410 Statement of Organization Recipient Committee - AmendmentStatement of Organization
Recipient Committee
Statement Type Q Initial
® Amendment
O Not yet qualified
or
3 27 2011
O Date qualified as committee----I--I
Date qualified as committee
Of amending to provide this date)
NAME OF COMMMEE
Better Cupertino Action Committee
STREET ADDRESS (NO P.O. BOXI
CITY STATE ZIP CODE AREACODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
E -MAI L ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
Attach additional information on appropriately labeled continuation sheets.
Termination —See Pai
Date f termination U
NAME OF TREASURER
Xiaowen Wang
JUN 1 4 2017
NO CITY CLERK
For Official Use Only
STREET ADDRESS (NO RD, BOX)
CITY STATE ZIPCODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIPCODE AREA CODEIPHONE
NAME OF PRINCIPAL OFFICER(S)
Xiangchen Xu
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
have used all reasonable diligence in preparing this statement and to the best of my knowledge the
penalty of perjury under the laws of the State of California that the
contained herein is true and complete. I certify
PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
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
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
LD. NUM BER
Better Cupertino Action Committee 11395411
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE/PHONE
CITY
BANKACCOUNT NUMBER
STATE ZIP CODE
• 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 MEASUREW FULLTITLE (INCLUDE BALLOT NO, OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 {May/2017}
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
LJ-
..OPPOSE
F1
SUPPORT
OPPOSE
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
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.
NAMG OF srUNWK
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
��ncc�nuunr�� NU.ANUbiKFF1 CITY STATE ZIP CODE AREACODE/PHONE
Small.
Date qualified
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-.. �•-. •, .. .,r `r!�.z ss ., a:vtasc»�aaawi�"nstgr�'�a'a''-ti�,���'��xa«i�5�m�=1�v�,.w+my"'cs�Pr,;y.k��x: ..v.e,..?'i,,,:_.r. ,w� �,s�:hdNe�iJeE�[l �7ieL�, � r,.,:y,'.. .:,,;
• 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 (May/2017)
FPPC Advice: adviceffppc.ca.gov (866/275-3772)
www.fppc.ca.gov
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