410 Statement of Organization Recipient Committee - Amendment Reassign for 2018 Statement of Organization 'D at `a 1� • • . . , '
Recipient Committee �� � • '
Statement Type ��nitial � Amendment ❑ Termination—See Part 5 f� q O 1C � J For Official Use Only
List I.D.number: List I.D.number: ��u 1 U �O fu �`"J
Not yet qualified ❑ or �
#1368800 # _
07 30 20�4 �. CU�'ERTlNO CITY CLERK
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Date qualified as committee Date qualified as committee Date of Termination
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NAME OP COMMITTEE NAME OF TREASURER
Dr, Huang for City Council 2018 Isabel Rodric�uez
STREET ADDRESS(NO P.D.60X)
NAME OFASSISTANT TREASURER,IF ANV
Cupertino CA 95014 (408)489-8989
MAIIING AODflE5511F DIFFER6NT) � STREETADDRESS INO P.O.BOf()
� CITY STATE ZIP CODE AREA CO�E/PHONE
(267)501-1818 / DrAndyHuang@gmail.com ,
CDUNTV Of DOMICIIE JURIStiICTION WHERE CpMMIttEE IS ACTIVE NAME OP PRINCIPAL OFFICER�51
Santa Clara ICupertino ,
STREET AODRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional informallon on appropriately labeled continuation sheets.
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I have used all reasonable diligence in preparing this statement and to
Executed on 08/18/2016 By
DATE SIGNATURE OF COPITROLLING OFFICEHOL�h,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By �
DATE SIGNATLIRE OF CONTROLLING OfFICEHOLPER,CANDIDATE,OR STA7E MEASUAE PROPONENT
Executed on By .
DATE SIGNATURE OF CONTROILING OFFICEHOLDER,CANDIDATE,Oil STATE MEASURE PROPONENT
FPPC Form 430(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization � • - •
Recipient Committee ° • � - � �
INSTRUCTIONS ON REVERSE
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Page 2
COMMITTEE NAME ; � I.D.NUMBER
Dr. Huang for City Council 2018 _ _ ,,.s � 1368800
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• All committees must list the�inancial institufion where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTIbN I AREA CODEjPHONE I BANKACCOUNT NUMBER
ADDHE55 CITY STATE ZIP CO�E
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• List the name of each controlling officeholder,candidate, or state measure proponent. If candidate or officeholder controlled,also Ilst 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 ls affiliated or check"nonpartisan:'
• If this committee acts jointly with another controlled committee, list the name and ldentification number of the other controlled commlttee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDA7E/OFFICEHOLDER/STA7E MEASURE PROPONENT (INCLUDE DIS7RICT NUM9ER IF APPLICABLE) YEAR OF ELECTION PARTY
Q Nonpartisan
Andy Huang City Council 2018
❑ Nonpartisan
� � � Primarily formed to support or oppose specific candidates or measures in a single election. Lfst below:
G4NDI�ATE(5)NAME OR MEA5URE(SI FULL TITLE(INCLUDE BALLOT N0.OR LETTER) CANDIDATE(S)OFFICE SOUGHT Ofl HELD OR MEASURE(5)JURISDICTION
(INCLUOE DISTRICT NO.,CIfY OR COUNTY,AS APPLICABLE) CHECKONE
SUPPORT OPPOSE
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SUPP�ORT OP�
FPPC Form 410(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov