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410 Amendment STATEMENT OF ORGANIZATION ~ o TenninaUon - See p, Ust I.D. nunœr. # "JWe or print In Ink III Amendment List I.D. number: # 1264630 Statement of Organization Recipient Committee Statement Type 0 Initial Not yet qualified 0 or ----1----1_ Date of Termination ~~~ Date qualified as committee (lfapplic8ble) AREA COOEIPHONE 408I25!Hl527 AREA COOE/PHONE 4081996-0842 AREA COOEJPHONE 408I25!Hl527 2. Treasurer and Other Principal Officers NAME OF TREASURER Elizabeth L. Whittaker (aka "Penny') STREET ADDRESS 20622 Cheryl Drive CITY STATE ZIP CODE Cupertino CA 95014 NAME OF ASSISTANT TREASURER, IF ~y Kathey Holland STREET ADDRESS 10316 Cold Harbor Ave. CITY STATE ZIP COOE Cupertino CA 95014 NAME AND POSITION OF OTHER PRlNCWAL OFFICER(S), IF APPLICABLE Dennis S. Whittaker MAILING ADDRESS 20622 Cheryl Drive CITY STATE ZlPCODE Cupertino CA 95014 CURERTINO CITY CLERK ----1----1_ Date qualified as rommittee Committee In NAME OF COMMITTEE Save Our City, a Primarily Formed Committee to Support the Amendments to the General Plan formation 1 this address) AREA COOEIPHONE 4061255-8527 BOX) (Send any governmental matters to STATE ZIP CODE CA 95014 STREET ADDRESS (NO P.O. 20622 Cheryl Drive CITY Cupertino MAILING ADDRESS (IF DIFFERENT) PO Box 1466, Cupertino, CA 95015 (PO Box is for donations only) OPT1ONAL: FAX I E·MAIL ADDRESS I denwhittak@aol.com COUNTY WHERE COMMITTEE IS ACTIVE If DIFÆRENT THAN COUNTY OF OOMICILE 4081255-0259 COUNTY OF DOMICILE Santa Clara Attach additional information on appropriately labeled continuation sheets. 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowiedge the pe~ury under the laws of the State of California that the foregoing is true and correct. Executed on By certify under penalty of true and complete. information contaìned herein is , SIGNATURE ÕF CONTROLUNG OFFICEHOlDER, C'.ÞJÐ DATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLUNG OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT By By By Executed on Executed on Executed on SiGNATURE Of CONfRöLi..¡NGOFFICEHOLDER,-CArÐIDATE, OR STATE MEAsuRE PROPONENT FPPC Fonn 410 (J......rylOS) FPPC ToIi-Frue Helpline: 888IASK·FPPC (Ø6III27W772) DATE DATE Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Save Our City, a Primarily Formed Committee to Support the Amendments to the General Plan 4. Type of Committee Complete the applicable sections. the elective office sought or held, and List the name of each controlling officeholder, candidate, or state measure proponent district number, if eny, and the year of the election. List the poiitical party with which each offiœholderor candidate is affiliated or check "non- )8rtisan. If this committee acts joinUy with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFI list controiled, also If candidate or officeholder · · · NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASU I I I~::: campaign bank account is located (controlled "candidate election· committees only) · ØANKAOCQUNTNUMBER ZIP CODE STATE AREA COOEJPHQNE CITY NAME OF FINANCIAlINSTITUTJON AOORESS below: Primarly formed to support or oppose specific candidates or measures in a single election. List BALLO' CAN! NAME OR MEASURE(S) FUll TITLE (INCLUDE ,------------ ----,- -- __un' .......-..:......"""'" SUPPORT OPPooE General Plan Amendment Restricting Heighls Cupertino, CA It SUPPORT OPPOSE General Plan Amendment Restricting Housing Density Cupertino, CA It CANDlDATE(S) FPPC Form 410 (J....arylll5) FPPC Tol~F... Helpline: 866/ASK·FPPC (866127~772) S I I. also list the elective office sought or held, and 1)1 OI1]:lnizatlon ::(}I'firni ttee HH· m11 ~ ! Sta'l Reç INSTR ~- E . ëõ;Mii .!;~ :~"0:': .-.__..- Sa\'l t;r ;:> 'I d ¡:: Tdnly Formed Committee to Support the Amendments to the General Plan -.,...".,. m-... ,'___;"".,,_, 4. Tyr· i)f Gomnli!ttee Complete the applicable sections. officehOlder controlled, · List the name of each controlling officeholder, candidate, or state measure district number, if any, and the year of the election. · List the poI~ical party with which each officeholder or candidate is affiliated or check ·non-partisan. · If this committee acts joinUy with enother oontrolled oommittee, list the name and identification number of the If candidate or proponent other oontroiled oommittee. ELECTIVE OFFICE SOUG ,.-... I...."..........................,,""', n......._~... ,~. -.-.---, o Non-Partisan o Non-Partisan NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPO !ution where the campaIgn bank account is located (conlroHed "candidate election· oommittees oniy) NAME OF FINANClAL INSTITUTION AREA CQOEJPHONE BANK ACCOUNT NUMBER - - ADDRESS CITY STATE ZIP CODE - . Primarily formed to support or oppose specific candidates or measures in a single eIecUon. List below: CANDlDATE(S I"".........LA....,....··.........· ....... """" ""'................. "'-.-. -.-.--, ....,....."""""".... SUPPORT OPPCOO General Plan Amendment Restricting Building Set Back LInes Cupertino, CA It SUPPORT opposo CANDlDATE(S) NAME OR MEASURE(S) FUllllTLE (INCLUDE BALLOT NO. 01 FPPC Form 410 (J....III')'I05) FPPC ToI~F.... Helpline: 8661A8K-FPPC (886121~)