410 Statement of Organization Recipient Committee – Initial Not Yet Qualified
Executed on BY
t)AT E SIGNATURE OF CONTROLLING OFFICEHOLDETI. CANDIDATE. OR STATE MEASURE PROI"ONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRtJCTIONS ON REVERSE
COMMITTEE NAME
Parth Bharwad for Cupeitino City Council
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAIIN!iTITllTION
Wells Fargo Bank
ADDRESS
AREA CODE/PHONE
(
CITY
Cupertino
BANK ACCOIINT NIIMBUII
STATE
CA
ZIP CODE
95014
Page 2
1.0. NUMBER
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List the name of each controlling offlceholder, 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECKONE
Partli Bharwad Ctipeitino City Cotincil 2022
NonparHsan
/
Partisan (list political party belov4
Nonpartlsan Partisan Illsr political party below)
a o aa n a i s n u q - primarily formed to support or oppose specific candidates or measures in a single election. List below:
cosoiohnis) NAME OR MEASURE(S) puu'rine (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL' IN FRONT OF THE OF FICEHOlnER'S N AME.
CANDIDATEiS) OFFICE SOUGHT OR HELD OR MEASUREiS) IU RISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLff)CHECK 2NF
SUPPORT OPPOSE
Sul'PORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advtce: advice@fppc.ca,gov (866/275-3772)
wvvw.fppc.ca.gov