410 Statement of Organization Recipient Committee - TerminationStatement of Organization
Recipient Committee
Statement Type ❑ initial ❑ Amendment
#dot yet qualified ❑ or List I.D. number-
4
Date qualified as committee Date qualified as committee
pf applkable)
® Termination — See Part 5
List I.D. number:
# 1365260
12 /24 /2014
Date ofTermination
1. Committee Information -
NAME OF COMMITTEE
Don Sun for Cupertino City Council 2014
STREET ADDRESS (NO RO, BOX)
MAILING ADDRESS (IF DIFFERENT)
FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara
Attach additional information on appropriately labeled continuation sheets.
JAN 2015
CUPERTINO CITY CI_ER
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Helen Fu
For OH4ciat Use Only
STREET ADDRESS (NO P.O. BOXI
STATE.
CA
ZIP CODE
94043
AREA CODE /PHONE
(415)828 -9456
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P,D. BOX)
CITY
STr,TE
ZIA VOCE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICERIS)
STREET ADDRESS iNO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
3.'
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the informatton 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 t.
Executed on 12/24/2014 By
DATE SIGNATURE OE.1RLA9, R OR ASSISTANT TREASURER
12/24/2014 �....
Executed on By
DATE SIGNATURE OF CON''MOCEFNG'OFFTC OLDER, CANDIDATE"TSFJ STATE MEASURE PROPONENT
Executed an
DATE
Executed On
DATE
By
SIGNATURE of CONTROLLING OrrICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
FPPCForm 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Dan Sun for Cupertino City Council 2014 1365260
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
East West Bank
ADDRESS
AREA CODE /PHONE
(
STATE ZIP CODE
4. Type of Committee Complete the applicable sections.
• List the name of each controlling officehoider, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or meld, 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 CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Don Xiao Sun
Cupertino City Council
2014
0 Nonpartisan
SUPT
❑ Nonpartisan
! 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 N0. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURES) 1URISWCTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (Dec /201x)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SUPT
jP�PP��S5EE]]]
6E�
FPPC Form 410 (Dec /201x)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.p. NUMBER
Don Sun for Cupertino City Council 2014 1365260
4. Type :of Committee (Continued)
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
I- -i UL MKI[Y Ut:,LKIP I ION OF A[TIVITY
• List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
- ��.��+ i•v. nirv.11-1 CITY STATE ZIP CO DE
Small Contributor Committee ❑
pate qualified
5. Termination Requirements By signing the verification, the treasurer; assistant treasurer and /or candidate, officeholder, 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.
-- 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 E= ections 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