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410 Statement of Organization Recipient Committee – Amendment Stamped by SOS Statement of Organization Date Stamp Recipient Committee Statement Type El initial ® Amendment El Termination—See Pa ���t�AND r�o of For Official Use Only 0 Not yet qualified of the State of California AUGfl 2020 or 0 Date qualification threshold met Date qualification threshold met Date of termination JUL 13 2020 CUPERTINO CITY CLE K • I.D. Number 1404247 • • (ifopplicble) NAME OF COMMITTEE NAME OF TREASURER Hung Wei for Cupertino City Council 2020 William Wilson STREET ADDRESS(NO P.O.BOX) 11129 Clarkston Avenue STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 10969 Maria Rosa Way Cupertino CA 95014 408-309-3956 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Cupertino CA 95014 408-605-6959 Hung Wei FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX) 10969 Maria Rosa Way E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE hungweichien@gmail.com Cupertino CA 95014 408-605-6959 COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Santa Clara City of Cupertino STREET ADDRESS(NO P.O.BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE 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 c tify under penalty of perjury unde the laws of the State of Cali,orni that the foregoing is true and correct. Executed on y t� By '/ ��✓-_i �!ATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLI FFIC HOLDER,CANDIDAT ENT Executed on By DATE SIGNATURE OF CO ROLLING FICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) FPPC Advice:advice Ofppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER Hung Wei for Cupertino City Council 2020 1404247 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER Wells Fargo Bank 408-863-6100 2176669386 ADDRESS CITY STATE ZIP CODE 10280 South De.Anza Blvd. Cupertino CA 95014 4.:Type of Committee Complete the applicable sectiohs.;a _J • 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 Nonpartisan Partisan (list political party below) Hung Wei City Council Member,Cupertino 2020 Nonpartisan Partisan (list political party below) Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. list below: CAN NAME OR MEASURES)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CAN 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 SUPPORT OPPOSE FPPC Form 410(August/2018) FPPC Advice:advice0fppc.ca.eov(866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA ' Recipient Committee • - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER Hung Wei for Cupertino City Council 2020 1404247 Committee4.Type of Committee (Con n General Purpose 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 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 tandidate,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(August/2018) FPPC Advice:adviceC&fPPc.ca.gov(866/275-3772) www.fppc.ca.gov