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410 Statement of Organization Recipient Committee - Amendment Stamped by SOSCUPERTINO CITY CLERK Statement of Organizatio nl---------------Recipient Committee S tate ment Type ...-□-,-n-i t-ia-,--------..-:ll]=--A-m_e_n_d_m_e_nt-----.....:=----------11cl'tl:: 0 Not ye t qualified or 0 Date qualification threshold met Date qualification t hreshold met Date of termination Cupertino Residents for Government Accountability STREET ADDRESS (NO P.O. BOX) 21602 Villa Maria Ct CITY Cupertino FULL MAILING ADDRESS (IF DIFFERENT) E·MAILADDRESS {REQUIRED)/ FAX {OPTIONAL) richard@Iowenthal.com COUNTY OF DOMICILE Santa Clara County STATE ZIP CODE CA 95014 JURISDICTIO N WHERE COMMITTEE 15 ACTIVE Cupertino, CA AREA CO DE/PHONE Richard Lowenthal STREET ADDRESS (NO P.O. BOX) 21602 Villa Maria Ct CITY Cupertino NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX J CITY NAME OF PRINCIPAL OFFICER(S) Richard Lowenthal STREET ADDRESS (NO P.O. BOX) 21602 Villa Maria Ct CITY Attach additional information on appropriately labeled continuation sheets. C up ertino penalty of perjury und er the laws of the State 06, 2022 DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFI CEHOLDER , CANDIDATE, OR STATE MEASURE PROPONENT Executed on By SIGNATURE OF CONTROLLING O FFICEHOLDER , CANDIDATE, OR STATE MEASURE PROPO NENT STATE ZIP COOE AREA CODE/PHONE CA 95014 STATE ZI P CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE CA 95014 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 NAM E 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 FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMB ER Wells Fargo 6620090388 ADDRESS CITY STATE ZIP CODE 1250 LINCOLN A VE San Jose CA 95125 Controlled Committee List the name of each controlling officeholder, candidate, or s tate measure proponent. If candidate or officeholder controlled, also list the elective office so ught or held, and district number, if any, and the year of the election . • Li st 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 CHE CK ONE Nonpartisan Partisan No npartisan Partisan Prlmorlly Formed Committee Primarily formed to support or oppose specific candidates or measures in a single e lectio n. Li st below: •RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. Sheila Mohan, Jr Fruen, Oaudio Bono CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S ) JURISDICTION (INCLUDE DISTR ICT NO., CITY OR COUNTY, AS APPLICAB LE) Cupertino City Council (l ist political party below) (list political party below) CHECK ONE SUPPORT OPPOSE ✓ SUPPORT OPPOSE FPPC Form 4i0 {August/2018) FPPC Advice: adyice@fppc.ca ,goy {866/275-3772) www.fppc.ca .gov Statement of Organization Recipien t Committee INSTR UCTI O NS ON REVERS E COM MITTEE NAME Cupertino Res idents fo r Go ve rnment Acc ountability CALIFORNIA 41 Q FORM I.D.NUMBER General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one bo x: Ill Cl1Y Committee O COUN1Y Committee D STATE Committee PROVIDE BRI EF DESCRIPTION OF ACTIVITY To provide awaren ess of iss ues impacting Cupertino Res iden ts Sponsored Committee Li st additional sponsors on an attachment. NAME OF SPONSOR INDU STR Y GROU P OR AFF ILI ATI ON OF SPON SOR STREET AD DR ESS NO. AND STREET CITY STATE Small Contributor Committee □--1--1-- Thi s committee has ceased to receive contributions and make expenditures; Thi s committee does not anticipate receiving contributions or making expenditures in the future; Thi s committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; Thi s committee has no surplus funds; and This committee has filed al f campaign statements required by the Political Reform Act di sclosing all reportable transactions. ZIPCOOE AR EA CODE/PHON E 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 fund s 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 : ady ice@ fppc.c a gay {866/275-3772) www.fo oc ca.gov