410 Statement of Organization Recipient Committee - Termination stamped by SOSStatement of Organization
Date Stamp
Recipient Committee
it
Ya
Statement Type
DIGITALLY
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For official use Only
RECEIVED AND FILiED.�
❑ Initial Q Amendment
Q Termination — See Part 5
in the office of the California
I
O Not yet qualified
Secretary of State
JULY 13 2024
—
n W i
J U L 2-?O24
or
O Date qualification threshold met Date qualification threshold met
Date of Termination
CU
ERTINO CITY CLEF�'
07/12/2024
1. Committee Information
and Other
Principal Officers
(if applicobleJ
NAME OF COMMITTEE
NAME OFTREASURER
Kitty Moore for Council 2020
Margaret Griffin
STREETADDRESS (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)
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.
3. Verification
[77— STATE ZIP CODE
AREA CODE/PHONE
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 certlty under
penalty of perjury under the laws of the
OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
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
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Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBER
Kitty Moore for Council 2020 1428355
4. .- of Committee (Continued) oil
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ 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
❑
Date qualified
• 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
FORM41OT 1428355
5inal Audit Report 2024-07-13
Created: 2024-07-13
By: Catherine Moore (
Status: Signed
Transaction ID: CBJCHBCAABAAONcp4dfmlDZuO6YZ16vjgFlhD20i7Fg9
"FORM410T_1428355" History
Document created by Catherine Moore (
2024-07-13 - 7:08:57 PM GMT- IP address: 174.160.19.51
L_ Document emailed to Margaret S. Griffin ( for signature
2024-07-13 - 7:09:01 PM GMT
Document emailed to Catherine "Kitty" Moore ( for signature
2024-07-13 - 7:09:01 PM GMT
Email viewed by Margaret S. Griffin (
2024-07-13 - 7:09:33 PM GMT- IP address: 191.96.255.34
! Email viewed by Catherine "Kitty" Moore (
2024-07-13 - 7:09:37 PM GMT- IP address: 66.249.84.73
Document e-signed by Margaret S. Griffin (
Signature Date: 2024-07-13 - 7:10:37 PM GMT - Time Source: server- IP address: 191.96.255.34
Document e-signed by Catherine "Kitty" Moore (
Signature Date: 2024-07-13 - 7:11:12 PM GMT - Time Source: server- IP address: 174.160.19.51
Agreement completed.
2024-07-13 - 7:11:12 PM GMT