Committee
11 FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Kitty Moore for Council 2020
1428355
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
Wells Fargo Bank
(
.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.
• 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
,.. .�-r �.�nn i❑[ ❑❑n❑nnm nrr ..... r,I, r,,—,, -r nn I—.❑ . i[ n❑❑i Irnai [I FI PCTInN CHEK ONE
Catherine "Kitty" Moore
City Council Member City City of Cupertino
Nonpartisan
Partisan
(list pvll[icalparrybelow)
2020
0-.1
n
Nonpartisan
Partisan
(list political party below]
J
D
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
rini�i lint nicrRirT nIn CITY nR CnIINTV AS APPI IC.ARI_EI
CHECK ONE
SUPPORT
OPPOSE
D
D
SUPPORT
OPPOSE
CI
CI
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE Page 3
COMMITTEE NAME I.D. NUMBER
Kitty Moore for Council 2020 1428355
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
I_I CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
• List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS - NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer andJ or candidate, 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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Form 410 NOTES
Additional Notes • - (. a
Page 4 t 4 I
NAME OF FILER
I.D. NUMBER
Kitty Moore for Council 2020 1428355
Amended to change mailing address