410 Statement of Organization Recipient Committee – Amendment Stamped by SOS 05-04-22f!f lirofg il~£!tJfsr Statement of Organization
Recipient Committee
Statement Typej -□-,n-it-ia-,-------,---------, ------------11 Ill Amendment D Termination -See Part 5
of the State of Oallfomi1
0 Not yet qualified
or
0 Date qualification threshold met I Date qualification threshold met
NAME OF COMMITTEE
J.R. Fruen for Cupertino City Council 2022
STREET ADDRESS (NO P.O. BOX)
CITY
Cupertino
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
STATE
CA
04 1 20 1 2022
1447662
ZIP CODE AREA CODE/PHONE
95014
COUNTY OF DOMICILE
Santa Clara
JURISDICTION WHERE COMMITTEE IS ACTIVE
City of Cupertino
Attach additional information on appropriately labeled continuation sheets.
Date of termination
NAME OF TREASURER
Joseph R. Fruen
STREET ADDRESS (NO P.O. BOX)
CITY
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
cm
NAME OF PRINCIPAL OFFICER(S)
Joseph R. Fruen
STREET ADDRESS (NO P.O . BOX)
CITY
Cupertino
MAY 04 2022
STATE
CA
STATE
STATE
CA
Mif ( 2 20 22
ZIP CODE AREA CODE/PHONE
95014
ZIP CODE AREA CODE/PHONE
ZIP CODE AREA CODE/PHONE
95014
I have used all reasonable diligence in preparlng this statement and to the best of my knowleage-The7nformation contained herein is true and complete.
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 05/03/2022 ---
FICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By____:___ ____ _
SIGNATURE OF CONTRO LLIN G OFFICEHOLDER , CANDIDATE, OR STATE MEASURE PROPONENT
By-------------------------------------------s1GNAruRE OF CONTROLUNG OFFICEHOLDER, CANDIDA IT, OR STATE MEASURE PROPONENT
FPPC Form 410 (Aug,st/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA 4-1 Q
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
J.R. Fruen for Cupertino City Council 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITU TION AREA CODE/PHONE BANK ACCOUNT NUMBER
Wells Fargo Bank
AD DRESS CITY STATE ZIP CODE
Cupertino CA 95014
•JHll''•u~
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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HElD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
/'ARTY
CHECK ONE
Joseph R. Fruen Member, Cupertino City Council 2022 Nonpartisan
✓
Nonpartisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL . STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICT ION
(INCLUDE DISTRICT NO ., CITY OR COUNTY, AS APPLICABLE)
Partisan
Partisan
(list political party below)
(list political party below)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.f~ov