410 Statement of Organization Recipient Committee – Amendment Stamped by SOSStatement of Organization
Recipient Committee
Statement Type El Initial
® Amendment
Q Not yet qualified
or 09 02 2014
0 Date qualified as committee / J
Date qualified as committee
I.D. Number
(if applicable) 1370390
NAME OF COMMITTEE
SAVITA VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2018
STREETADDRESS (NO P.O. BOX]
--vTT — vumu LILL JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara Cupertino
Date of termination
Date Stamp
' EIVED AND FILED
Office of the Secretary of 8iste
of the Stale Of California
,..
For Official Use Only
APR 3 0 2018
NAME OF TREASURER
RAMAMURTHY VAIDHYANATHAN
STREET ADDRESS (NO P.O. BOX)
CITY
NAME OF ASSISTANT TREASURER, IF ANY
CAROLYN KRIZEK-MAHONEY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on ppprppriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE
-----._...........,�",..� u� N1c-IJa111 Ir' 1.111
ry under the laws of the State of Ca
Executed on 6/ i0 /22 By
y
Executed on
DATE
Executed on
DATE
,,,, ,,���� rvmHwnt PRUPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
' SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, pR STATE MEASURE PROPONENT
FPPC Form 410(February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
SAVITA VAIDHYANATHAN FOR CUPERTINO CITY COUNCIL 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREACODUPHONE
WELLS FARGO BANK (
ADDRESS
CITY
Page 2
I.O. NUMBER
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List 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 YEAR OF
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION PARTY
CHECK ONE
SAVITA VAIDHYANATHAN Nonpartisan Partisan 7171st political party below)
CUPERTINO CITY COUNCIL 2018
E El
Nonpartisan Partisan (list polcal party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT N0. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR COUNTY,
AS APPLICABLE) TION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
® CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party/Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
I
List additional sponsors on an attachment.
'TRFFT A——
CITY
Small Contributor Committee �' �
.. qualified
-
GROUP
GROUP OR AFFILIATION OF SPONSOR
STATE
• This committee has ceased to receive contributionsj and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
ZIP CODE AREA CODE/PHONE
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- 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 funds of ballot measure committees maty be used forolitical legislative
p or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Electrons Code Section 18680 and FPPC Regulation 18521.5.
C�ear Pa9e Print FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov
www.fppc.ca.gov