410 Statement of Organization Recipient Committee – Amendment (2)I Statement of Organization Recipient Commit~ee ~-:7''---,4/,,lofjlk!...-----~----------r------------l Statement Type Amendment D Termination -See Part 5 or 0 Date qualification threshold met Date qualification threshold met Date of termination 08 1~1202:i ai 1~~ Date Stamp CALIFORNIA 410 FORM For Official Use Only 1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers /if oppllcoble} NAME OF COMMITTEE NAME OF TREASURER Moon Kyu Choe for Cupertino City Council 2022 Jon Michael Vitalich STREET ADDRESS (NO P.O. BOX) 19503 Stevens Creek Blvd, STE 312 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 19503 Stevens Creek Blvd, STE 312 Cupertino CA 95014 831 277 0510 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 408 359 7070 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS !REQUIRED)/ FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE moon kyuchoe@gmail.com COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Santa Clara Cupertino Moon Kyu Choe STREET ADDRESS (NO P.O. BOX) 19503 Stevens Creek Blvd, STE 312 CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. Cupertino CA 95014 408 359 7070 3. Verification 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 un~er the laws of the State of California that t Executed on °812612022 DATE Executed on 08/26/2022 By DATE Executed on By DATE SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE 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 41 Q FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Moon Kyu Choe 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 8623265298 ADDRESS CITY STATE ZIP CODE 10260 S De Anza Blvd Cupertino CA 95014 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 Moon Kyu Choe 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: ;i~vice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov