410 Statement of Organization Recipient Committee - Amendment Reassign for 2016 (Stamped by SOS)Statement of Organization
Recipient Committee
Date Stainp
Statement Type El Initial Amendment
❑ Termination - See Part 5
FILE—D
Not yetquAifind ❑ or Ust I.D. number:
Ust I.D. number: i 1
the office of the Secretary of S
fffifi ia S
1 nl
#1368800
of the State of California
_
07 30 2014
#
MAR 0 9 2015
VIAR 3 0 2015
Date qualified as committee Date qualified as committee
(If appllcaGlei
.
Date ofTermInation
CUPERTINO CITY CLER
.!. ! ;;i.77 . : ;..
"'T
NAPA E OF COMMITTEE . ....... ...........
Dr. Huang for City council 2016
NAME OF TREASURER
.... ......
STREET"
Isabel Rodriguez
NO P.O. BOX)
TREASURE I,, IF ANY
FAXI E-MAIL ADDRESS
( DrAn•yHuang@gmaii.com
STREETADDRESS (NO P.O. BOX)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS.ACTIVE
CIVY
Santa Clara Cupertino
STATE
ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (No P.O. Box)
CITY
STATE
ZIP CODE AREA CODE/PHONE
. . . . . . . . . . . . X.: X".
I have used all reasonable diligence in preparing this statement and t"o the best of my knowledge the information con'ta"ined herein is true and complet' c ;ertify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 03/06/2015 By
0 AT F.
DATE -------
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on DATE By
SIGNATURE OPCONTROLLING Or F ICEHOLDER, CAN DI DATE, OR STATE MEASURE PROPONENT
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, ORSTATE MEASURE PROPONENT
FPPC Form 410 (Dec/2012)
FPPC Advice: adv1ce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON (REVERSE
COMMITTEE NAME
Dr. Huang for City Council 2016
o All committees midst list the financial institution where the campaign (bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
:::.. }.............. :....... ..
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
Page 2
I.D. NUMBER
1368800
• 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.
a 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 Off CANDIDATE /OPFICEHOLDEiR /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Andy Huang
City Council
2016
❑ Nonpartisan
SU PPC)RT
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single electilon, List: below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE.. BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)1URISDICTION
(INCLUDE QISTRTCT NO.. CITY OR COUNTY, AS APPLICABLE)
CHECK nNE
FPPC Form 414 (Dec /2012)
FPPC Advice adviee@fppc.ca.gov (8661275 -3772)
wwv. fppc.ca.gov
SUPPORT
OPPOSE
SU PPC)RT
',/0
FPPC Form 414 (Dec /2012)
FPPC Advice adviee@fppc.ca.gov (8661275 -3772)
wwv. fppc.ca.gov