410 Statement of Organization Recipient Committee - Termination stamped by SOS Statement of Organization Date Stamp •
Recipient Committee , -
Statement Type 'ECEIVED AND F111
❑Initial El Amendment ® Termination–See Part 5 in the office of the Secreta {
Not yet qualified ❑ or List I.D.number: List I.D.number: of the.Sites of CaliforniaFEB
I E
#1386578 # 1386578 ( Y � FEB 2 f 2017
2 2017
12 /31 /2016 -- -
Date qualified as committee Date qualified as committee Date of Termination
V —g, TI -0 C'3— CLERK` /
(Ifapplicable)
1 '.Commit.tee' _... , 77
NAME OF COMMITTEE NTAeMeE OF 1R4aERndl Othev r P r i11Ci pa':I
u1,....h..r„
Jerry Liu for City Council 2016 Jennifer Fanq
STREETADDRESS(NO P.O.BOX)
Nan Yu
MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Santa Clara Cupertino, CA
STREET ADDRESS(NO P.O.BOX)
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE
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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 tlpv7egoilg
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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov