410
STATEMENT OF ORGANIZATION
D)~IE ~-~te~taw IE
Type or print in ink
Statement of Organization
Recipient Committee
2005
3
JAN
o Termination - See Part
List 1.0. number.
D Amendment
Ust 1.0. number:
IKI
Not yet qualified
Initial
Statement Type
PERTINO CITY ClER
#
1 I.
Date of Termination
#
1 I.
Date qualified as committee
(If applicable)
or
I 1.
Date qualmed as committee
[g)
Officers
Treasurer and Other Principa
NAME OF TREASURER
Charles B. Ahem
STREET ADDRESS
10371 Miller Avenue
CITY
2.
Cupertino
Committee Information
NAME OF COMMITTEE
Advocates for
a Better
1
AREA CODEfPHONE
408.293.2540
ZIP CODE
95014
STATE
CA
BOX)
STREET ADDRESS (NO P.O.
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
Avenue
10371
CITY
Cupertino
MAILING ADDRESS
Miller
AREA CODE/PHONE
408.293.2540
ZIP CODE
95112
IF APPLICABLE
Diane Tripousis
STREET ADDRESS
123 E. San Carlos Street,
CITY STATE
San Jose CA
NAME AND POSITION OF OTHER PRINCIF1>..L OFFIC"'E'R'('S)
PMB411
AREA CODEfPHONE
408.293.2540
SanJose,CA 95112-3680
ZIP CODE
95014
STATE
CA
F DIFFERENT)
23 E. San Carlos Street, PMB 411
OPTIONAL: FAX I E-MAIL ADDRESS
408.351.0169
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
CITY
Santa Clara
certify under penalty of
the information contained herein is true and complete.
my knowledge
~
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
perjury under the laws of the State of California that the foregoing is true and corre'
1/26/2005
~
~
Executed on
SIGNflWRE OF CONTROLLING OFFICEHOLDER, CANDIDIVE, OR STATE MEASURE PROPONENT
~
DATE
Executed on
~
DATE
Executed on
SIGNfllURE OF CONTROLLING OFFICEHOLDER, CANDIDIVE. OR STATE MEASURE PROPONENT
FPPC Form 410 (Janl03)
FPPC Toll-Free Heloline: 866/ASK-FPPC
CANDIDI>J"E, OR STATE MEASUI
cEH
SIGNfllURE OF CONTROLLING 0
~
DATE
Executed on
D. NUMBER
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMM ITTEE NAME
Advocated for a Better
Cupertino
the applicable sections.
Complete
4. Type of Committee
If candidate or officeholder controlled, also list the elective office sought or held, and
List the name of each controlling officeholder, candidate, or state measure proponent.
district number, if any, and the year of the election.
·
candidate is affiliated or check "non-partisan.
If this committee acts jointly with another controlled committee,
List the political party with which each officeholder or
·
·
list the name and identification number of the other controlled committee.
NAME OF CANDIDArEfOFFICEHOLDERfSTAT
o Non-Partisan
o Non-Partisan
candidate election" committees only)
BANK ACCOUNT NUMBER
ZIP CODE
95113
STATE
CA
ed
AREA CODEfPHONE
408,947,7562
CITY
San Jose
NAME OF FINANCIAL INSTITUTION
San Jose National Bank
ADDRESS
One North Market Street
-
I Primarily formed
·
to support or oppose specific candidates or measures in a single election. List below:
(INCLU
..--..
SUPPORT OPPOSE
General Plan Amendments Ballot Measures Related to: City of Cupertino (ballot numbers to be assigned) (
SUPPORT OPPOSE
(1) Height, (2) Density, and (3) Setbacks
FPPC Form 410 (Janl03)
FPPC Toll-Free Helpline: 866/ASK-FPPC
CANDIDATE(S) NAME OR MEASURE{S) FULL TITLE
.D.NUMBER
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Advocated for a Better
Cupertino
(Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
¡¡g CITY Committee DCQUNTYCommittee DSTATECommittee
4. Type of Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Cupertino's General Plan
Committee formed to oppose ballot measures seeking to modify the City of
List additional sponsors on an attachment
NDUSTRY GROUP OR AFFILIATION OF SPONSOR
NAME OF SPONSOR
the committee qualified as a
If
ZIP CODE
committee.
contributor
STATE
Check box and provide the date this committee qualified as a smal
small contributor committee on January 1, 2001, enter 1/1/01.
CITY
NO. AND STREET
1 I.
o Date qualified
STREET ADDRESS
been met:
certify that all of the following conditions have
assistant treasurer and/or candidate, officeholder, or proponent
This committee has ceased to receive contributions and make expenditures;
receiving contributions or making expenditures
intention or ability to discharge al
5. Termination Requirements By signing the verification, the treasurer,
in the future;
This committee does not anticipate
loans received, and other obligations;
debts,
has no
or
committee has eliminated
This
This committee has no surpius funds; and
to
FPPC Fonn 410 (Jan/03)
FPPC Toll-Free Helpline: 866IASK-FPPC
Refer
candidates.
disclosing all reportable
funds held by elected officers who are leaving office and by defeated
transactions.
the Political Reform Act
campaign
required by
surplus
campaign statements
There are restrictions on the disposition
Government Code Section 89519.
of
This committee has filed al