HomeMy WebLinkAboutCappello Form 410 AmendedStatement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
_1 24 t 12
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
Manny Cappello for City Council 2012
STREET ADDRESS (NO P.O. BOX)
Type or print in ink
Amendment
List I.D. number:
Date qualified as committee
(If applicable)
STATEMENT OF ORGANIZATION
❑ Termination — See Part 5
List I.D. number:
_I _ I
Date of Termination
STATE ZIP CODE AREA CODE /PHONE
Saratoga CA 95070
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX / E- MAILADDRESS
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFEREN I
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional information on appropriately labeled continuation sheets.
ELMO�0dE
JUL 2 5 2012
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Amy Cappello
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Saratoga CA 95070
NAME OF ASSISTANT TREASURER. IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Joyce Hlava
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Saratoga CA 95070
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true ar
Executed on July 24, 2012 By
DATE
Executed on July 24, 2012 By
DATE
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Apri1/2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
STATEMENT OF ORGANIZATION
COMMITTEE NAME I.D. NUMBER
Manny Cappello for City Council 2012 1 1348661
4. Type of Committee Complete the applicable sections.
• 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 "non- partisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Manny Cappello
Saratoga City Council
2012
Q Non - Partisan
❑ Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANKAGUOUNI NUM13EK
Bank of America 408 - 352 -0949 164100339591
ADDRESS CITY STATE ZIP CODE
1695 Saratoga Avenue San Jose CA 95129
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 NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 410 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)