410 Statement of Organization Recipient Committee Termination Statement of Organization D � � ��l � � • - � � ,
Recipient Committee � • -
Statement Type �Initial ❑ Amendment � Termination—See Part 5 For otficial Use Only
NOt yet qualified ❑ Of �ist I.D.number: List I.D,number: �AN 3 U ZQ`3
# #1337603
�� �� 0��013 C PERTINO CITY CLER
Date qualified as committee Date qualified as committee Date of Termination
�If appllcable)
1. Committee Informafion 2. Treasurer and Other Principal Officers
NAMEOFCOMMITTEE NAME OF TREASURER
Chris Zhang For Council 2011 Daisy Lu Li
STREET ADDRESS(NO P.O.BOX) STREET ADORE55(NO P.O.BOX)
10550 Stokes Ave. 762 Borregas Ave.
QTY STATE ZIP CODE AREA CODE/PHONE QTY STATE ZIP CODE AREA CODE/PNONE
Cupertino CA 95014 408-890-7925 Sunnyvale CA 94085 408-802-9058
MAILING AD�RESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY
FA7f/E-MAIL ADDRE55 STREET ADDRESS(NO P.O.BO%)
COUNTV OF DOMICILE 1URISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE 21P CODE AREA CODE/PHONE
I
NAME OF PRINCIPAL OFFICER(5)
STREET ADDRE55(NO P.O.BOX)
Attach additional information on appropriately/abeled continuation sheets.
CITY STATE ZIP CODE AREA CODE/PMONE
3. Veri 'cation
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
y p � y,C r the laws of the State of California that the foregoin i r�d correc�
penalt of er'ur unde
2 �'��—-- _
Executed on � ` �C�J By '
DATE --� SIGNATURE OF TREASURER OR ASSISTANT TREASURER
� � l�='.--_—'�
Executed on � L� �� By ��,� ,,,,,�.._�------� .
DATE SIGNATURE OF CONTROLLING OFFICEHOIDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICENOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on 8y
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(Dec/2012J
FPPC Advice:advice�Dfppc.ca.gov(866/275-3772)
www.fppc.ca.go�
Statement of Organization � • - � � '
Recipient Committee • �
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D,NUMBER
Chris Zhang For Council 2011 1337603
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAI INSTITUTION AREA CODE/PNONE BANK ACCOUNT NUMBER
East West Bank 408-599-5038 8067001050
ADDRESS GTY STATE 21P CODE
19625 Stevens Creek Blvd. Cupertino CA 95014
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"nonpartisan."
• 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/OFF�CEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
� Nonpartisan
Chris Zhang 2011
❑ Nonpartisan
• � • � Primarity formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5)NAME OR MEASURE(S)fULL TITIE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(5)OFFICE SOUGHT OR HELD OR MEASURE�S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CtiECK ONE
SUPPORT OPPOSE
❑ ❑
SUPPORT O�
LJ
FPPC Form 430(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization � • �� � � i
Recipient Committee • - �
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D.NUMBER
Chris Zhang For Council 2011 1337603
4.Type of Committee (Continuedj
• � ' •� • • 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
�� � •� � List additionat sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFtLIATION OF SPONSOR
STREETADORE55 NO.ANDSTREET CITY STATE ZIPCODE
i � � � �
��
Date qualified
5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the to{lowing mnditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anficipate 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(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov