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410A tatement of Organization Recipient Committee I I Dale qualified as commillee 1. Oommitt~ i,~;oimatkm TYll~m' pfl~t ~ ink # 1257379 # Kris Wang For City Council 08 i 13 i 03 7645 Dumas Dr. Cupertino CA 95014 408-255-0133 Dale of Tem~,alim p =_RTINO CiTY CLERI 2. Treasurer and Other Pfln~ipal Officer Amy Yang 21057 Red Rr Court C/FTY SlaTE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-257-9988 NAME (~ ASSISTANT TREASURER, IF ANY COUNTY C~: ~OMtCILE COLJN'~f WHERE CO~ Cf TEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRL=S~ CiTY S~TE ZIP CODE AREA CODE/F~d~aE 3. Veriflca~ ihaveusedai~reas~nabiedi~igenceinpreparingthissta~ementa~dt~hebest~fmykn~w~edge~heinf~ma:icr~c~ntainedh~`~!7~strueand~am~!~t~ ~ce~ifyunda, p~na~!yd ~riury under the laws °f the State °f Cal'f°mia that ~he f°rsg°ing [$ true and c°rr'<~c~ ~ Execu~ ~ FPflC Form 4t0 (Jan~3) tatement of Organization Recipient Committee Kris Wang For City C~undt 4. Type of Committee 257379 · Listthenameofeachcontrollingofflceholder, candidate, orsta~emeasureproponen[ lfcandidateorofficeholdercontrolied, also llst the elective oiT~ce sought or held. and district number, if any, and the yea'of the eie~on. · List the politfcal parly with which each officeholder or candidate is affiliated o~ chec~ "~.- · Ifthiscomm/tteeactsjoinUywlthanolherco~trofledcommittee, listthenameandidentificatiennumber oftheothercontrol~edcommittee. Kris Wang City Council Member · List the financial instituti~ where ~he campaign bank account is located (controlled 'candidate election" committees only) 2003 Bank of the West ADORIE~ $~,TE ZIP COOE 965 S. DeAnza Blvd. San Jose CA 95129 FPF'C Fon~ 410 (J~03) ~ To#~-s~e He~gine: JAS~ Statement of Organization Recipient Committee Kris Wang For City Councit 4. Type of Committee ~ NotPum,~dtosull~oortor<Tplxi~esl3ec~ccandldatesormeasuresinasinglee{ectlon. Chec~oP.l~on®box: []crtY~ [::]co~nYCmen~a-e i--~srm~CommmN 1257379 sponsors on an at~ac:~nenL 5. Termination Requirements · This committee has cease<t to receive contributions and make expenditures; · This committee does not anticipate receiving contributions or making expenditures in the fu!ure; · This committee has eliminated or has no intenlion or ability to discharge all debit, loans received, and other obligations; · This committee has no surplus funds; and This committee has filed all campaign statements ~equi~d by the ~u tJu~ -- There are restrictions on the dispc~ition of surplus campaign funds he.~l by eled. ed Govemmem Code Sec~ 89519. FPPC Form 4t0 (JanB3) FPPC Toli-FM HMpline: ~A,~";PPC