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410 Statement of Organization Recipient Committee – Amendment 7-21-20Statement of Organization Recipient Comm ittee Statement Type ... l □-,n-it-ia-,-------1----------.-1---------J-I I Ill Amendment D Termination -See Part 0 Not ye t qualified or JUL 2 1 2020 0 Date qual ification threshold met I Date qualification th re shold met --1--1-. I-::-::-! 3 / 31 / 20 18 ! 14042 47 NAME OF COMMITTEE Hung Wei for Cupertino City Council 2020 CITY Cup ertin o FULL MAILING A D DRESS (I F D IFFERENT) E-MAI L AD D RESS (REQUI RED )/ FAX (O PTIONAL) COUNTY Of DOMICILE Sant a Cl ara STATE ZIP CODE CA 9501 4 JUR ISD ICTION W H ER E COMMITTEE IS AC TI V E City of Cup ertino AREA CO D E/P H ONE Attach additional information on appropriately labeled continuation sheets, Date of term ination NAM E Of TR EASURER William Wilso n ST REET ADD RESS (NO P.O. BOX) CITY Cup ertino NAME OF ASSIS TANT T REASURER , I f ANY Hung We i STRE ET ADDRE SS (NO Cupertino NAME O f PRINC IPAL OF FICER(S) STREET ADDR ESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA 9501 4 STATE ZIP CODE AREA CODE /PHONE CA 9501 4 STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing this statement andtothebest of my knowledge the informationcontained-hereinis true and complete . penalty of pe rjury under the laws of the State of California that the foregoing is true and correct. Executed o n r; /,? /).A)/1 By By I C ..... ·-· .•••• ---~"4.LI NG OF FI CEH O LDE R, CAN DIDATE, OR STAT E M EASURE PROPON ENT By-----------------------------------,-----------SIGNATURE OF CONTRO LLING OFFICEHO LDER, CANDIDATE , OR STATE MEASURE PRO PON ENT FPPC Form 410 (August/2018 } FPPC Advice : advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee CALIFORNIA 41 0 FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAM E 1.0. NUMBER Hung Wei for Cupertino City Council 2020 1404247 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOU NT NUMBER Wells Fargo Bank ADDR ESS CITY STATE ZIP CODE Cupertino CA 95014 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." Stating "No party preference" is acceptable • 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 DISTRI CT NUMBER IF APPLICABLE) YEAR OF ELECTION PART Y CHECK ONE Hung Wei City Council Member , Cupertino 2020 Nonpartisan ./ Nonpartisan Primarily Formed Committee 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) IF A RECALL , STATE "R ECALL:' IN FRONT OF THE OFFICEHOLDER 'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) Partisan Partisan (list political party below) (list political party below) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018} FPPC Advice: advice@fppc.ca.gov {866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee IN STR UCTI ONS ON REVERSE COMMITTEE NAME CALIFORNIA 41 0 FORM General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: 0 CITY Committee O COUNTY Committee O STATE Committee PROVIDE BRIEF DES CRIPTION OF ACTIVITY Sponsored Committee List additional sponsors on an attachment. NAM E OF SPONSOR INDUSTRY GROUP OR AFF ILI ATION OF SPONSOR STR EET ADDR ESS NO. AND STREET CITY STATE ZIP CODE AREA CO DE /PHONE Small Contributor Committee □--1--1-- Date qu alifi ed 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent 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 Elections Code Section 18680 and FPPC Regulation 18521 .5 . FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov