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410 Statement of Organization Recipient Committee - Amendment Stamped by SOS Stateme�nt o�'Organization oatestamp , � . , Recipient Comm�ttee ' � - �:. i Statement Type • �z � Forn�;ria omy ; `i i' ❑In�tial Q Amendment ❑ Termination—SeePartS ;� w ,�� ����^��� �,,, j; �I Not et ualified ❑_or _ _ ��'���i���""� ` �. � , � ���. ��, � ,..- ; ;t'� ` List I:D.humber: Ltst I.D.number: Y q e o€�ic���t'��,,ecra�,�� �of S��at S:E R ._ 6 201:6 , ,� ; #1368800 # of the S���tt:o���a,��nr:z�� ; .,... . ,;. ... . ,...., . . �.. : ., . ,, _ .. . ,. !;,. 07 3a Zo�4 : ��'� �� 2���� � ; —�--� �'� —��� � GUPERT1Nd CI�Y ELER'�' ', D a t e q u a l i f i e d a s c o m m i tt e e Date qualified as committee Date of Termination (If applica6le) - 1. Committee Informafion 2. Treasurer and Ot ier Principal Officers � NAMEOPCOMMITTEE � NAME OP TREASURER Dr. Huang for �ity Council 2018 Isabel Rodriguez_ . _ ..,_. . . ,.._ . _ .. STREETADDRESS�NO P.O.BOX) _ _ _ , _ , : _ , ,. : _ , STREET ADDRE55�NO P.O,BOX1 CITY � ��' :��.� .. '�� STATE.�. � ,ZIP..CpDE . ';� >..AREA CODE/PHONE- ; CITY STATE ZIPCODE AflEACODE/PHONE NAMEOFASSISTANTTREASURER,IFANY ��� �- �� Cuperfino CA 95014 ` ( _ _ MAILING ADpNE55(IF DIFFERENT) STREETADDRESS(NO P.O.BOX) � - � �- � . � �� � � � � '� � FAX/E-MAILADDRESS CITY STATE � ZIPCODE AREACODE/PHONE ( , COUNTY OF DOMICILE JURIS�CTION WHERE COMMITTEE IS ACTIVE __ NAME OF PRINCIPAL OFFICER(SI � ........ .. .... ._... . I . . . , . :..�. :� ,'�..' . Santa Clara Cu ertino I � ....:.... STREETADDRE$$INO P.O:BOIO . .. . . . . � .. .._.._ _. . . ... ,.. . .. ......._ .. .... . .. .._.. . . .,_. . . ..�. ,. . . . ..:: . ,. .. ..,_ . ...... .. ..._,. .._. ... . .. . .. ....._...:. . .�,... . ....CITY�. ,....... _.. . , _.. .. _.._.. . ..STATE _, . ..ZIP CODE _.._. ... AREACODElPHONE�.�.. . Attach addiiiona!information on appropriately labeJed continuation sheets. 3. Ver'it�cat�on _ _ N have used all reasonabie diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complelte.:l certify under ; - , . penalty of per)ury under the laws of the State of California that the foregoing ,ORSTATEMEASUREPROPONENT �- - � �� �. ._.. .,... . .. ...., . .., ,.._.. Executed on By - � �' � �^' �" '�� '��' � DATE - �� -� -����� � � - � SIGNATl1REOFCONTROLLINGOfFICEHOLDER;CANDIDATE,ORSTATEMEASUREPROPONENT .,, .,._ . Executed on gy DATE SIGNATURE OF CONTROLLING OFFICEHOIDER,CANDIDATE,OR STATE MEASURE PROPONENT " FPPC Form 410(Jan/2016) � '' '" FPPC Advfce:advice@fppc.ca.gov(866/275-37T2) ,: ;:< < www.fppc.ca.gav �#�tement ofi Organization � • - � ` i F�ecipient Committee , • ' INSTRUCTIONS ON REVERSE ,.- , <<_, ;,-: :_ . ;_ ; Paee 2 , �COMMITTEENAME � , .,��;. .• .��� �, � .�. .. . ..,.,. �.. :,�, .;�.: . �,.,�.,. . .,.-: L�.NUMBER . Dro Huang for City Council 2018 ::f, 1368800 ;� • All commiitees must list the financial institution where the campaign bank account is located. • �-- � - •� � !- ,,, _ �� . � , ,:r:: NAME OF FINANCIALINSTITUTION � '"�:�- :� � � � AREACODE/PHONE� � ' -���� � BANKACCDUN7NUMBER�` ' � �' `��'"'� �"� �=� '� �- . . . . , . . �.. .. . .� I.. . ., . .. . I . . :. ��� ..�:�: +f ° ..,. i'?' . . . qDORE55. .. . . ` ''` CITY' � `..": STATE ZIPCODE " . . , " : s '.r F "^ �;�.pt A''�:��...' ..... _. . . .. . . ... ,.. .. ........ . . ......... . 4.Type Of Co117fYtittee Complete the applicable sections. . , .,.... _ .... , _.., ,, .._.. .. . .. .... _ _.,._ ... . . . .. .., . . . -. . � ' _ . � Llst the name of each controlling officeholder,candidate,or state measure proponent. If candidate or officeholder controlled,a{so list the elective ofFice sought or held,and. . ,• .district number;if any,ahd the year ofthe election: _ . `. . ` , ._, . .. � . _ , ., _ ; • tist the polifical party with which each officeholder or candidate is affiliated or check"nonpartisan:' __ .�� � � � ;;,�. _�. • If this.�omm�ttee acts jointly with another controlled committee,list the name and identification number of the other controlled committee. " ..- r- ELECTIVE pFFICE SOUGHT OR HELD NAME OF CAN�IDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ,`fEAR CIFELECTION PARTY ' _ _ _ _ � Q Nonpartisan Andy.Huang �......, .. .._._ _ . City.Council 2018 ❑Nonpartisan , .. • � • • � �• Primarilyformed to support or oppose`specific candidates or measures in a single e{ection. List below: °'� � • � ' CANDIDATE(5)NAME OR MEA5URE(S)FULL TITLE(INCLUDE BALLOT N0.OR LETTER� CANDIDATE(5)OFFICE SOUGHT OR HELD OR MEASUPE(S)JURISDIC710N (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE . . . . . . .. .� . . . � ...��. .. � � � �. .. . � � � SVPPORT OPPOSE _ ........ .. . ..... . .._. ... ....._..... ... ........ . ... .... ..... �.. ...., , ,.. ... . . . � � �� � � � � � � �- � SUPPORT OPPOSE .,..... ._ ...._:_ . ..... . .... ... . _... .,.. , . _ .., . ._ .„... ._.,. . .. . . � �� ..... . . . _ ❑ � ❑ ... . . ._. . ..... .. . __. .. , _ . . . . . .. . _. . ,.. . . . •-. ,; - ;. �;.;.; fPPC Form 410(Jan/2016) �s`; ';. • - ; •.; , �: a., FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov