410 Statement of Organization Recipient Committee – Initial Not Yet Qualified 08-09-22Statement of Organization Recipient Committee ~------------~------------.--------------+++➔I Statement Type Ill Initial (j) Not yet qualified or 0 Amendment 0 Date qualification threshold met Date qualification threshold met __ / __ / __ __ / __ / __ D Termination - See Pa Date of termination __ / __ / __ AUG -9 2022 },'. 1:·· Committee ·information 1<'~·~ ', : ] . ., '. < ~ ' • ., I.D. Number '. ·2 •. -·,:reasurer and 9th.er• P!i!"ciPal Officers .. :'•::. · :· : _ i.,, ~•~ ' .~ ;; ", .. -, ~.._ ;1·."'-;1:--'r •I) -; ~ • , ~-':: -~, ., (if applicable) NAME OF COMMITTEE Steven Scharf for Cupertino City Council 2022 STREET ADDRESS (NO P.O. BOX) 20183 Somerset Dr CITY Cupertino FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) scharfcupertino2022@gmail.com STATE ZIP CODE CA 95014 COUNTY OF DOMICILE Santa Clara !JURISDICTION WHERE COMMITTEE IS ACTIVE Cupertino AREA CODE/PHONE 408 202 7910 Attach additional information on appropriately labeled continuation sheets. NAME OF TREASURER Nicole Woon STREET ADDRESS (NO P.O. BOX) 20380 Stevens Creek Boulevard #312 CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408 784 0053 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) Steven Scharf STREET ADDRESS (NO P.O. BOX) 20183 Somerset Dr CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408 202 7910 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 f regoing is true and correct. I Executed on 9 August 2022 DATE Executed on 9 August 2022 DATE Executed on DATE Executed on DATE n,, By ~•~r~[X~S!..,..f~tt--" _____ --;-----,----,.---,--------,-.,,.,---,--,,=-=------=---:-------------siGNAtuRE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By---------------------------------------------SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By---------------------------------------------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
Statement of Organization Recipient Committee CALIFORNIA 410 FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME 1.0. NUMBER Steven Scharf for Cupertino City Council 2022 . 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 Bank 408 863 6100 8623229492 ADDRESS CITY STATE ZIP CODE 10260 S De Anza Boulevard Cupertino CA 95014 i;}fi~•'1fype, of C~m'!li~ee\cor:iplete,th_e,~gti~.!:>le se~~ns.'./<::-:iJt"'.i:tf-·"~':\c -< h. -: , }::kt :.;··;:f\/·:,-, ··. : <}:? -~~c:? t~;. < ,~ ~-. ~;::_~:D\i; · . _ --... 't"'--..-,.,.. -... ,~·, 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 PARTY CHECK ONE Steven Scharf Cupertino City Council Member 2022 Nonpartisan ✓ Nonpartisan Primarily Farmed 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 I ::::::: I :::::: I 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 Steven Scharf for Cupertino City Council 2022 CALIFORNIA 41 Q FORM 1.0. NUMBER General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: 0 CITY Committee O COUNTY Committee O STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE · Small Contributor Committee □--1--1--• 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