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410 Statement of Organization Recipient Committee - Amendment Reassign for 2016 (2)Statement of Organization Recipient Committee Statement Type NAME. OF COMMITTEE [] Initial Not yet qudifind ❑ or Date qualified as committee Date Stamp y ID Amendment ® Termination — See Part S D � � � � `�'' Official Use only U lv� For List I.D. number: List I.D. nGJnber. #1368800 # 2015 07 /30 /2014 Date qualified ascommltte.e Date ofTermination (Inapplicable) CUPERTINO CITY CL E K Dr. Huang for City Council 2016 STREET" AL'URESS (NU P.U. BOX) MAILING A0611E$5 (IF DIFFERepIT) (_ ISDICTION WHERE COMMITTEE IS ACTIVE Cupertino Attach additional information on appropriately labeled continuation sheets. NAME OF TREASUREP. ...............:............:::•::::.::::::::.;:::::::<.:«:.::;:.; ^..;:>:.::•::.:s;:::;.:: <.;::.>:<........;:;:;:.:: Isabel Rodriguez STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANV STRE El' ADDRESS (NO P.O. BUX) CI'1Y STATE 21P CODE AREA CODE /PHONE NAME, OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.A. BOXI - CITY STATE ZIP CODE AREA CODE /PHONE —,..., ,, RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By GATE SIGNATURE OF CONTROI "LING OFFICEHOLDER, CAN)IDATF, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @'fppc.ca.gov (866/275 -3772) www.fppt.ca.gov Statement of Organization rG68�8�00 Recipient Committee INSTRUCTIONS ON iREVERSE COMMITTEE NAME Dr. Huang for City Council 20'96 • All committees midst list the financial institution where the campaign (bank account is located. NAME OF FINANCIALINSFITU11ON AREA CODE /PHONE BANRACCOUNT NUMBER ADORESS CITY STATE ZIP CODE l ..:... .:. ..: .. li,: •:.;,: :. 1i: ?' %i:: ?::.iI ?:i;.i i;i <iiy,';i i 11: :;::. .. .... .... .. '::;iiii:'i •,::.; ay:( +a:;U:: i•::.;'i: `': #;ritkee ..i tiaai ..? ::......:............... . • 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 /OFFIC01OLDEiR/STAI E MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Andy Huang City Council 2016 Q Nonpartisan .. sum ❑ Nonpartisan Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIOATF.(S) OFf1CI: SOUGHT OR HELD OR MEEASURE(S)JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE FPPC Foram 410 (Dec /2012) FPPC Advlce� adviee@fppc.ca.gov (866/295 -3772) WWV fppc.ca.g0V SUPPORT OPPOSE El .. sum DPPOSC FPPC Foram 410 (Dec /2012) FPPC Advlce� adviee@fppc.ca.gov (866/295 -3772) WWV fppc.ca.g0V