410 Statement of Organization Recipient Committee – Amendment Stamped by SOS 07-01-22Statement of Organization .. ~ ~ .. ,, ~•te~t•mp Recipient Committee i-<EthCt\iVEO AND F!L .------------.-----------.-------------1111 e office of the Secret&ry of i, CALIFORNIA 41 Q FORM Statement Type D Initial Ill Amendment O Termination -See Part 5 of the State of California 0 Not yet qualified or JUL O 1 2022 fo)~CC~ \07 ~,rm 0 Date qualification threshold met I Date qualification threshold met __ / __ / __ 04 1 20 I 2022 Date of termination ~I JUL 1 5 2022 I~ _______ _._ __________ _._ __ I.D. Number (if applicable} NAME OF COMMITTEE J.R. Fruen for Cupertino City Council 2022 STREET ADDRESS (NO P.O. BOX) 6445 Bollinger Road CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-828-2859 FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) jr4cupertino@gmail.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE Santa Clara City of Cupertino Attach additional information on appropriately labeled continuation sheets. Joseph R. Fruen STREET ADDRESS (NO P.O. BOX) 6445 Bollinger Road CITY Cupertino NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY NAME OF PRINCIPAL OFFICER(S) Joseph R. Fruen STREET ADDRESS (NO P.O. BOX) 6445 Bollinger Road CITY Cupertino STATE CA STATE STATE CA ZIP CODE AREA CODE/PHONE 95014 408-828-2859 ZIP CODE AREA CODE/PHONE ZIP CODE AREA CODE/PHONE 95014 408-828-2859 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. penalty of perjury under the laws of the State of ~a that the foregoing is true and correct. Executed on 612912022 ----------DATE Executed on 6/29/2022 DATE Executed on DATE Executed on DATE By---...,.---,,..;~----------~--------=------------------s1GNATURE OF TREASURER OR ASSISTANT TREASURER By By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 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 RK
Statement of Organization Recipient Committee CALIFORNIA 41 0 FORM INSTRUCTIONS ON REVERSE Page2 COMMITTEE NAME 1.0. NUMBER J.R. Fruen for Cupertino City Council 2022 1447662 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Wells Fargo Bank ADDRESS 10260 S. De Anza Boulevard Controlled Committee AREA CODE/PHONE 408-863-6100 CITY Cupertino BANK ACCOUNT NUMBER 6220874769 STATE ZIP CODE 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. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY 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) JURISDICTION (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.fppc.ca.gov
Secretary of State Political Reform Division 1500 11th Street, Room 495 Sacramento, CA 95814 C/0 ltzel Medina Staff Services Analyst llJl O I lO;; Re: Amendment of Form 410 -Filer No. 1447662 -J.R. Fruen for Cupertino City Council 2022 Ms. Medina: Pursuant to our conversation of June 29, 2022, and your letter dated May 9, 2022, my last Form 410 submission (dated May 3, 2022) was intended to amend the date of qualification. My original Form 410 incorrectly provided a date of qualification of April 6, 2022. That date reflects a misunderstanding of the date calculation. The correct date on which the qualification threshold was met was April 20, 2022. Please accept the Form 410 Amendment enclosed herewith noting the amendment sought. Many thanks for your help and guidance, Cl~~ Jose~~-· ;ruen Principal Officer J.R. Fruen for Cupertino City Council 2022 ID# 1447662 6445 Bollinger Road Cupertino, CA 95014