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410 Statement of Organization Recipient Committee - Amendment_9-9-24 Stamped by SOSStatement of Organization Date Stamp Recipient Committee I1!!!7 DIGITALLY Statement Type ❑ Initial Amendment ❑ Termination —See Part 5 RECEIVED AND FILE in the office of the Californi ❑ Not yet qualified Secretary of State or SEP 09 2024 m Date qualification threshold met Date qualification threshold met Date of termination C PERTINO CITY CLERK 9 / 8 / 20b 9 / 8 / 20� 1. Committee InformationI.D. Number 1471161 2. Treasurer and Other PrincioalOfficers NAME OF COMMITTEE NAME OF TREASURER Hung Wei for Cupertino City Council 2024 William Wilson STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE 11129 Clarkston Ave. Cupertino CA 95014 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE STREET ADDRESS (NO P.O. BOX) bwilsonca@earthlink.net 408-309-3956 10969 Maria Rosa Way NAME OF ASSISTANT TREASURER, IF ANY CITY STATE ZIP CODE AREA CODE/PHONE Hung Wei Cupertino CA 95014 408-605-6956 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE FULL MAILING ADDRESS (IF DIFFERENT) 10969 Maria Rosa Way Cupertino CA 95014 EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) hungweichien@gmail.com 408-605-6956 hungweichien@gmail.com NAME OF PRINCIPAL OFFICER(S) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Santa Clara City of Cupertino STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 3. Verification 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. 9/9/2024 William Wilson Executed on By Digitally signed by William Wilson Dale: 2024.09.0913: 19:58-07'00' DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER 9/9/2024 Hung Wei Hung Wei Executed on E4Y Dag1ea1ly 2024.0909sIgnedy13:20: 0-07'00' DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE 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 (October/2023) FPPC Advice: advice@fppc.ca.gov (866/275-3772) W W W.fppc.Ca.go AO 'e:)'7 }•MMM (ZLLE-SLZ/998) Ao 'er'3} a3(Ape :a3lnpV adds (EZOZ/aago;:)o) Olt, woo j :)ddd 3SOddO DJOddns 3SOddO AOddns 3NO ND3H:) (3ISVDIIddV SV A1Nn0D UO AlIJ "ON 1DIU1S10 30niDNl) *3WVN S,U GIOH3Jljj0 3H1 jO lNOUj NI „IIV73U„ 31ViS MVJ3U V jl NOuDiasIUnf (S)3UnSV3W UO 013H UO1H9nos uIjjo (S)31V4IaNVD (U3113I UO'ON lOIIV8 3(in1DN1) 311llllnj (S)3UnSV3W UO 3WVN (S)31V414NVJ :molaq;sll •u043@la @Isms a ul samseaw 10 sa;eplpueo oyiaads asoddo 3o;3oddns of paw3oJ AIilewud (Molaq Aued IeaRllod lsll) uespJed ues.weduoN tIZOZ ouljjadn:D 'lagwaw llounoo A;lo pM 6unH (molaq AUed lejRllod ;sll) uesuJed uesµJeduoN 3NO AD3HD N01ID313 (319VDIIddV jl 838WnN 171U1SI0 30niDNl) LN3NOd MId 3UnSV3W 31V1S/U3010H3JIjj0/31V410NVD dO 3WVN AlUVd 30 UV3A 413H UO 1HOnOS 3JIjj0 3AUD313 aalalwwoa palloj;um aaq;o aql jo jagwnu uoueayuuapi pue aweu ay; Is(l 'aau)wwoa palloa;uoa jaq;oue gilm Al;ulof s;ae aa};lwwo:) s)qj 11 ajge;dame si „a:)u@jaj@jd A;jed ON,, 9uU4eIS ,; ues4Jeduou„ j:)aya jo pa;e)ly4e s( a;eplpue:) ao aaployaa(}}o pea q:)lgm q;lm A}.led leaullod ay};slj -uogaala aq; jo aeaA aq} pue Me }i 'aagwnu pulsip pue 'plaq ao;g2nos aay}o an4aala aqI;sil osle 'palloajuoa laplogaay10 3o a;epipun }I -;uauodoid a3nseaw a;e;s jo 'a;epipue:) 'Japl04a04Jo 2u'IIOJ;uo:) q:)ea;o aweu aq;;sl� VW96 do oulliadno PAIR eZUV as S 09ZO6 300J dIZ 31ViS A117 Noun111SN11VI7NVNId j0 SS3UOOV t,£9Zt70006L I 00 L9-E99 (90.0 I � Ue8 o6ae j SIIaM U38 WnN 1NnOJJV ANV9 3NOHd/340J VHV SOUODH ANVB NIV190 0103ZIUGH1nV (S)NOSU3d (INV NOIlniliSNI IVIJNVNI3 30 3WVN 'spio3ai jueq ule;go o; pamoy;ne (s)uosiad ay; pue pa;e:)ol sl;uno»e Nueq ugledwea ay; aaagm uo4n4ysui lelaueug ay;;sfl;snw saa}liwuao3 JIV },ZOZ liounoo A;lo oui}ladno loj laM 6unH U39WnN'0'I 3WVN 33111WWOD Z aSed 3S83AH NO SNoinnUiSNI mm�'jm . • a;041!wwoC) juaidioalI . • uo!4eziue6ap Jo juawa}e4s Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Hung Wei for Cupertino City Council 2024 1471161 General Purpose Committee 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 INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been met: . 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