410 Statement of Organization Recipient Committee – Amendment (2) Stamped by SOS Statement of Organization Date Stamp KOM 1 0 . ,
Recipient Committee Amendment to correct qualification date from 0810212020 to 07/31/2020
Statement Type ❑ Initial ® Amendment ❑ Termination—See Part RECEIVED AND F7SEP
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in the office of the SecretaryQ Not yet qualified of the State of CaliforniQr -- =?. 2�20
Q Date qualification threshold met Date qualification threshold met Date of termination AUG
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07 / 3--/ 2020 �J �J �J
• • • I.D. Number 1428230
(�f aPPlicoble) 7. _
INAM
EOF COMMITTEE NAME OF TREASURER
.K. Fasten for Cupertino City Council 2020 Joseph"J.R."R.Fruen
STREET ADDRESS(NO P.O.BOX)
6445 Bollinger Road
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
6445 Bollinger Road Cupertino CA 95014 408-828-2859
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Cupertino CA 95014 408-828-2859
FULL MAILING ADDRESS(IF DIFFERENT) STREETADDRESS(NO P.O.BOXI
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
jrfruen@gmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(5)
Santa Clara City of 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 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 08/08/2020 By
DATE 51 G,NATURE Or-TREASURER OR ASSISTANT TREASURER
Executed on 08/08/2020 By -�
DATE J SIGNATURE 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.eov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA ,� '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D.NUMBER
J.R.Fruen for Cupertino City Council 2020 1428230
• 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 408-828-2859 3694216510
ADDRESS CITY STATE ZIP CODE
10260 S De Anza Blvd Cupertino CA 95014
Controlled Committee
• 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 CHECK ONE
Nonpartisan Partisan (list political party below)
Joseph"J.R."R.Fruen Cupertino City Council 2020 ✓
Nonpartisan Partisan (list political party below)
Pirlimarily Formed Committee 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
IF A RECALL,STATE"RECALL"IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice:advice Wpoc.ca.gov(866/275-3772)
www.fPPc.ca.gov
Statement of Organization CALIFORNIA ,
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D.NUMBER
J.R.Fruen for Cupertino City Council 2020 1428230
4.Type of Committee (Continued)
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 INO USTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee El
Date qualified
t
• 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:adviceCcDfppc.ca.gov(866/275-3772)
www.fppc.ca.gov