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410 Kris Wang - 08.12.2003
Statemet of Organization Tppr or print in ink sip STA;-MENTOFo TION `'D� U Recipient Committee n _ CALIFORNIA ---, Statement Type Initial ❑ Amendrntrrtt Termination See P l Tv ollldal�t�cti,ly Inc �akfi� 1 rst t t� rx,r.Ibcx Ust I-D nrnber !` AUG 1 3 2003 or a-- - # L CUP RTINO CITY CLER Date qualified as cormhtee CYate quaVwd as Lx-vidtre Date of Ternnabnn 1. Committee Information 2 Treasurer and Other Principal Officers NAME OF COMMTTEE - NAME OF TREASURER Kris Wang for City Council Amy Yang STREET ADDRESS STREET ADDRESS(NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY --- ----— STREET ADDRESS MAILING ADDRESS(IF DIFFERENT) CITY STATE ZIP CODE AREACOOE"ONE OPTMNA6_ FAX I E-MAIL ADDRESS NAME AND POSITION OF OTHER PRINCIFAL OFFICER(S),IF APPLICABLE COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF WMICILE MAILING ADDRESS Santa Clara CrTY STATE ZIP CODE AREA COOFJPHONE Attach adddRwnal mhvmaWn on approprraWy labWe0 axrhrwabon ems. 3. Verification I have used all reasonable diligence in prepanng this statement and to the best of my knowlec a 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 hue arxt oorrtcL I xeaited on August 12, 2003 BY — —_ A Executed xi _ - -- - - iN -- ------ nA,T ��GµlPtlgE Oc rIvsrROLLND OTFKXE DEAL CJUODRE.OR MXI E7 MEASURE CINF—W Lxecuted on f _--- E4 -_--,�, A iil-Mr �i li F- - - - FPPC Farm 410(Jan/03) FPPC T,,J"rre Hetotirwo'RSFJASK-FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee CALIFORNIA , • - 10 INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME _ I D NUMBER Kris Wang for City Council 4_ Tvne of Committep n,,. pletethe • • W • 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 CANDID9E/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR TY © Non-Partisan Kris Wang City Council Member 2003 Nun-Partisan • List the financial institution where the campaign bank account is located(controlled"candidate election"committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE Primanly formed to support or oppuse specific candidates ur measures in,,sioule election. List below: CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO - R LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S) IURISDICTION (INCLUDE DISTRICT NO.CITY OR COUNTY,AS APPL ABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(Jan/03) FPPC Toll-Free Helpline 666/ASK-FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee CALIFORNIA INSTRUCTIONS ON REVERSE. • - COMMITTEE NAME — Page 3 D NUMBER Kris Wang for City Council 4. Type of Committee (Continued) General Purpose Committee I Not formed to support or oppose specific candidates or measures in a single election. Check only one box: Z CITY Committee ❑COUNTYCommittee ❑STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY '• • '• • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO AND STREET CITY STATE ZIP CODE Small Contributor Committee ❑ --J_J Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a Date qualified small contributor committee on January 1,2001,enter 1/1/01. 5. Termination RequlrementS By signing the verification.the treasurer,assistant treasurer and/or candidate,officehoider,or proponent certify that all of the following 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 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(JaW03) FPPC Toll-Free Helpline:866/ASK-FPPC