410 Statement of Organization Recipient Committee - Amendment note ID number stamped by SOS t� L H V
Statement of Organization Date Stamp • _
'Recipient Committee 091
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Statement Type ❑Initial ❑ r ' ati�Es4eeL 5201 AN FILE AP
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Not yet ualified ❑ or List I.D.number: Lis LD.nu ber: i the 0 ce of the Secretary of Sti to
1395411 the State of Califomia
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I, B APP 4 3 201
03 /27 /2017 _
Date qualified as committee Date qualified as committee Date of Termination "
(If applicable)
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1.,,Co.mmittee,lnformat�on.. f,:2. Treasucer,and.Other PnncillallOfficers x.,
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NAMEOFCOMMITTEE NAME OF TREASURER
Xiaowen Wang
Better Cupertino Political Action Committee STREET ADDRESS(NO P.O.BOX)
MAILING ADDRESS(IF DIFFERENT) : STREET ADDRESS(NO P.O.BOX)
FAX/E-MAIL ADDRESS CITY STATE ZIP CODE .AREA CODE/PHONE
COUNTY OF DOMICILE j JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Xiangchen Xu
STREET ADDRESS(NO P.O.BOX)
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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 California that
MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
', FPPC Form 410(Jan/2O16)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of CALIFORNIA'�
-
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D.NUMBER
1395411
- All committees must list the(financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER
The U.S. Bank (
ADDRESS CIN STATE ZIP CODE
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• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
Primarily rormed Committee
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
I
CANDIDATE(S)NAME OR MEASURE(S)FULLTITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATES)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECKONE
SUPPORT OPPOSE
SUPPORT OPPOSE
® ❑
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
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F-atement of Organization CALIFORNIA,
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEENAME I.D.NUMBER
Better Cupertino Political Action Committee 1395411
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box;
[] CITY Committee [] COUNTYCommitteeFlSTATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET mr STATE ZIP CODE
Fl
�
Date qualified
�
on
° This committee has ceased to receive contributions and make expenditures;
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° This committee does not anticipate receiving contributions or making expenditures in the future;
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° This committee has eliminated orhas nointention orability todischarge all debts,loans received,and other obligations;
° This committee has nosuqdomfunds and
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° This committee has filed all campaign statements required bythe 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 bydefeated candidates. RefertnGovernment
—
Leftover funds ofb Hot measure committees may be used for political,legislative or governmental purposes under Government Code Sections 89511-89518,and are
subject tos|ecunns:cnueSection zo6onand prpcRegulation 1oszzs.
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