460 Amendment 12-31-2009
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84209-94216.5)
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SEE INSTRUCTIONS ON REVERSE ~ I5 t{ ~ ~ COVERPAGE
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Statement covers period Date of election If app cable
,7 , ~ ~0/ (Month, Day, Year CU ERTINO CITY ClE Far O~ciel use only
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1. Type of Recipient Committee: Au cnmmrtteea -template Pads ~, 2, a, and 4. Z, Type of Statement:
® Officeholder,CanditlateControlletlCommitlee ^ PdmadlyFormedBallotMeasure ^ PreeleclionStatement ^ quatterlyStatement
Q State Candidate Election Cemmiltee Commi9ee l {Semi-annual Statement ^ Special Odd-Year Repad
Q Recall Q Controlled ^ 7ennination Statement ^ Supplemental Preelection
(AlsoCemplefeParf5) Q Sponsored (Also fie a Form 419 Termination) Statement-Attach Form495
(AlsoCanplefePaA6) ~ Amendment (Explain below)
^ General Purpose Commi9ee
Q Sponsored
^ PdmarilyFormedCandidatel
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3. Committee Information .
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951367 Treasurers
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COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER inl~R
Sue-Fay L Chanq
BARRY CHANG FOR CUPERTINO SCHOOL BOARD MAILINGADDRE55
STREET ADDRESS (
CITY STATE ZIP CODE AREA COOEIPHONE NAME OF ASSISTANT TREASURER, IF ANY
Cupertino CA 95014
MAILINGADDRE55 (
CITY STATE ZIP CODE
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is tme and complete. I certify
underpenalty of perjury underlhe laws eithe State of California that the foregoing is tr~° °^~ ^^^°^t
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Dale SlgnaNreorConhollingOfficahdder,Candidete,5leleMeesurePmpenenl FPPCForm460(Januaryle5)
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State of California
By
SignehaenrCanholling Officahdder, Candidala,Stale Measure Pmpmenf