410 Statement of Organization Recipient Committee – Amendment Stamped by SOSStatement of Organization
Recipient Committee
Statement Type ❑ Initial 0 Amendment
O Not yet qualified
or 08 06 2018
• Date qualified as committee / /
08 06 2018
Date qualified as committee
/ /
Cr3ifiCYllt@ 111fOrYtidtiOn LD. Number
(if applicable) 1408420
NAME OF COMMITTEE
Liang Chao for Cupertino City Council 2018
R
in
❑ Termination — See Part 5
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) ( FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE ISACTIVE
Santa Clara upertino, City of
Attach additional information on appropriately labeled continuation sheets.
Date of termination
Date Stamp
:CEIVED AND
e office of the Socretary
of the Stain of Calitornh.
AUG 15 20160018 _
NAME OF TREASURER
Joan Lawler Chin
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Eric Schaefer
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
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
OR STATE MEASURE PROPONENT
Executed on
By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization GALIFOK11,11A
41
Recipient Committee
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
Partisan
1.0. NUMBER
Liang Chao for Cupertino City Council 2018
Cupertino City Council
140 q;L0
- All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION I AREA CODE/PHONE 11ANIACCOUNTNUM ER
Wells Fargo
- 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
Primarily Formed Commiffee I Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDEBALLOT NO. OR LETTER)
1. A —1.. I -- -.Prel 1- IN FRn MT nF THF r)FFIr FH0 1 nFR`S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHFCK ONE
SUPPORT
El
Nonpartisan
Partisan
(list political party below)
Liang-Fang Chao
Cupertino City Council
2018
F,—/]
El
Nonpartisan
Partisan
(list political party below)
❑
❑
Primarily Formed Commiffee I Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDEBALLOT NO. OR LETTER)
1. A —1.. I -- -.Prel 1- IN FRn MT nF THF r)FFIr FH0 1 nFR`S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHFCK ONE
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
El
OPPOSE
E:1
-
-
SUPPORT
L1
OPPOSE
EL
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
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
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
List additional sponsors on an attachment.
NAME OF SPONSOR (INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
I.D. NUMBER
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
�. e7T1JLI7iFi71%7T •�1 7 i7"tiiJtt%i
1-1
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of thefollowing conditions have 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 intenton 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 (February/2018)
Clear Page Print FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov