410 Statement of Organization Recipient Committee – Initial Not Yet QualifiedStatement of Organization
Date Stamp
CALIFORNIA
Recipient Committee
FORM
Statement Type is Initia! El Amendment
❑Termination —See Part 5
For O
Official Use Only
0 Not yet qualified
or
❑ Date qualification threshold met Date qualification threshold met
Date of termination
I.D. Number
NAME Of COMMITTEE
NAME OF TREASURER
2022
Chioorit pQY1110
LIA1JJ
Nicole Woon
I
STREET ADDRESS (NO P.O. RO%)
20380
ADDRESS(NO P.O. SOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
10175
CA
95014 408-
STATE ZIP CODE AREACODVPHONE
NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014 408-
MAILING ADDRESS (IF DIFFERENT)
STREET ADORESS (NO P.O. SOX)
E-MAIL ADDRESS(REQUIRm) I FAX(orTnowm)
CITY STATE
ZIPCODE AREA CODE/PHONE
Liang4CupertinoCoundl®
OF DOMICILE
JURISDICTION WHERE COMMUTES IS ACTIVE
NAME OF PRINCIPAL OFFICER($)
Santa Clara
Cupertino
Chao, Liangfang
STREET ADDRESS (NO P.O. BOX)
10175
additional Information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREACODE/PHONE
Cupertino CA
95014 408-
have used all reasonable diligence in preparing this statement and to the best of my knowteage the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of correct.
won ,/)71 �z2- 8Y
DATE SIGNATURE
CANDIDATE, OR STATE MEASURE PROPONENT
Executed On DATE By 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 (August/2018)
FPPC Advice: (866/275-3772)
Statement of Organization CALIFORNIA '
i
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME t.D, NUMBER
Liang Chao for Cupertino City Council 2022
• All committees must list the financial Institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREACCOE/PHONE
BANK ACCOUNT NUMBER
ADDRESS CITY STATE Zip CODE
• 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 parry 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 parry below)
Chao, Liangfang
Cupertino City Council
2022
✓
Nonpartisan
Partisan
(list political party below)
• Primarily 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
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: (866/275-3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Liang Chao for Cupertino City Council 2022
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 BNEF DESCRPTION OFACTDATY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREETADORESS NO. AND STREET
CITY
DUSTRY GROUP OR AFFILIATION OF SPONSOR
lull
STATE ZIP CODE AREACODE/PHONE
Small Contributor Committee❑ r�
--!Date Gu•IHW
• 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: (866/275-3772)