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410 Statement of Organization Recipient Committee - Amendment Statemen�ofi Os-ganization ,� -- - Recipient Committee �i; � i� (��ati�m� '� � • _ . � , Statement Type []�nitial x ; . � ❑ Amendment ❑ Terttiination—See Part 5 � ` k ' ' �� c� � � For Official Use Onl (7 I�ot yet qualified �� ��+� � � �a�� 1�! v or � � � Date qualified as committee 10 � 1�2ola __� I � � � Date qualified as committee Date of termination / / � �Y��'����� ����' v�� ,i� � 1. Committee Infmrmafion �•D. Number (if applicabteJ 1412139 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER Cupertino Residents for Local Ethical Government Opposing Chao & Willey for �ary E. Jones City Council 2018 , ' STREET ADORE55{NO P.O.BOX) . STREETAODRESS(NO P.O.BOX) COUNTY OF DOMICIIE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPALOFFICER(Sj Santa Clara County Cupertino Oscar Hur � , STREETAODRESS(NO P.O.BOX) 3. Verification I have used all reasonable diligence in preparing Executed on BY DATE SIGNATURE OF CONTROLtING OFFICEHOLDER,CAN�IDATE,ORSTATE MEASURE PROPONENT Executed on ey DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIOATE,OR STATE MEASURE PROPONENT Executed on BY oare SIGNATURE OF CONTROLIING OFFICEHOLDER,CqNDIOATE,ORSTATE pAEASURE PROPONENT FPPC Form 410(February/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee � _ , � ' . - INSTRUCTIONS ON REVERSE COMMITTEE NAME Page 2 of ? I.D.NUMBER Cupertino Residents ior Local Ethical Govemment Opposing Chao & Willey Por City Council 2018 1412139 2a. Additiona� Officers/Assistant Treasurers NAME NAME Michael Malik MAILING ADDRESS MAILING ADDRESS NAME NAME MAI�ING ADDRESS MAILING ADDRESS ��N STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE Af2EA CODE/PHONE NAME NAME MAILING ADDRESS MAILING ADDRESS ��N STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME NAME MAILING ADDRESS MAILING ADDRESS C�TY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE www.ne�le.com FPPC Form 410(February/2018) FPPC Advice:a�lvice@fppc.ca.gov(866/275-3772} www.fppc.ca.gov Statement ofi Organization � • - . ' Recipient Committee , INSTRUCTIONS ON REVERSE s - COMnnITiEENAME � PageZ Page 3 Of 4 I.D.NUMBER Cupertino Residents for Local Ethical Government Opposing Chao & Willey for City Council 2018 1a12139 • All committees must list the financial institution where the campaign bank account is lacated. NAME OF FINANCIALINSTITllT10N AREACODE/PHONE BANKACCOUNTNUMBER Bank of San Francisco ( 704019232 aooRESS ��T1' STATE ZIPCO�E 4.Type of Committee Complete the applicable sections. . • List the name of each controlling offiiceholder,candidate,or state measure proponent. If candidate or officeholder controlled,aiso list the efective 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"nonpartisan." Stating"No party preference"is acceptable. • If this Committee acts jointly with another controlled committee,list the name and ideniification number of the other controlled Committee. NAME OF CANDIDATE/OfFICEHOL'DER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF pAR�. . (INCIUDEDISTRiCTNUMBERIFAPPLICABLE} ELECTION CHECKONE Nonpartisan Partisan (list politicai party below) 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)FULLTITLE(INCLUDE BAILOT NO.OR LETTER) CANDI�ATE(5)OFFICE SOUGHT OR HELD OR MEASURE{S)JURISDiCTION IF A RECALL,STATE"RECALL"IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICE NO.,CI7Y OR COUNTY,AS APp�ICABLE) CHECK ONE Liang-Fang Chao City Council Member: Cupertino SUPPORT OPPOSE X Sohn Wille City Council Member: Cupertino SUPPORT OPPOSE Y X FPPC Form 410(February/2018} FPPC Advice:adviceQa fppc.ca.gov(866/275-3772) www.fppc.ta.gov Statement of Organization • • - . � Recipient Committee L INSTRUCTIONS ON REVERSE • - COMMITfEENAME Page3 page 4 Of 4 (.D.NUMBER Cupertino Residents for Local Ethical Government Opposing Chao & Willey £or City Council 2018 1412139 4.Type of Committee (Continued} ' Not formed to support or oppose specific candidates or measures in a single election. CheCk only one boX: ❑ CITY Committee ❑ COUNTY Committee❑ STATE CommitEee❑ Political Party/Central Committee PROVIDE BRIEF DESCRIPTION OFACiIVITY !•• � -- List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AfFILiATION OF SPONSOR STREETADDRESS NO.ANDSTREET CITY STATE ZIPCODE AREACODE/PHONE � � � �ate quaiified S.TerminationRequirements Bysigningtheverification,thetreasurer,assistanttreasurerand/orrdndidate,officeholder,orproponentcertifythatallofthefoilowingconditionshavebeenmet: • 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 ail 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 disciosing all reportable trar,sa�t;or,s. -- There are restrictions on the disposition of surplus campaign funds held by elected ofiFicers who are leaving office and by defeated candidates. Refer to Government Code Sectian 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code SeCtions 89�11-89518,and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5_ FPPC Form 410(February/2018) FPPC Advice:advice@fppc.ca.gov(866j275-3772) www.fppc.ca.gov