410 Statement of Organization Recipient Committee - Amendment (2)Statement of Organization Recipient Committee Statement Type r:□-----,n-lti-.a-,-------...,....ll]-,-Am_e_n_d_m_e_nt ____ TO------li-erm-l-nati_o_n ___ See __ P_a_rt----15 0 Not yet qualified or 0 Date qualification threshold met Date qualification threshold met Date of termination ...:!___;..2..__f .l!El:_ ...:!___;..2..__f .l!El:_ --1--1--Date.stamp CALIFORNIA 41 0 FORM For Official Use Only 1. Committee Infor mation ,.D. Number 2. Treasurer and Other Principal Officers rJ.......Jicoblel NAME OF COMMITTEE NAME OF TREASURER Cupertino Residents for Government Accountability Richard Lowenthal STREET AD DRESS {NO P.O. BOX) 21602 Villa Maria Ct STREET ADDRESS {NO P.O. SOX} CITY STATE ZlPCODE AREA CODE/PHONE 21602 Villa Maria Ct Cupertino CA 95014 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cupertino CA 95014 FULL MAILING ADDRESS OF DIFFERENT) STREET ADDRESS (NO P.O. BOX)
E·MAIL AO DRESS (REQUIRED)/ FAX {OPTIONAU CITY STATE ZIP CODE AREA CODE/PHON E
richard@Iowenthalcom
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Santa Clara County Cupertino, CA Richard Lowenthal
STREET ADDRESS (NO P.O. BOX)
21602 Villa Maria Ct
Attach additianal infarmatian on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014
3. Verification .
penalty of perjury under the laws of the State of Cali1i ia that th fore g is true d cor ct.
Executed on September 25, 2022
DATE By ~-~"'-=--"'~--='--,s""1G"'NA'"ru"'R"'E-e,o,"'TR:,: ;:ER;===~--------
Executed on
DATE
Executed on
DATE
Executed on
DATE
By
By
By
SIGNATURE OF CONTRO LLING OFflCEHOlDER, CANDIDATE, OR ST.A.TE MEAS URE PROPON ENT
SIGNATURE OF CONTROUING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC FOrm 410 {August/2018)
FPPC Advice: ady jce @fppc .ca gov (866/275-3772)
www fppc .ca .gov
Statement of Organization Recipient Committee CALIFORNIA 410 FORM INSTRUCTIONS ON REVERSE ...,., COMMITTEE NAME 1.0. NUMBER Cupertino Residents for Government Accountability 1450757 All committees must list the financial institution where the campaign bank account Is located. NAME OF RNANCIAL INSTITUTION I AREA CODE/PHONE I BANK ACCOUNT NUMBER Wells Fargo 6620090388 ADDRESS CITT STATE ZJPCODE 1250 LlNCOLN A VE San Jose CA 95125 4. Type of Committee Complete the applicable sections. Co ntrolle d 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 MEA SURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan Partisan
Nonpartisan Partisan
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.
Sheila Mohan, Jr Fruen, Claudio Bono
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Cupertino City Council
(list political party below)
(list polltical party below)
CHECK ONE
I SUPPORT I OPPOSE
I ., I
I SUPPORT I OPPOSE
I
I
I
FPPC Form 410 (August/2018)
FPPC Advice: adYkP-@fpp c ca .gov (866/275-3772)
www.fppc .ca .gov
Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Cupertino Residents for Government Accountability CALIFORNIA 41 Q FORM LO. NUMBER 1450757 General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: D CITY Committee D COUNlY Committee D STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTlVTTY Spon sored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE All.EA CODE/PHONE
Small Contributor Committee □---1---1--
.,,., .........
5. Term i nation Requ i rements By signing the verification, the treasurer, asSl!itant treasurer and/or candidate, officeholder, or ponent cernfy that all of the following condrtions hav e been met
• This committee has ceased to receive contributions and make expenditu res;
• 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: advke@fppc ,;a gay 1866/275-3772)
www.fppc ca gov