410 Statement of Organization Recipient Committee - Amendment Stamped by SOSStatement of Organization
Recipient Committee
Statement Type ❑ Initial
0 Not yet qualified
or
0 Date qualified as committee
NAME OF COMMITTEE
Better Cupertino Action Committee
® Amendment
03 1 27 1 2017
Date qualified as committee
(If amending to provide this date)
❑ Termination — See tart 5
STREET ADDRESS (NO P.U. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
E-MAILADDRE5S (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE I ]URISDICTION WHERE COMMITTEE 15 ACTIVE
Date of t�iion
OF TREASURER
Xiaowen Wang
Date Stamp
ECENt i
the office
of the Secretary of
of the State of California
JUIN 16 2017
JUN 2 8 2017
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
NAME OF PRINCIPAL OFFICER(5)
Xiangchen Xu
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and com
penalty of perjury / under the laws of the State of California that the foregoing is true and correct.
Executed on 6 / 12— f 7-V l I By
DATE
MEASURE PROPONENT _
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (May/2017)
FPPC Advice: advice&ppc ca.Sov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Better Cupertino Action Committee 11395411
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
C1Ty
BANK ACCOUNT NUMBER
STATE ZIP CODE
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T{���Of.COmm.:Iltteea Camp fetedtlL-.1e F1 I.I1i1 ij�G'4�,is$. �11Y kk 6, i ��. cih�'q: °S�a{, { °1_fRff%Wi;�Il,a!',1$�� /A,
List
.F
• 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IFAPPLICABLE) YEAR OF ELECTION
PARTY
Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURM) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTI 0N
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLEI
CHECK e]Wr
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc-ca.gov (866/275-3772)
wwnw.fppc.ca.gov
SUPPORT
DPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc-ca.gov (866/275-3772)
wwnw.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
Better Cupertino Action Committee 11395411
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 OFACfIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO, AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Cam ittee
Date qualified/
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�u r' "m'' "� "1 "' "SII"6 "''� v a�f'n Ch a�u r assfstanttreasre>a�nr cantlPdat�:nFfasehnitle:o:: ra on'entce.. thatall'ofthefolP'o�nrin condliTonshave4beenmet " I}.'.r'.•
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„u,i��.�.iold,la:�-..ownFrwa.:+?�,.:,,.a•sw�a�,ryer�wls,�.a:•��v,�+,.,.�t�,;�t;n..Vl;,r_.,,.h�rs�„Yiw�w7aeu�H�,�r�i�r:ibusa���iaxayrS[asilti+I:�1x[ors:�;5ko:uMl,rvni�D^'�m+atla�zan�ivuLJ:i�,-rrsaaJr,;u�:danri+�sY+�kn�l;t.:.�v�t-0w.c:uau,:�:ti�:u„�u.�s,a_.�nuc�.wl:.t..,v���;nv...Fn re..u�-.ou'.,�_u°nrs.r:.....:.".: .r ..•.1..,. _, ,
• 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 Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc,ca.gov (966/275-3772)
www.fppc.ca.gov