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410 Statement of Organization Recipient Committee - Amendment Reassign for 2020 Statement of Organization DateStamp , � _ , Recipient Committee � � � � � � � . � 1 Statement Type ❑Initial 0 Amendment ❑ Termination—See Part 5 For Official Use Only Not yet qualified ❑ o� List I.D.number: List I.D.number: # 1368800 # ` „ � � � 07 �30 �2014 � � Date qualified as committee Date qualified as committee Date ofTermination C PERTINO CITY C�E K Qf applicable) 1. Committee Information 2. Treasurer and Other Principal Officers NAMEOFCO�U�MITTFF NAME OF TREASURER Dr. Huang for City Council 2020 Isabel Rodriguez JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER{5) Santa Clara Cupertino STREET ADDRESS(NO P.O.�OH� ❑TY STATE ZIP CO�E AREp CODE/PHONE Attach additional infarmation on appropriately labeled continuah'on sheets. 3. Verificat�on 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 penalty of perjury under the laws of the State of California that the foregoing IDATE,OR STATE MEASURF PROPONENT Executed on gy DATE SIGNATURE OF CONTROLLING OFFICEHOL�ER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on gy DATE 51GNATURE OF CONTROI.IJNG OFFICEI-IOLDf:R,CANqI�ATE,OR STATE MEASURf PROPONENT FPPC Form 410(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov 5tatement of Organization ' � � � � � Recipient Committee � INSTRUCTIDNS ON REVERSE � Page2 I.D.NUMBER COMMITTEE NAME Dr. Huang for City Council 2020 1368800 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIALINSTITUTION � AREACOUE/PHONE 9AN1(ACCOUNTNUMBER ❑TY STATE ZIP CODE ADDRE55 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/OFFICEHOIDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUM6ER IF APPLICABLE) YEAR OF ELECTION PARTY � Nonpartisan Andy Huang City Council 2020 ❑ Nonpartisan . Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIOATE(S)OFFICE SOUGHT OR HELD OR MEASURE(5)JURISDICTION CANDIDATE(S)NAME OR MEASURE(5)FULI TITLE(INCLUDE 6ALLOT NO.OR LETTER) (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE ❑ ❑ FPPC Form 410(1an/2016) FPPC Advice:advice@tppc,ca.gov{866/275-3772) www.fppc.ca.gov