410 Statement of Organization Recipient Committee - Initial not yet qualified (Stamped by SOS)t
Statement of Organization
Recipient Committee
Statement Type 0 Initial ❑ Amendment ❑ Termination —See Part 5
Not yet qualified ® or List I.D. number: List I.D. number;
1. Committee I
NAME OF COMMITTEE
Date qualified as committee
rmation
Date qualified as committee Date of Termination
(If applicable)
Cupertino Residents for Sensible Zoning Action Committee
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT)
FAX / E -MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE
Santa Clara County Cupertino, CA
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
Fi Li' :D
in the office of the Secre
of the State of Cali
2. Treasurer and Other Principa
NAME OF TREASURER
Liang -Fang Chao
,.1
MAR 172015
COPERTINO CITY CLERK
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIPCODE AREACODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
Liang -Fang Chao
STREET ADDRESS (NO P.O, BOX)
3. Verification
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 Ca 'fornia that,*e7oregoing is true and correct.
Executed on
_DATF By
1 / ��
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, 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 CALIFORNIA
Recipient Committee FORM 0
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
Cupertino Residents for Sensible Zoning Action Committee 1. D. NUMBER
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER
Pending ID #
ADDRESS
4. Type of Committee Complete the applicable sections.
CITY
STATE ZIPCODE
• 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
Formed Primarily 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)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
ItMn i in[ nicro�rr nin Iry .,
FPPC Form 410(Dec /2012)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
CHECKONE
SUPPORT
OPPOSE
SU PPO
0E2EQLE
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 3
Cupertino Residents for Sensible Zoning Action Committee I.D. NUI
4. Type of Committee (Continued)
General Purpose Com mittee
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
O CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
We
Sponsored Committee are focused on engaging residents and our city government to balance growth and quality of life for residents of Cupertino.
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
Smell Contributor Committee ■
Date qualified
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent 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(Dec/2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov