410 Statement of Organization Recipient Committee – Initial Not Yet QualifiedStatement of Organization ECBIVE
Recipient Committee 1n the offitle @tthe seetot1ry 01 s
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Statement Type Ill Initial O Amendment D Teqnination -See Part 5
0 Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
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~ate of termination
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AU629 2DZZ
1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers
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N A M ( OF C0 M M l1 Tll: y~s NAM E OF TRE AS UH EH
¥.w.!e for Copa dno C i ty Cottueil
Couvivi \ ·2v22 Hirotsugu Toyoda
Y~ko ShlmC\ foY Cu ·p·efh i10 Cr-ty
STR~ET A DD RE SS \N O P.O . BOX)
5 1 R H r AD D R t SS (NO P.O . II OX ) CITY STATE
Cupertino CA
C IJ Y Sl AH LIP C O DE A KlA COD t/l'"IONE NA M E or A SS IS rANT 1 R~AS U~ER. 11· A NY
Cupertino CA 9501 4
F Ull 1/I A ILING A O OR[S5 (IF D IF FER EN T) STR (E T 1\DDR[SS I NO P.O . DO X)
r -M A I L .\D D RESS (R [Q UIR EO ) / fA X I OPT ION AL) CITY STATE
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COU Nl"Y o r DO M ICILE I IU RISDI CTI O N W llfR [ COY!M ITH[ 1$ AC:TI V( I NA Mt Of PHI NCIPA L O FF ICER (S)
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Sa nta Clara County City of Cupertino Hirotsugu Toyoda
I STR(ET ADDRE S S (N O P 0. BOX )
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Attach additional information on appropriately labeled continuation sheets.
I Cupertino CA
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95014
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95014 -r I have u sed uH reasonable dili gence in preparing this sta t eme nt contained herei n is true an ci complete . I ce r tify under
·penalty of perjury under the laws of the State of California that
Executed on 81 2 112022 ------------DAI ~
Exec uted on 8/2 1/2022
DATE
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FPPC Form llO (August/ZOU:,
FPPC Advice: ,l dlo•ic e@fppc.c a .f lYJ 866/275-37n
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Statement of Organization
Recipient Committee CALIFORN~ 41 Q
FORM
I NSTIWCTIONS ON REV ERSE
Page2
COMMI T TEE N,'<~lf
Yuko for Cupertino City Council
All committees must list the financial institution where the campaign bank account Is located.
NAME OF FINJ\'Kl,\L IN STIT UT IO :11 A Rt A CODf/P HO N f BA NK A CCO U NT NUM 0 ER
Bank of
(Ii.s t 1· Jil tl e.JI p arry bcbw) -
!l ist p J hti ca l party below}
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S•.PPO RT O PPO SE
s· "PORT O Prosc
FPPC Form 410 (August/20111 )
FPPC Advice: fili_'!!'.kg_@.f~-1: .QY.{866/275-377:~J
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