410 Statement of Organization Recipient Committee – Initial Qualified � p �� c� �5 � v �_ � �
JUL 2 F 2Q�6 J Rod Sinks for Ciiy Council 2010
J
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Secretary of State �
Politica( Reform Division
1500 11th Street, Room 495
Sacramento, CA 95814
Dear Secretary of State,
The FFPC suggested I send yeu t;�is note of explanation along witF� my filing.
My campaign treasurer is out of ti�e country until August 18 2nd I had planned �c obtain �is
signature via scan to make my initial 410 filing. However, in r-eading tne instructions ! note you
req,Gire original in�signatur�s. My committee qualified yesterday, having recei��ed ovei-$2000
for the rirst time, so at the ad��ice I received this morning from the FPPC, I am filing this initial
410 without my treasurer's signature and will file an amended 410 that includes nis signatGre as
soon as he returns. I am also the assistant treasurer so tivill comple�e the form accordingiy.
Best regards,
Rod Sinks
� Council memf�er, City of Cupertinc
cell
Sfa�e��eri� o�Or�ar�izatiQi-s oate stamp � ,': `�I��f'-(�F.�Iwp�`,`.���1�
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Statemen$'fype �lnitial ❑ Amendment � � } .� � - `��"
❑ Termination—See Part 5 I i t urr,��.�i us�or,i�
Nol yet qualified ❑ pr List I.D.number. List I.D.number.
,� ��
JUL 2 5 2016 � ;
o� �2� �2016 � � � i �Jp�q�;�� CITY CLE K �
Date quahtied as committee Datc quali(ied as committec Date of Tcrmination �
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fJAMC Oh COMMITTlF kAME OF TF,EASURER
Rod Sinks for Cupertino City Council 201 G Thorsten von Stein
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CIi1' S-!:,i F 71F COU': .1Rf f..COUt!PNO�Ji NA!„E�1f ASSISTANi TRCASUFEP.,Ic q.;�� .
Cupertino CA 85014 ( Roci Sinks
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Cupertino Cf� 95014 (
COUt.IY OF UOF.iICitC lUitISL`ICTION L'JliERE CU:✓;,11TTEE IS AC.TNE \td"e Cif PRIf:CIPAI OFFlC=Ri51 '
. Santa Cfara Cupertino
STREET:,UDi ESS(�:O P.O.60Y,1 �
U7Y iTATE 71PCODC ARCi�CODE/FFfONE
Attach oaditlonal rnjormation on vpprnp�iafely labeled contir�uniion sheets.
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�. Ver@ :caiian _._,..�,�..x..�...
I have used all reasonable dili�ence in preparing this s�aten�eni and to ihe best of my!;novrled�e the information containecl herein is true and complete. I certify:mder
penalty of perjury under the la�vs of the State of California that the foregoi�,
cI.SURC2
Executedon 07/25/2016 �, -�'��
����� , SIG�J%QURE DF CONTROLL:NG UFFlCENOLU ft,Cf.RUICnTE,OR ST:.7[td"eASURE VROPONEt:T
Executed on �y
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Executed on py
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i PPC f-orrn 410(Jan/201G)
FPPClldvice:adviceCx�fppc.ca.go��(IIG6/Z7S-3772)
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S�t����er�Y �� C��- ar►e��'�ic�ra r:- , ;-; YA --,
P�ci ier�� Carr�rrbitt�� E�r ��lf��.c )���tds,�� ;� '�p� ;�:;'�
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INSTRUCTIONS OPJ R[VERSE �-- •-��
L��1 �..5.:3P5'�`
Paj;e 7
CUMNITT[E NAME
1.0.NUh1HL'R
Rod Sin4�s for Cupertino City Council 2016
� kll committees must iist the financia!institution where the campaign bank accoimt is located.
NAtJ.L OF HtiAUUALINSIItUItO;d RfACOUE�/FHONF Eil�IJY,ACCpUt:TfaUM?Efl
Welis Fargo Ban4c (
ADURESS t�TV 5T„iF ZIGCODE
102G0 S De Anza Bivd Cupertino CA 950i4
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�.�`�/pe ai Gurn:nit�Le Compiete the applicaC:i�seciions.
��rtt[�IlI�'%��d:i��`�ri� �'fa'
�l91^r117'3EC4l6iL. , �..
� List the name of each controlling ofificeholder,candidate,or state measure proponent. If candidate or officeholder controlied,also list the elective office sought or held, and
district number, if any,and the year of the election.
• List the political party v.�ith�vf�ich each officeholder or candidate is affiliated or check"nonpartisan."
� if this committee acts jointly wiYh another controlled coirimitkee, list the name and identification number of the other controlled committee.
Ef.EC1NF OFPICE$OUGk�II OR HFLD
�AA4F OF CANDIDATE/OFFICEHOLD[R/Sl'AT[MFASURE PROPO�ENT (INCLUDF DISTIUCT tdUMt1[R If�i�pUCA6LE) YEl�R OF ELECTION PARTY
Qtdonpartisan
Rod Sinks Cuperiino City Council 2G1 G
❑ Nonpartison
�
•, � Primarily formed to support or oppose specific candidates or measures in a single efection. List helovd:
CANDIDATF(S)OfFICF SOUGHT OR HEID OR F.SF.ASUREI51 JURISDICTIOtJ
fl,NDIDf�TC(5)tdAM[OR h4EASUkF(5)1 Ul L TITI�(It�CIUDC Gi�LLOT ni0.OR L[T'fER) (I�JQI�DE UISTRIC�NO.,CITY'OP.COUNTI;AS hPPLICA9lF1
CNECN ONC
I tiIIVVUf�� OPPOSF
� �
SU�i'OItT OPPOSE
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FPPC Farm 410(Jan/?_O.lG)
FPPC Advice:advice«fppc.ca.gov(f�GG/275-3777)
www.fppc.ca.go�r
���fe���nR �si t�rc�ani�a�ic�n ; �� - �;, ,.. ..y .�..;j,
'�,� �� ��-',c} �'tr,�t
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INS7RUCTIONS ON R[V[RSf: - �•�-� -.•. ..
Page 3
CO��IPAIttEe Nh'.^.E
I.D.NUA1U[R
Rod Sinf<s for Cupertino City Co�mcil 201 G
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' � ' ' �~ Not formed to support or oppose speciFic candidates or measures in a single election. Check only one bor,:
❑ CI7'Y Comrniftee �) COUN"fY CornmiTiee(_J S�f'A't'E Comniiitee
i�ROVIUE BRIEf U'eSCRIPT10N OF ACiIVli1' •
�••�` � �; �� '�,'"� List a
yn dditional sponsors on an aitachm�nt.
NAME OF SPOk50R IINDUSTRY GROUP Of AFFlLIhT:ON OF SPONSUR �
STRGEiADDRE55 tdO.ACDSTR[FT CITY STt�TE <ii�COUf
� � �
qa[c quaiilicd
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_.._. .. .... . _, „ _........ . . ........... ..... .. ... . . .
nativ►� Re�L4lCE'37'lP.1"1�4 fly signir�r;r,he v�nfication,the treasurer,assist.>.nt treasurer and;nr cand.d.itc�,oificeholdr.r,or praponent certify that,�II of the follo•.��ing conditions have bct��met:
o This commiYlee has ceased to receive contributioris and ma1:e expenditures;
� This committee does not anticipate receiving contributions or making expenditures in the future;
� This committee iias eliminated or has no intention or ability to discharge all debts,loans recei��ed,and other obligations;
� This committee has no surplus funcls; �nd
� This committee has filed all campai�;r�statements required by the Puliticai Reiorm Act disclosing all reportai�te transactions.
- There are restrictions on tne disposition of surplus campaign funds held by elected of(icers�vho are icaving office and by defeated candiciates. Refer to Government
Code Section 8951°.
-- Leftover funds of ballot measure committees may be used for political, lebislative or governmental purposes under Government Code Sections 89511-5957.8,and are
subject to [lections Code Section 15680 and FPPC Re�ulation 13521.5.
FPPC Form 410(Jan/201G)
FPPC P.dvice:advicc@fppr..ca.gov(366/275-377z)
r�v✓w.fppc.ca.gov