410 Amendment
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee Typeorprintinlnk ale Stamp
œp .
Statement Type Dlnitial ~ Amendment D Tennlnatlon - See Part 5 ~
Not yet qualified D or List I.D. number: Ust 1.0. number: 1
# 1273991 # MAY 10 2005 j
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----1----1_ UPERTlNQ CITY CL
Date qualified as committee Date qualified as committee Date ofT ennination
(1fappllcable)
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1. Committee Information 2. Treasurer and Other Principal Officers
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NAME OF COMMITTEE NAME OF TREASURER
Advocates for a Better Cupertino Charles B. Ahern
STREET ADDRESS
- 10371 Miller Ave., Unit 1
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEfPHONE
10371 Miiler Ave., Unit 1 Cupertino CA 95014 (408)821-6414
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 (408)821-6414
STREET ADDRESS
MAILING ADDRESS (IF DIFFERENT)
20660 Stevens Creek Blvd. #161, Cupertino, CA 95014 CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAil ADDRESS
NAME AND POSITION OF OTHER PRfNCIR'\L OFFICER(S), IF APPLICABLE
COUNTY OF DOMICilE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICilE MAILING ADDRESS
Santa Clara
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CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
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3. Verification
I have used all reasonable diligence in preparing this statement and to thE 'Y mat n co~rein is true and omplete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is e, t.
Executed on 5/10/05 ~
õAi'Ë SIGNfiIURE OF TREASURE OR ASSISTANT TREASURER
Executed on õATE ~
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDIVE, OR STATE MEASURE PROPONENT
Executed on DATE ~
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDlDIVE, OR STATE MEASURE PROPONENT
Executed on ~
DATE SIGNIVURE OF CONTROLLI FHCEHULDEI Ai "ATE MEASURI: PROPONENT
FPPC Form 410 (Janl01)
FPPC Toll-Freg HQlolino: 866/ASK-FPPC