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Home My WebLink AboutZhao Amended Form 410-3rd/'1 / jj�� / in the office of the Secretary of ,-- 1/ f� 2 �_ ( / / �f tilE State of California i^ G-IY J \' 3 �v"1 V Statement of Organization " � �_ Date Stamp CALIFORNIA � �" Recipient Committee 3 N �1` 410 FORM Type ❑ Initial ; For Official Use Only Amendment ❑Termination —See Part".5 0 AN, D i'" � � . in 1e office of the S crc tary of Statc Q Not yet qualified or of the State of California Q Date qualification threshold met Date qualification threshold met Date of termination DEC 2 8 2020 10 / 7 / 2013 g I.D. Number 1358910 a e o livable NAME OF COMMITTEE - NAME OF TREASURER Yan Zhao For Council 2022 Perry Gee CITY STATE ZIP CODE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Saratoga CA 95070 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE COUNTY OF DOMICILE WHERE COMMITTEE IS ACTIVE NAME OF PRINCI PAL OFFICER(S) 7ISDICTION Santa Clara Yan Zhao STREET ADDRESS (NO P.O. BOX) 19034 Bonnet Way Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIPCODE AREA CODE/PHONE Saratoga CA 95070 I have used all reasonable diligence in preparing this statement and to the best of my knowledge the 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 (August/2018) FPPC Advice: _,-•lsrcr{s1 r s;_)yc t (866/275-3772) 01� L Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Yan Zhao For Council 2022 1358910 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER Wells Fargo Bank, NA 408/867-9671 12104-28828991424873 ADDRESS CITY STATE ZIP CODE 14428 Big Basin Way Saratoga CA 95070 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List 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 identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPHCARI FI rl crTnnu • -------- CHECK Ont Nonpartisan Partisan (list political party below) Yan Zhao Saratoga City Council 2022 X 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 MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICFHnl nFRN NAKdF CAN OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION n. CHECK SUPPORT ONE OPPOSE SUPPORT _OPPOSE FPPC Form 410 (August/2018) FPPC Advice: a%vE�cl;Z'y�r�_r_;�; (866/275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Yan Zhao For Council 2022 General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY SponsoredList additional sponsors on an attachment. rvnmt yr Drvrvwn •.--•-��,�� rvv. nrvu n�ntti CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE Page 3 I.D. NUMBER 1358910 AREA CODE/PHONE • 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 all 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 disclosing all reportable transactions. — There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. — Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (August/2018) FPPC Advice: =>,r tier r:'; s15;:C�,&r v (866/275-3772) March 05, 2021 SHIRLEY N*WEBER, Ph.D. CALIFORNIA SECRETARY OF STATE Political Reform Division 11500 11'" Street, 41h Floor I Sacramento, CA 95814 1 Tel 916.653.6224 Fax 916.653.5045 1 www.sos.ca.gov ra� PERRY GEE✓ ZHAO FOR COUNCIL 2022, YAN, ID# 1358910 MAR 19034 BONNET WAY ��17� SARATOGA CA 95070 �� O Dear Filer: �q'Q}' OF SSNI�y Thank you for filing the amendment to your Statement of Organization (Recipient Committee Form 410), which was received on December 28, 2020. As required by the Political Reform Act of 1974, your statement has been reviewed to determine whether it conforms on its face with disclosure requirements. This letter is to note the results of our review. The signature of the treasurer, controlling officeholder, candidate, or state ballot measure proponent is a photocopy. Please use the enclosed Form 410 to provide the original signatures. If you have any questions, please call Itzel Medina at (916) 695-1546. Sincerely, Itzel Medina, Staff Services Analyst Political Reform Division