410 Statement of Organization Recipient Committee - Initial not yet qualified stamped by SOS noting ID numberLk /
Statement of Organization
Recipient Committee
/ 3b SWV
Statement Type El Initial
❑ Amendment
Notyetqualified Q or fist I-D, number:
Date qualified as committee Date qualified as committee
(Ir apprinble)
1. Committee Info
NAME OF COMMITTEE
Dr. Huang for City Council 2014
❑ Termination —See Part 5
List I.D. number:
Date of Termination
STREETADDRE55 INO P.O. BOX)
MAILING ADDRESS IIF DIFFERENT;
FAX I E-MAIL ADDRESS
(
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara ]Cupertino
Date Stamp
.AL(;&V'EL- Alo� FILE
in I ie office of the 'ecrt tary of S
of the State, os C- (iforr:ia
JUL 2 8 2014
DEBRA BOWEN
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Isabel Rodriguez
AUG — 7 2014
PERTINQ CITY C[Fr
STREET ADDRESS IND P.D. aO4
NAME OF ASSISTANT TREASURER, IF ANY
STREETADDRESS ING P.O. BOX}
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF PRINCIPAL OFFICERIS)
Attach additional information on appropriately labeled continuation sheets. STREETADDRESS (No P.O. BOX)
CITY STATE ZIP CODE AREA CDDEIPFIDNE
3. Verification
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 of California that the foregoing is true and correct.
! n u I; c 2L
Executed on �l! ' I I gy —
/ DATE SIGNATURE OF TREASURER'p�TTREASURER
Executed on Tf zq / I q By
DATE SIGNATURE OF CON OLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on I By
DATE
Executed on
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNA'Tu Rt OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice &ppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
Dr. Huang for City Council 2014 LD. NUMBER
• All committees must list the financial institution where the campaign bank account is located.
NAME DF FINANCIAL INSTITUTION
Bank of America
ADDRESS
AREA CODEJPHONE
(
STATE ZIP CODE
4. Type of Committee Complete the applicable sections,
Controlled Committee
• 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.
NAME OF CAN DI DATE/OF F3CEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Andy Huang City Council 2014 Nonpartisan
❑ Nonpartisan
Formed Primarily Primarily formed to support or oppose specific candidates or measures in a single election. List below;
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATE {S} OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT I o
■
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (6661275 -3772)
www.fppc.ca.gov