410 Statement of Organization Recipient Committee - Amendment (2) Statemen� of O�ganization
Recipient Committee �' �-�' a "" ,� � .
af � +� � �� � �J • ' • � 1
Statement Type �'
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lnitial � Amendment ❑ Termination—Se�Part 5 3
� � ���� For Official Use Only
(� Not yet�qualified ��} �� ��� � ���� � , �
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� Date qualified as committee 10 ( ��zo�8 ______�-/ � �
Date qualified as committee Date of termination
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1. Committee Inf�rmation • ��D. Number
(if applicab(e) 1412139 Z. Treasurer and Other Principal Officers
NAMEOFCOMM7TTEE � �
NAME OF TREASURER
Cupertino Residents for Local Ethical Government Opposing Chao & Wi11ey ioY Gary E. Jones
City Council 2018
STREETADDflESS(NO P.D.BOX) � -
Nancy L Waxzen
ScPtd Clara C011P_t NAMEOFPRINCIPALOFFICER(5}
Y Cupertino
Oscar Hur
- � - � STREE7AODRESS(NO P.O.BOX)
I have used al(reasonable diligence in preparing
Executed on B
DATE y
. SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIOqTE,OA STATE MEASURE PROPONENT
FPPC Form 410(February/2018j
FPPC Advice:advice@fppc.ca.gov(866/Z75-3772)
www.fppc,ca.gov
' Statement of Organization
Recipient Committee
. - . 1
INSTRUCTIONS ON REVERSE � '
COMMIlTEE NAME Page 2 oz 4
I.D.NUMBER
Cupertino Residents for Local Ethical Government Opposing Chao & Willey £or City Council 2018
1�12139
Za. Additional Officers/Assistant Treasurers
NAME
NAME
Michael Malik
MAILING ADDRESS 4
MAILING ADDRESS
�
.
NAME ,
NAME
MAILING ADDRESS
MAIUNG ADDRESS
��TM � STATE ZIP�CODE AREACODE/PHONE CITY
STATE ZIP CODE AREA CODE/PHONE
NAME
NAME
MAILING ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE CITY
STATE ZIPCODE AREACODE/PHONE
NAME
NAME
MAILING ADDRESS
MAILWG ADDRESS
C�N STATE ZIP CODE AREA CODE/PHONE C17Y
STATE ZIPCODE AREACODE/PHONE
www,ne�le.com
FPPC form 410(February/2018)
FPPC Advice:advice@fppc.ca.gov(866I275-3772)
Www_fnnr.ca nnv
Statement of Organization
Reci�ient Committee • • - .
� �
INSTRUCTIONSONREVERSE � �
COMMITTEENAME � . � Pagez Page 3 Of 4
Cupertino Residents �or Local Ethical Government Opposing Chao & Willey for City Council 2018 �•�•�'UMBER
1412139
• A11 committees must list the financiai institution where the campaign bank account is located.
NAME OF FINANCIALINS7ITUTION � �
� AREACODE/PHONE BANKACCOUNTNUMBER �
Bank of San Francisco
( 704019232
ADORESS
Liif -
� List the name of each controfling officeholder,candidate,or state measure proponent. If candid�te or ofFiceho�der controlled;also list the elective office sought or held,and
district number,if any,and the year of the election.
� �ist the political party with which each officeholder or candidate is affiliated or check"tlonpartisa�." Stating"No party preference"is acceptable.
+ If tI115 COITItYlitt2e 2Cts jointly with another contro(led committee,i�5t tne name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOL�DER/STATE MEASURE PROPONENT EIECTIVE OFFICE SOUGHT OR HELD YEAR OF
UNCLUDE DISTRICT NUMBER IFAPPUCABLE) ELECTION PARTY
CHECKONE
Nonpartisan Partisan (Iist politica�party below]
Nonpartisan Partisan {list political party below)
' "' • ��- Primarify formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5)NAME OR MEASURE(5)FULLTITLE{�NCLUDE BALLOT NO.OR LETTER) �
� IF A RECALL,STATE"RECAIL'IN FRONT OF THE OFFICEHOLDER'S NAME. � � CANDIDATE(S)OPFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
(INCIUDE DISTRICT NO.,CI7Y OR COUNTY,AS APPLICABLEJ
Liang-Fang Chao City'Couneil Member: Cupertino cHecKONe
. ' � SUPPORT OPPOSE
John Willey City Council Member: Cupertino X
SUPPORT OPPOSE
X
FPPC Form 410(February/2018)
FPPC Advice:advice@fppc.ca.gov{866/275-3772j
www.fppc.ca.gov
Statement of Organization
Recipient Committee ` • " � '
�
1NSTRUCTIONS ON REVERSE � �
COMMITTEENAME Page3 page 4 of a_
� � I.D.NUMBER
Cupertino Residents for Local Ethical Government Opposing Ci1ao & Willey for City Council 2018
4.Type af Committee (Continued} 1�12139
' " Not formed to support or oppose specific candidates or measures in a single election. CheCk only one box:
❑ CITY Committee ❑ COUNTY CommitEee❑ STATE Committee❑ Political Pa
rty/Central CommitEee
� PROVIDE BRIEF DESCRIPTION OP ACTIVITY
��• - List additional sponsors on an attaChment,
NAMEOFSPONSOR
� INDUSTRYGROUPORAFFIUATIONOFSPONSOR � �
STREETADORESS NO.ANOSTREET �
arr
. STATE ZIP CODE� AREA CODE/PHONE
I I ❑
� �
Date qualified �
S.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate;officeholder,or proponent certify that all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This COmmlttee 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 recei�red,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 futld5 held by e12Cted OfFICeI'S Who aPe leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of balfot measure committees may be used for political, legislative or goverr�mental purposes under Government Code Sections 89511-89518,and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(February/2018)
FPPC Advice:advice@fppcca.gov(866/275-3772}
www.fppcca_gov