410 Statement of Organization Recipient Committee - Termination Statement of Organization
Recipient Committee
Statement Type ❑Initial
Not yet qualified❑ or
Date as committee
❑ Amendment
List I.D.number:
# 1386578
Date qualified as committee
(if applicable)
® Termination-See Part!;
List I.D.number:
# 1386578
12 31 /2016
Date of Termination
f �
JAN 2 1 2017
t�
For Official Use Only
NAME OF CO MMITTEE
Jerry Liu for City Council
2016
NAME OF TREASURER
-"
Jennifer Fang
STREET ADDRESS(NO P.O.BOX)
STREETADDRESS(NO P.O.BOX)
21837 Lomita Avenue
21837 Lomita Avenue
"TM STATE ZIPCODE
AREA CODE/PHON E
CITY
Cupertino
STATE ZIP CODE AREA CODE/PHONE
CA 95014
NAM AS
EOFSISTANT
(408)996-1177
CA 95014 (408)996-1177
Nan Yu
MAILING ADDRESS(
STREET ADDRESS(No
FAX/E-MAIL ADDRESS
1935 Cappelletti Court
20160 jerryllu.com
CITY STATE ZIP CODE
AREA CODE/PHONE
COUNTY OF DOMICILE
Santa Clara
JURISDICTION WHERE COMMITTEE ISACTIVE
Cupertino,
View CA 94043
NAME OF PRINCIPAL
15)308-7281
CA
STREET ADDRESS(NO P.O.BOX)
Attach additional information on appropriately labeled continuation sheets. "TM STATE ZIP CODE
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and tom
penalty of perjury under the laws of the State of California that-
PROPONENT
Executed on B
DATE y
Executed on By OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
DATE Y
SIGNATURE 0.CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
AREA CODE/PHONE
under
FPPC Form 410(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov