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410 Statement of Organization Recipient Committee – Amendment Stamped by SOS 11-29-23Statement of Organization Recipient Committee Statement Type 0 Initial S Amendment 0 Not yet qualified or ODate qualification threshold met Date qualification thres)'old rrlet 10/27/2022 1.D. Number 1455023 (If appllcablel NAME OF COMMITtEE , Cupertino Facts STREETADDRESS iNO p.o. BOX) ClTt STATE ZIPCODE AREACODE/PHONE Cuperiino CA 95014 ( E-MAILADDRESS iREQUIRED) / FAX iOPTIONALi COuN'lY OF DOMICILE IIIRISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara County Cupertino City - Attach Mditional information on appropriatelv labeled continuation sheets. RECEIVED AND F!LED in '(he office of the Secretary of State of the State of California Date Stamp €Termination - See Part 5 Date of Termif'ation Filed Date: 10/31/2022 02:40 PM NAME OFTREASIIRER Xiangchen Xu ClTt Cupertino NAME OF ASSISTANT TREASIIRER. IF ANY SrATE ZIP CODE CA 95014 STREET ADDRESS (NO p.o. sox) CITY STATE ZIP CODE NAME OF PRINCIPAL OFFICER(S} Ignatius Ding STREET ADDRESS (NO p.o. sox) CITt Cupertino STATE ZIP CODE CA 95014 For Official Use Only JAN - El 2024 UPERTINO CITY CLER AREA CODE/PHONE ( AREA CODE/PHONE AREA CODE/PHONE ( have used all reasonable diligence in preparing this statement an'd to the best of my knowledge the information contained herein is true and complete. I certify und'er' Executed On 10/31/2022 By X!angchen Xu DATE Executedon By DATE SIGNATIIRE OF CONTRDLLING OFFICEHOL[)ER, CANDIDATE, OR STATE MEASLIRE PROI'ONENT Executed on By DATE SlGNA'nlRE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR ST ATE MEASURE PROPONENT Executed on BY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Cupertino Facts e All committees must list the financial institution where the campaign bank account is located. NAME OF FlNANClALlN5TlTunON Wells Fargo ADDRESS AREA CODE/PHONE ( CITY " Cupertino BANK ACCOUNT NUMBER STATE ZIPCODE CA 95014 Page 2 1.0. NUMBER 1455023 List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sough! or held, ard district nomber, if any, and the year of the election. List the ('olitical party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. EIECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOIDER/STATE MEASURE PROPONENT (INCLUDE DISTRltT NUMBER IF APPLICABLE) ELECTION CHEI ONE Nonpartisan € Pattlsan € (list politital parly below) Nonpartisan rl Partlsan Ll illst political party below) VQiluHdrli4iril'H'l4uhdW44/fflflM Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDlDATEiS) NAME OR MEASuREiS) FuLLTITLE ilNCtUDE BALLOT NO. OR LmER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, ST ATE "RECALUa IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLLIDE DISTRICT NO., CITf OR COUNTY. AS APPLICABLE)Cl-IECK 0111E SUPPORT € OPPOSE € SUPPORT € OPPOSE € FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov o'ta a a ao - 5 Nntformedtosupportoropposespe'ci!iicbndidatesormeasures,inasingleelection. Checkonlyonebox: [6 CITYCommittee li [1 pOLINTY.Committee [] STATECornmittee PROVIDE BRiEF DESCRIPTION OF ACnVITf Q-j-)i%l-[il44-f4t-Ml(;ll4j4Aq List additional sponsors on an attachment. STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE ARFA COtlJtPl-IONE §gfffia%4iTm'7'i*7iaP7ii7i?7tif I l Date qualified 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, 10ans reCeiVedl 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 (August/2018} FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov