410 Statement of Organization Recipient Committee - Amendment 8-6-24 Stamped by SOS and ROVStatement of Organization
Recipient Committee
Statement Type ❑ Initial Amendment
❑ Not yet qualified
or
m Date qualification threshold met Date qualification t
7 / 11 / 202A 7 / 11 / 2011
1. 1A n i _ _ftfornmNoT LD. Number 1471161
NAME OF COMMITTEE
R "Ray" Wang For Cupertino City Council 2024
pF-CF-odF-
n1 Ifir "7- , , I]
CUE
Termination - fee P
INO TY tp ERK
natic
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino9 CA 95015
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara I City of Cupertino
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Jon Willey
Date Stamp
DIGITALLY
rt 5 RECEIVED AND FILED
in the office of the California
Secretary of State
JULY 18 2024
STREET ADDRESS (NO P.O. BOX) CITY
Cupertino
EMAIL ADDRESS OF TREASURER (REQUIRED)
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX) CITY
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
NAME OF PRINCIPAL OFFICER(S)
R Wang
STREET ADDRESS (NO P.O. BOX) CITY
Cupertino
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
For Official Use Only
JUL 2 9 2024
REGISTRAR OFVO
COU PITY OF SANTA. i
STATE ZIP CODE
CA 95014
AREA CODE/PHONE
STATE ZIP CODE
AREA CODE/PHONE
STATE ZIP CODE
CA 95015
AREA CODE/PHONE,
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 the foregoing is true and correct. _
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advicePfppc.ca.gov (866/275-3772)
www.fppc.ca.eov
�$Eatement'of'Organization CALIFORNIA ,
Recipient CommitteeFORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
R "Ray" Wang For Cupertino City Council 2024 1471161
All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
US Bank Henry Ghazanchian (
;ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
Saratoga CA 95070
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 "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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
R "Ray" Wang
City of Cupertino - City Council
2024
Nonpartisan
✓
Partisan
(list political party below)
Nonpartisan
Partisan
(list political partybelow)
FormedPrimarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
. SUPP.Ok`r, OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: advice@fPPc.ca.eov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
R "Ray" Wang For Cupertino City Council 2024
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.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
I.D. NUMBER
1471161
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
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, 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 (October/2023)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov