410 Statement of Organization Recipient Committee - Initial Not Yet Qualified~
~
!i
3
~·
~
~
V,
jg
"' " 2
"'
"' g:
~ ,,
,::
Statement of Organization
Recipient Committee
Statement Type l~IZ!-,n-it-ia-,-------1~--------~, --------~, 0 Amendment D Termination -See Part 5
0 Not yet qualified
or
0 Date qualification threshold met I Date qualification threshold met
--1--1--
I.D. Number
!J1 applrcab /e )
NAME OF COMM ITTEE
Cupertino Facts
STREET ADDRESS (NO P.O. BOX)
CITY
Cupertino
FULL MAILI NG ADDRESS (IF D IFF ERENT)
E·MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
COUNTY OF DOMICILE
Santa Clara County
STATE ZIP C!)DE AREA CODE/PHONE
CA 95014
JURI SD ICTI ON WHERE CO MMITTEE IS ACTI VE
Cupertino City
Attach additional information on appropriately labeled continuation sheets.
Date of termination
NAME OF TREASURER
Xiangchen Xu
STREET ADDRESS (NO P.O. BOX)
CITY
Cupertino
CUPERTINO CITY CLERK
STATE ZI P CODE
CA 95014
NAME OF ASS I STA NT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZI P CODE
NAME OF PRINCIPAL OFF ICER(S)
Ignatius Ding
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZI P CODE
C upertino CA 95014
AREA CODE/PHONE
AREA CODE/PHONE
AREA CODE/PHONE
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is t ru e and complete .
penalty of perjury under the laws of the State of Californ ia that the for~oing is true and correct.
,~,~· 00 % /'?~, ______
, .. _______ .,,.,_
DATE
DATE
By------------------------------------------------SIGNATURE OF CO NTROLLING OFF ICEHO LDER, CANDIDATE, OR STATE MEASURE PR OPON ENT
By------------------------------------,-----SIGNATURE OF CO NTROLLING OFF ICE HOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Augu st/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
~ :g:
!i!
3
~·
~
~
en
{!l
N ...
N
~
N
~
~
"U
"'
Statement of Organization
Recipien t Committee
CALIFORNIA 41 0
FORM
IN ST RUCTION S ON RE V ER SE
Pa ge 2
CO M M ITTE E NAME
C u perti no Facts
1.0. N U M BER
• A ll committees must list the financial institution where the campaign bank account is located.
NAME OF FI NA NCIAL I N STITU T ION AREA CO DE /P HO NE BA N K ACCO UNT N UMBER
ADDRESS CITY STATE ZI P CO DE
Controlled Committee
• List the name of each controlling officeholder, candidate , or state measure proponent. If candidate or officeholder controlled ,
also list th e el ective office sought or held, and di strict n u mber, if any, and th e year of the election .
• Li st t he po litical pa rty with which each officeholder or candidate is affiliated or chec k "nonpartisan ." Stating "No party preference" is acceptable
• If th is committee act s jointly with another controlled committee, li st the name and identification number of the other controlled committee .
N A ME O F CAND I D AT E/O FFI CEH OLD ER/STATE MEASU RE PROPONENT
ELE CT IV E O FFI CE SO U G HT OR HE LD
(INCL UD E DI ST RI CT NU M BER I F A PPLI CAB LE )
YEA R O F
ELECTI O N
PA RTY
CHE CK O N E
No np artisan
Nonpa rtisan
Primarily Formed Committee Primarily formed to su pport o r oppose specific cand idates or measu r es i n a single election . Li st below :
CA NDI DATE(S) N A ME O R ME AS UR E(S) FU LL T ITLE (INC LUDE BALLOT N O. OR LETT ER)
I F A RE CA LL, STATE "RECA LL" I N FRON T OF THE OFF ICEH OLDER'S NAM E.
CAND IDATE (S) O FFI CE SOUG HT OR HE LD OR M EASUR E(S) JU RISDICTION
(IN CLUDE D IST RIC T NO ., CI TY OR COUNT Y, AS A PPLI CA BLE)
Pa rti san
Pa rtisa n
(li st po litica l party be low )
(li st po litica l party be low)
CHE CK ONE
SUPPORT OPPOSE
SU PPORT OPPOSE
FPPC Form 410 (August/2018 )
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca .gov
§-
it
~
3
~-
~
~
en
{!l
"' ~
"' ~
"' ~
~
"tJ
"'
Statement of Organizat ion
Recipient Comm ittee
INST RU CT I ONS ON REV ER SE
COMMITT EE NAM E
CALIFORNIA 41 Q
FORM
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election . Chec k only one bo x:
llJ CITY Committee O COUNTY Committee O STATE Committee
PROV IDE BR IEF DESCR IPTI ON OF AC TI VITY
We work o n coll ect ing p lai n fac ts, sh arin g th e T ruth abo ut C u pertin o ci ty to local res id ents. H o pe to h elp in fo rm ed vote rs and volunteer to b en efit o ur local co mmunity .
Sponsored Committee Li st additional sponsors on an attachment.
NAME OF SPO N SOR IN DU STRY GRO UP OR AFF ILI ATION OF SPO NSOR
STREET ADDRESS NO. AND STREET CITY STATE ZI P CODE AREA CODE/PHONE
Small Contributor Committee □--1--1--
Date qualified
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:
• Thi s committee ha s ceased to receive contribution s and make expend itures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• Thi s committee ha s el iminated or ha s no intention or ability to discharge all debts, loan s received , and othe r obligation s;
• This committee ha s no surplus fund s; and
• Thi s committee ha s fi led all campaign statements required by the Political Reform Act disclosing all r eportable tran sactions .
There are re striction s on the disposition of surplu s campaign fund s held by elected officers who are leaving office and by defeated candidate s. Refer t o
Government Code Section 89519 .
Leftover funds of ballot measure committees may be used for political , legislative or governmental purposes under Government Code Section s 89511 -
89518 , and are subject to Election s Code Section 18680 and FPPC Re gulation 18521.5 .
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov