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Statement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment
Q Not yet qualified
or
Date qualification threshold met Date qualification threshold met
9 t 18 .1 2018 -/ 18 / 2018
❑ Termination — See Part 5
Date of termination
Date Stamp
RECEIVED
CITY OF ROSEMEAD
SEP 18 2018
CITY CLERK'S
BYr � ,t i
1. Committee InformationI I.D. Number 1409067 I 2. Treasurer and Other Principal Officers
(if applicable)
NAME OF COMMITTEE
sean dang for council 2018
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Rosemead Ca 91770 (
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
sean@SeanDangforcitycouncil.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
los angeles los angeles
Audrey Du
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Rosemead . Ca 91770
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
sean dang
STREET ADDRESS (NO P.O. BOX)
9126 De Adalena St.
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. Rosemead Ca 91770 626) 688 9831
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 perjur undegfthe laws of the State of California that the foregoing is t e and rrect.
Executed on By
aTEA SIGN URE OF TR SURER ASSISTANT TREASURER
Executed on By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MAS4RE P,' PONENT
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: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient, Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
sean dang for council 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
bank of america
ADDRESS
AREA CODE/PHONE
626.407.0915
CITY
BANK ACCOUNT NUMBER
325108627109
STATE ZIP CODE
8856 Valley Blvd. Rosemead Ca 91770
4. Type of Committee Complete the applicable sections.
Page 2
I.D. NUMBER
1409067
• 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 APPLICABLE) ELECTION CHECK ONE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUREW JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
rucrie nuc
SUPPORT
1:1
Nonpartisan
Partisan
(list political party below)
Sean Dang
Rosemead City Council
2018
Fv
democrat
Nonpartisan
Partisan
(list political party below)
El
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUREW JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
rucrie nuc
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
1:1
OPPOSE
EL
SU P❑PORT
I OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA'
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBER
sean Clang for council 2018 1409067
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 Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
committee to fund Rosemead City Council campaign
Sponsored Committee 0 List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
aa1�71ih11■arUl1IIH711G)iaUAiliiIl�R7:� ❑
Date quallfied
5. 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 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 flied 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
Statement of Organization
Recipient Committee
Statement Type 10 Initial
Q Not yet qualified
P501M
Amendment I❑ Termination — See Part
or
Date qualification threshold met Date qualification threshold met
9 / 18 / 2018 9 / 1.8 / 2018
I.D. Number 1409067
(if applicable)
NAME OF COMMITTEE
sean dang for council 2018
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Rosemead Ca 91770 (
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL)
sean@SeanDangforcitycouncil.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
los angeles los angeles
Attach additional information on appropriately labeled continuation sheets.
Date of termination
Date Stamp
°,EIVF-D AND OU
office of ft 86cfetAfY OJ
of the State of Californlo
SEP 2 5 2010
21'I80C -2 NMI Il� ��
�E.a
CIAMIF,iMGilHIAHIG :
NAME OF TREASURER
Audrey Du
STREET ADDRESS (NO P.O. BOX)
CITY - STATE ZIP CODE AREA CODE/PHONE
Rosemead Ca 91770
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
sean dang
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE. AREA CODE/PHONE
Rosemead Ca 91770
I have used all reasonable diligence in preparing this statement alhd to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under th laws of the State of California th fhe foregoin is true correct.
Executed on I By
DAT SIGN URE OF TREASURER OR ASSISTANT TREASURER
Executed on Zf� / By
DATE SIGN URE OF CO R LLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee FORM 410
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D, NUMBER
sean clang for council 2018 1409067
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
bank of america 626.407.0915 1325108627109
ADDRESS CITY STATE ZIP CODE
8856 Valley Blvd. Rosemead Ca 91770
4'T peo Complete the applicable sections L 4
--
sf Gommlttee . _._�.., .. _.. -;u _��...� .�.� _ x ._
• 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 APPLICABLE) ELECTION
CHECK ONE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
SUPPORT
El
Nonpartisan
Partisan
(list political party below)
Sean Dang .
Rosemead City Council
2018
ElF✓
democrat
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) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
El
OPPOSE
-
SUPPORT
OpppSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
sean dang for council 2018 1409067
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
committee to fund Rosemead City Council campaign
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
tiTiT.71[t.Tii7717►I7.Tl .R 1ilPilii73a ❑
Date qualified
Termination Requirements ,, a*easuror, assistant treasurer and/ar Candidate, offjGeholder, or proponent certify that all ofthe following conditions have been met:
• 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
Statement of Organization
Recipient Committee
_
Statement Type nitial
Not yet qualified
or
O Dale qualified as committee
IA
Date Stamp
❑ Amendment ❑ Termination — See Part 5
Date qualified as committee Date of termination
I.D. Number
(if applicable)
NAME OF COMMITTEE
CJ .. A tJ T�>ANO:-T r-aR
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Ve�>y r-ATp CA • 91710
AILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL)
NAME OF TREASURER
Gr-J"I0A I)All4
For Official Use Only
STREET ADDRESS (NO P.O. BOX) '
° -
CITY STATE ZIP CODE AREA CODE/PHONE
Kos"C-AD CA, RI -77D
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS IND P.O. BOX)
I'
CITY STATE ZIPCODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this statement and to the best of my knowledg the i ation contained erein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true a corre
Executed on i(Jl1 ' 197 By
gn—
DAATEESIGNATURE EASUREROR ASSISTANT TREASURER
Executed on 1--42-060 - 0r� By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEAWNSE PROPONENT
Executed on I By
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE 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
• All committees must list the financial institution where the campaign bank account Is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
Page 2
I.D. NUMBER
• 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 APPLICABLE) ELECTION CHECK ONE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
RE A DE -1 I crATc 11—A. W - E -RT nc Tuc nccnrcum nca,c Rene❑ (INCLUDF DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
CHECK ONE
SUPPORT
❑
Nonpartisan
Partisan
(list political party below)
Cvf-, -N 26-d
( C'-O�t YX
211111
El
El
vEm O CR�hT
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) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
RE A DE -1 I crATc 11—A. W - E -RT nc Tuc nccnrcum nca,c Rene❑ (INCLUDF DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
CHECK ONE
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
❑
OPPOSE
❑
SUPPORT
❑
OPPOSE
❑
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov