HomeMy WebLinkAbout2015_01_05 Form 410 Termination - John ChenStatement of Organization
Recipient Committee
Statement Type
❑ Initial
Not yet qualified 0 or
/ /
Date qualified as committee
(— Amendment
List I.D. number:
/ /
Date qualified as committee
(If applicable)
RI Termination — See Part 5
List I.D. number:
f 1370979
12 / 31 / 14
Date of Termination
1. Committee Information
NAME OF COMMITTEE
CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF
STREET ADDRESS (NO P.O. BOX)
CITY
Saratoga
STATE
ZIP CODE
Date Stamp
ECE vED AND ALEC
ie office of the Secretary of Staff:
of the State of CrOfortii
DEC 19 2014
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Chiachia Lo
STREET ADDRESS (NO P.O. BOX)
AREA CODE/PHONE CITY
CA 95070 ( Saratoga
MAILING ADDRESS (IF DIFFERENT)
FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara County City of Saratoga
Attach additional information on appropriately labeled continuation sheets.
STATE ZIP CODE
AREA CODE/PHONE
CA 95070 (
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE
AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE
AREA CODE/PHONE
3. Verification
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 C.lifornia that the foregoing is true and correct.
Executed on ! l t ` //r." (V By
DATE
Executed on
Executed on By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
i.2 l 142 f ti' By
DATE
SI OF TREASURER OR ASSISTANT TREASURER
SIGNATURE O'c'ONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov