410 Statement of Organization Recipient Committee – Initial Not Yet QualifiedStatement of Organization
Date Stamp • .,
KeCIP1ef1L l.Ommliiee
IE IE 0 �
• Nei
Statement Type ® Initial ElAmendment ❑
Termination — See Part 5
U
D
For Official Use Only
Not yet qualified
AUG 8, 2022
or
Q Date qualification threshold met Date qualification threshold met
Date of termination
CUPERTINO CITY CLERK
1. Committee Information
2. Treasurer and
Other PrincipalOfficers
/rf opplimble)
NAME OF COMMITTEE
NAME OF TREASURER
Moon Kyu Choe for Cupertino City Council
Jon Michael Vitalich
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
Cupertino
CA
95014
CITY STATE LIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER,
IF ANY
Cupertino CA 95014
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MA ILADDRESS IRE QUIRED)/FAX (OPTIONAQ
CITY
STATE
ZIP CODE AREA CODE/PHONE
COUNTY Of DOMICILE
JURISDICTION WHERE COMMITTEE 15 ACTIVE
NAME OF PRINCIPAL OFFICER(5)
Santa Clara
City of Cupertino, CA
Moon Kyu Choe
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY
STATE
ZIP CODE AREA CODE/PHONE
Cupertino
CA
95014
3. Verification
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 Cal
Executed on 675' / �Z_ By
DATE
/0
/-zo
Executed on Zz By
DATE Executed on Za'-Z'7 v By
DATE SIGNATURE OF CONTROLLING ICEH L CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
I certify under
FPPC Form 410 (August/2018)
FPPC Advice: advice fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIAt
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Moon Kyu Choe for Cupertino City Council
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
Wells Fargo Bank
ADDRESS
CITY STATE ZIP CODE
Cupertino 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Moon Kyu Choe
Cupertino City Council
2022
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
• 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@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Moon Kyu Choe for Cupertino City Council
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 OFACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Date qualified
Termination•
• 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