410 Statement of Organization Recipient Committee_AmendmentStatement of Organization
Recipient Committee
Statement Type ... lll'.l-ln-i-ti-al-------...,1..------------,1..--------------11
f5) ~Da(e a~ ~ VJ
0 Not yet qualified ml I JUL
Ill Amendment ID Term in ation -See Part 5
.::J or
'S Date qualification threshold met
8 1 29 1 2024
Oat: ;"''"":tloo th,e:~~ m•c I v Date of tecmloatloo
/ _ _,!
1.D. Number FPPC#Pending
/if applicable)
NAM E OF COMMITT EE NAM E OF TRE AS URER
Gilbert Wong for Cupertino City Council 2024 Helen Kwan
STR EET ADDRESS (NO P.O. BO X)
Cupertino CA 95014
CITY STATE ZIP CO DE
Gilbert Wong
FULL MAILING ADDR ESS (IF DIFFERENT) STR EET ADDRESS (NO P.O. BOX)
n/a
E·MAI L ADDRESS (REQUIRED)/ FAX (OPTIONAL) CITY STATE ZIP CODE AREA COD E/PHONE
Cupertino CA 95014
COUNTY OF DOMICILE JU RISDICTI ON WHERE COMM ITTEE IS ACTIV E NAME OF PRIN CIPAL OFFICER(S)
Santa Clara County City of Cupertino
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets .
CITY STATE ZIP COD E AR EA CODE/PHONE
I have used-all reasonable diligence in preparing this statement and to
PROPONENT
Execu ted o n By
DATE SIGN ATURE O F CON TROLLING O FF IC EHO LD ER, CAN DIDATE , OR STATE MEASURE PROPO NENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA 41 0
FORM
INSTRUCTIONS ON REVERSE
Page 2
COM MITTEE NAME I.D . NUMB ER
Gilbert Wong for Cupertino City Council 2024 FPPC Number Pending
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Cupertino CA 95014
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." Stating "N o party preference" is acceptable
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/O FF IC EH OLD ER/STATE MEASURE PROPONENT
ELECT IVE OFFICE SOUGHT OR HELD
(IN CLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECT ION
PARTY
CH ECK ONE
Gilbert Wong Cupertino City Councilmember 2024 Nonpartisan .,
Nonpartisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAND IDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTE R)
I F A RECALL, STAT E "RECALL'' IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDAT E(S) O FF ICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO ., CITY OR COU NTY, AS APPLICABLE)
Partisan
Partisan
(list political party below)
(list politica l pa r ty below)
CHECK ONE
SUPPORT OPPOSE
SUPPORT SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.f~ov
Statement of Organization
Recipient Committee
INST RUCTIONS ON REVERSE
COMM ITT EE NAME
CALIFORNIA 41 Q
FORM
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election . Check only one box :
0 CITY Committee O COUNTY Committee O STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List add itional sponsors on an attachment.
NAME OF SPONSOR I NDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDR ESS NO . AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee □--1---1--
• This committee has ceased to receive contributions and make expenditures;
• This committee does not antici pate receiving contributions or mak i ng expenditures i n the future;
• This committee has eliminated or has no intention or abil ity 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 comm i ttees may be used for politica l, legislative or governmental purposes under Government Code Sections 89511-
89518, and are subject to Elections Code Section 18680 and FPPC Regu l ation 18521.5.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov