410 Statement of Organization Recipient Committee - Amendment note ID number Statement of Organization Date Stamp
Recipient Committee A • '
i
Statement Type • '
Initial ® Amendment r,
List I.D.number: L'lust I.D.Termination
—See Part 5
Not yet qualified 0 or RECEIVED
For official use only
#1395411 #
----/-/ 027,2017 _/ iA
R 2 8 Z017
Date qualified as committee Date qualified as committee Date of Termination
(if applicable) PETI CLERK
1. Committee Information 4"A? , 2 ",s ;; •...,, ,.� rx ,,
a CITY
NAME OF COMMITTEE � � sM .":�
NAME OF TREASURER - - -
Better Cupertino Political Action Committee Xiaowen Wang
STREET ADDRESS(NO P.O.BOX)
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 DE/PHONE
CO
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(5)
Xiangchen Xu
STREET ADDRESS(NO P.O.BOX)
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t 4
[,...��J ,F,.tl( ? �� . ... ,��.xt ,' .r7,f�I,0Bp-11IM11�i, ,ua _` ''��k t;'c+ NIS°iv A''S�`k 5tl a Nt a a;: ;�r J�.ir.I6nu�, D�.,;:,,E
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is ue andcomp complete. I certify under;`
penalty of perjury under the laws of the State of California that the foregoin�'is true and correct.
Executed on 3 L�f 1 By
FATE
�9 j2;`/
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/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORNIA
INSTRUCTIONS ON REVERSE FORM i
10
COMMITTEE NAME Page 2
I.D.NUMBER
1395411
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
a(
ADDRESS
®ommittie'comp`
YP ete the applicable
MY 'A`W`r
Controlled Committee
• 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 CAN MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Nonpartisan
❑ Nonpartisan
0 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 OR COUNTY,AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OP®
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORNIAi
i
INSTRUCTIONS ON REVERSE FORM
COMMITTEE NAME Page 3
1.D NUMBER
Better Cupertino Political Action Committee 11395411. UMBER
4.'Type of Committee (continued►''
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
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO.AND STREET
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
CIN
STATE ZIP CODE
Small Contributor Committee
Date qualified
S:-Termination°Requirements eysigningthe"vertficatlon,."theteasurer,assistant,treasurer,and orta.
/ dilate offieeholtler;"qr'prop`onn1�>e�fyfthataliofhefoil�uiirigx�btfiii ohshavo,�eeniriet,
• 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 may be 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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov