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410 Statement of Organization Recipient Committee - Termination stamped by SOSStatement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or 1---1 Date qualified as committee ❑ Amendment List I.D. number: Date qualified as committee (if applicable) m Termination — See Part 5 List I.D, number: #1365260 12 /24 /2014 Date of Termination I. Committee lnformi Lion NAME OF COMMITTEE Don Sun for Cupertino City Council 2014 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) FAX / E-MAIL ADDRESS COUNTY OF DOMICILE lUR15OICTION INHERE COMMITTEE 15 ACTIVE Santa Clara Attach additional information on appropriately labeled continuation sheets. Date Stamp �ciftD AND Fit f "MCO Of the Secretary of Of the State of Callifomia DEC 2.9 2p14 2. Treasurer and Other Principal Officers NAME or TREASURER Helen Fu JAN 1 6 2015 Processed by STREET ADDRESS (NO P.C. BOX) STATE CA ZIP CODE 94043 AREA CODE /PHONE (415)828 -9456 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOXI CITY STATE TIP CODE AREA CODE /PHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANf)IDA7E. OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.b. NUMBER Don Sun for Cupertino City Council 2014 11365260 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION East West Bank ADDRESS AREA CODE /PHONE ( STATE ZIP CODE 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. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Don Xiao Sun Cupertino City Council 2014 Nonpartisan SUPT ❑ Nonpartisan Primarily formed to support or oppose specific candidates or measures in a single e{ection. List below: CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDMATE(SI OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHrCK nNF FPPCForm 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPP9RT OPPOSE SUPT OPPOSE FPPCForm 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME I 1 1 . NUMBER Don Sun for Cupertino City Council 2014 1365260 4. Type of Committee (Continued) 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 OF ACTIVITY List additional sponsors on an attachment. NAME Of SP ON SOR NDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET OTY STATE ZIP CODE r r r r r ❑ Oate q�a6liea S. Termination Requirements By signing the verification, the treasuref, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the fo[lowingconditions have been rret: • 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 28680 and FPPC Regulation 18521.5. FPPC Form 410 (Dec /2012) FPPC Advice_ advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov