410 Statement of Organization - Amendment noting committee numberStatement of Organization
Recipient Committee
Statement Type
NAME OF COMMITTEE
® Initial
Not yet qualified 13 D;
Date qualified as committee
Q Amendment
List 1_D. number:
#1368800
07 130 i.2014
Date qualified as committee
(If app #icable)
[J Termination — See Part 5
List I.D. number:
Date of Termination
Dr. Huang for City Council 2014
STREET ADDRESS (NO P.O. BOXI
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in .. ....
preparing this statement and to the best
penalty of perjury under the laws of the State of California that the foregoing is
Executed on ) 20 � By
! DATE SIGP
Executed on /f �p `—' By
DATE
SIGNATURE OF CO
Date Stamp
H
AUG ` 5 2014
PERTINO CITY CLE'
For O€ryclO Use Only
..............._.,...._.._,._....,.......:.......,..._., �:v..; .:..:�em.s.�:s.s °�:;ru�:swsiss s�':.s�€fis
NAME OF TREASURER
Isabel Rodriguez
STREET ADDRESS (NO P.O. 80X)
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO PO. SOX)
CrTy STATE ZIP CODE AREA CODFfPHONE
NAME OF PRINCIPAL OFFICERI5j
STREET ADDRESS (NO P-O. BOX)
CITY _ STATE ZIP CODE AREACODE %PHONE
My Knowledge the information contained herein is true and complete. I certify under
ae and correct.
OR
Executed On �y
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 (Dec/2012)
FPPC Advice. advice @fppc.ca.gov (866/275 -3772)
www- fppc.ca_gov