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Walia - Amended 410Statement of Organization Date Stamp IRecipient ,Statement Committee RECE1t/�D AND FIL❑ Fatel.r Type Initial ® Amendment ❑ Termination — See Part 5 n the office of the Secretary of Official Use Only of the State of California Q Not yet qualified or 12 2020 Q Date qualification threshold met Date qualification threshold met Date of termination AU6 Aug / 01 / 2020 1 I.D. Number 1428470 2. Treasurer and Other Principal (i a lirob/e NAME OFCOMMI T TEE NAME OF TREASURER Tina Walia for Saratoga City Council 2020 Lakliinder Walia STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Saratoga CA 95070 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Santa Clara Saratoga, CA STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 my knowledge the information contained herein Is true dnu L U penalty of perjury under the laws of the State of California that the foregoing is -true 4nd correct. Executed on Aug 10, 2020 By DATE CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT f/Ie Le. 1 Ce L11y u" By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.Ca-go Statement of Organization GAL11-41ffix111A Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Tina Walia for Saratoga City Council 2020 1428470 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER Technology Credit Union (800) 553-0880 1228869 ADDRESS CITY STATE ZIP CODE 2010 N. First Street, San Jose, CA 95131 • 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. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Tina Walia City Council Member, Saratoga 2020 Nonpartisan ✓ Partisan (list political party below) Nonpartisan Partisan (list political 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 NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: adviceCtfppc.ca.eov (866/275-3772) www.fppc.ca.eov Statement of Organization Recipient Committee WO INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Tina Walia for Saratoga City Council 2020 1428470 CommitteeGeneral Purpose Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Wnr.-ifiiiiiiiil — List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET ❑ CITY RY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE AREA CODE/PHONE Date qualified TerminationS. • This committee has ceased to receive contributions 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 • 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 may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (August/2018) FPPC Advice: advice fppc.ca.eov (866/275-3772) www.fppc.ca.goV