410 Statement of Organization Recipient Committee - Amendment note ID number stamped by SOS (2)Statement of Organization
Recipient Committee
Statement Type ® Initial 0 Amendment
® Not yet qualified
or 03 27 2017
0 Date qualified as committee
Date qualified as committee
(If amending to provide this date)
NAME OF COMMITTEE
Better Cupertino Action Committee
Date Stamp
RECEIVED
® Termination — See Part the
N FILED
F aCi 14JpeOnly
Office of the Secretory of State
of the State of to Clnlif^Vrnia
i
Date /JUL
termination
_ 1201
fl'FAUG 0 Ibl-1
of
NAME OF TREASURER
Xiaowen Wang
STREET ADDRESS (NO P.C. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) I FAX (OPTIONAL) -
COUNTY OF DOMICILE
ERE COMMITTEE IS
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this'mun,M�wy.� to
statement and to thee
penalty of perjury under the laws of the State of California
OR STATE MEASURE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization _
Recipient Committee ®. i
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Better Cupertino Action Committee 1395411
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
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we,'evliti.,.I�;:,c?ulf<>r.,,nA.e,�nW.hL4.m�e:+�s,±'o.-..r�'ni'.�1..,..k,:. k�.��...1�.,,.�a.Ar.y{i
• 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
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election, List below;
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO_ CITY nR CDIINTY AS APPI iraRl F)
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
V OPPOSE
SUPPORT
OPPOSEEL
FPPC Form 410 (May/2017)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBER
Better Cupertino Action Committee 11395411
General Purpose Committee I 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 SPONSOR
STREET ADDRESS NO. AND STREET CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
i 10 Small Contributor Committee
Date qualified
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..... I .. , a.. r, .:z xw .
5..,,Terminatl0.n,,Re 111Yeme1lt$ A «$ sl hm ,.the.+veFlfi h h 1.<;
the, reasurer asslstant.tresurtlr a. tl or,cancildate officeholde or ro
/ f. p ,ponentcert_ that all of thefollowm contlltlonsha�e:been.met
, 7>;
.
• 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 maybe 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 (May/2017)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov