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410 tatement of Organization STA~EMENT OF ORGANIZATION I _J I I Da~e quaiGed a cc~r~'nff~e Dale qudfiect as cc~ 1. Committee li;ormation Kris Wang for City Council 7645 Dumas Drive ciTY ST~,TE ZIP CODE ARE~ COl}E/PHONE Cuperlino CA 95014 408-255-0133 I, CITY CLER~ 2. Treasurer and Other Principal Officers 21057 Red FgCt Cupe~dno CA 95014 408-257-9988 MAIUNG ADORE,~ QTY STATE ZIP CODE AREA Verification I have used ail reasonable diligence in pmpamg Ibis statement am;I to the best of my knowledge tt~infom~abon contained herein is true and complete. I certify under penally of perjury under the laws of the State of California that the foregoing is true and correct. . . ] ~ FPPC F~ 410 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMI~-FEE NAME Kris Wang [or City Council STA"I1EMEENT OF ORGAN[ZAllON Page 2 I.D.NUMBER 4. Type of Committee Completetheapplicablesecfions, · 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 CANDID.~EIOFFICEHOLDERISTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE} YEAR OF ELECTION PARTY [] Non-Partisan Kris Wang City Council Member 2003 ~ Non-Partisan NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE · J · , - · .. - - Pdmanly formed to support or oppose specific candidates or measures in a single election. List CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) IURISDICTION CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. ~ R LETTER) (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APP[ CABLE) CHECKONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (Jan/03) FPPC Toll. Free Helpline: 866/ASK.FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee INSTRUCTIONS ON REVERSE Page 3 COMMI3~'EE NAME Kris Wang for City Council 4. Type of Committee (Continued) lsz-a~.,ma~.ozo~-'~,J*~l~.~a~ Not formed to support or oppose specific candidates or measures in a single election. Check only one box: [] CITY Committee [] COUNTYCommittee [] STATECommittee I.D.NUMBER PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET INDUSTRY GROUP OR AFFILI/~-ION OF SPONSOR CITY STATE ZiP CODE Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small contributor committee on JanuapJ 1, 2001, enter 1/1/01. 5. Termination Requirements By signingthevedfication, thetreasurer, assistanttreasurer and/orcandidate, officeho~der, or proponent certifTthat alloflhe followingconditionshave been met: 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. FPPC Form 410 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC