HomeMy WebLinkAboutForm 410 - Teng, Chia Yu - 2022.09.14 (Amendment)x
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
DR. TE.NG FOR ❑B CITY COUNCIL 2022 1451670
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
EAST WEST BANK
ADDRESS
19756 E. COLIMA ROAD
AREA CODE/PHONE
CITY
ROWLAND HEIGHTS
BANK ACCOUNT NUMBER
STATE ZIP CODE
CA 91748
• 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.
NAME OF CAN DIDATEIOFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HEL❑ YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
CHIA YU TENG
❑IAMOND BAR CITY COUNCIL
2022
Nonpartisan
Partisan
(list political party betow)
Nonpartisan
Partisan
(list political party below)
Primarily formed to support Or appose specific candidates or measures in a single election. List below:
CANDIDATE(5) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATEIS) OFFICE SOUGHT OR HELD OR MEASURE(5) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 420 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fpp5�.ca• ov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSL
I Page 3
NAME
I.D. NUMRE F7
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 DESCRPTION OF ACTIVITY
RAISE FUND FOR DIAMOND BAR CITY COUNCIL ELECTION CAMPAIGN
List additional sponsors on an attachment.
NAME OF SPONSOR
I N DUSTRY GRO UP Oft AFFILIATION OF 5PON50R
STREET ADDRESS NO, AND STREET CITY STATE ZIP CODE ARFACODEIPNONE
Datc qu aH tied
5. Termination Requirements By Si gn i ng the verification, th e t rea s urer, a ssi stant treas u re r an d/ o r C a n d idate, offi ce h ol d ee, o r po ne nt cerfifV that .111 of the fo I Iowi ng conditi an s have been rnet
• 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 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: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov