460 Recipient Committee Campaign Statement – Preelection Statement 07-01-2016 to 9-24-2016 RecipientCammittee �°vEr�����
�„� ��
Campaign Staterr�ent ��`P s`�__ _ ` ° " � ' ,� a
Cover Page ' °-
(C3overnrnent Code Sections£�4200-E�4216.5)
Statetnent covers period Date of election if applicable:
(MonB�. Day, Year) �Cn � Paye__...�:._.._...._ of �
0 201� ----
from ----_o�7/t�l/2o16 __ _ �"�- I'oi O(ficiai Use Only
�' - fhfOUgft i 24/201� __._ --.—_ ' �' _.__----- " ...,,..,.. ����5,? � �; ,�1-`.. ....... ._.,-_..--
SEiL INSIRUC1lONS ON RCVf".RSE _��._.�_._.__.._..__ �E 07 9U16 .._ . .. .. _. �. , . ..... ._. . ..
1. Type of Recipient Committee: An co�t,«,�ctee5-c��n��PcP P:�rts 1,2,3,,�,��. 2. Type of Sfatement:
(7;,� Offir,eholder,CandidatF Controlfed Commillee [] Priniarily Formed f�allot Measure L� Freelection Statement
[] C.�uarterly Statement
0 Stale Candidate Election Committee Comrnitte� �] Semi��annual Sfatement (� S�ecial Odd-Ye�r 12�port
�) R�call �Controlled
�ni,ocn�n�iarer,n,i,� [_] lennin�tion Stater'nent [] S�.ipplernen(al F'�eelection
(� Spon,ored (Aiso file a Form 410 Teimination) � �-
�n��oc����i�i���a�tsJ otat�iricnt-Attach Forrri�19.�
[,� General PurF���se f:ornrni(tee � ❑ nmer7dment (Explain below)
(� Sponsoirad �..._� Primarily Fornied Candid�ate!
_.
(�Sn�all Conhibutnr Conimiitee Of(iceholder Comniiltee _._....___
(�Politir.alPartylCenlr�ICorninittee In+soc.on,�ior�ra,r'r� ------..__..--.__� _____ _
3. Co�nmiftee Information � �° """'�'�R Treasurer(s)
«����a:s�
CbMM1T'iEE NnME(OR CANDIDA�fL'5 NAME II' Nq COMMiI�"I�.F.E) NAMF.. 9P�iREnSURFR - - -�
Narry C}iarq ,for n^semuly 20.LE
� P,na.-xy C}1anR
M/111.ING ADD2ESA �
:
S�I�R[6i AbDR[SS (NO P.O.f�OX) CITY STA"I'E 7_IP CpDf-: ARFA COUIJPIIONE .
Cu�ertino CA 9�019
(
CITY STn'I'F TIP CObC- ARFA CODF1Pf{ONF, lJAMF OP AiSIS�fnPll"1�REnSURI'R. IF ANY �
Cupwrtln� CT1 95014 (-
M�II_ING ADURFS; (IP bIFPERFN7j Ni).ANfI 5I�RE[T OR P.O. [30X A�InI1JNG ADURESS -�� � �
Clil' STnfE 711' COL1f_ AREA CODfi/F'h1UNF CITY S�l�Tf 71f' COU� /�Rf-./� CODEIf`I1UNE
O!'TIONl�I..: I-AX 1 6�A-0AIL AUI)RFSS OPl"IONnL: FAX/GPANI..nUDR�SS �
!»
. .. . . . . . . ._.
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the besl of my knowiedge the inforrnation contained herein and in the attached schedules i,irue arzd c;ornpletr. I certify
under penal(y of perjury under the laws o(lhc�Stale oi Cali(ornia that thc foregoing is tru�and correct.
� �
Ex.r.culed o�i �`�!�'B/2016 �Y ��'�,�.
Me�su�e P�opnrient o�Rr,sponsible 06icer n(Sponsor
�/ �
Fk('(;ll�[',(1 nfl AY
���'�A Sigu�ture of Controllinq Oftirrholder.Candi�f�tc,Slale Measu���Prnpnnent
FxeCuted en [�y
Ua1n Slgnaturo oFConpolling Ofilc�holdc�r,Cnntlidelo,Sl�te Mcasu�F�Prnpo�'�ent
FPPC Fonn 460(J2n/2016)
FPPC Advice:advice@fp��c.ca.gov(8661275-3772)
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COVER PAGE-PART2
Recipient Commitfiee
Campaign Statemenfi ' � �' ' � � �
Gover Rage— Part 2
Page— Z -- °f—�--
5. Officeholder or Candidate Controlled Comrnittee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEFIOLDER OR CANDIDFlTE NAME OF BALLOT MEl1SURE
Barry CYiarig
OFFICE SOUGFIT OR HELD QNC�UDE LOCAl lON AND DISI RICT NUMBER IF APPUC�BLE) BALLOi NO.OR LETI ER I JURISDICiION I U SUPPORT
Asseitihly llistxirt 24 �,_� OPPOSE
RESIDENiIAI_lBUSINESSADDRESS (NO.nNDSiREEf) CIiY S1AiE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
Cupertiiio C71 95p14
' NAME OF OPFICEHOLDER,CnNDIDAIE,OR PP,OPONENT
Related Committees Not Included in this Staternent: ust any con,�ni�cees
not included in this staternent that are controlled by you or are prirnarily forrned to receive ��fFICF SOUGf-1i OR HELD I UISTRIC� NO. IP nNY
contributions or rnake expenditures on behalf of your candidacy.
GOMMIiiEENAME LD. NUMBER '
F'riPnds of Rarry ('ha��y nqairist tF�e F�o�ll
NAME OF TREASURFR COMROLLEDCOMMITTEE? �• Primarily Formed Candidate/Officeholder Committee List names of
of�iceholder(s)or candida(e(s)for which this comrniltee is prirnarity(orrned.
P.iY_a Copelarid L�,J YES U NO
COMMITIEEADDRESS STREET ADURESS (NO P.O.BOX) NAMF OF OFFICEHOLDER UR CnfJDIDAIE OFRCE SOUGFI�pR IiELD
�] SUPPORT
U OPPOSE
CRY SIAIF_ 7_IP CODE AREA CODE/PHONE N�1MF OF OfFICEHOLDER OR CANDIDATE OFFICE SOUGIi f OR I1ELD
U SUPPORT
_._.. . ------ _ _--- - OPPOSE
_ _ _. _ . . . _ _
�._�
COMMITTF_E NAMF_
I.D. NUMBER .
NnME OF OFFICEHOLDER OR CANDIDA�E OFFICE SOUGHi OR IiELD u SUPPORT
[--� OPPOSE
NAME OFTREl1SURER CON�ROLLEDCOMMITTEE7 NAMF_OF OFFICEIIOLDER OR CANDIDATE OFFICE SOUGIIT OR IIELD
U YES [] NO U SUPPORT
_ ❑ or��osE
COMMI I1 EE nDDRFSS S fREF1 ADDRESS (NO P.O.BOX)
CIiY SI'F�IE ZIP CODE AREACODE/PFiONE Attach continuation sheets if necessary
�PPC Form 460(Jan/2016)
FPPC Advice:advice(c�fppc.ca.gov(866/275-3772)
www.netfile.corn
www.fppc.ca.gov
Campaign Disclosure Statement SUMMARYPAGE
Amounts inay be rounded Staternent covers period � -
Summary Page to whole dolla�s. � � '
from o�/oi/2oi6 � �
SEE INSTRUCTIONS ON REVERSE through 09/24/2016 Page_.3 of-__�--
NAME OF FtLER I.D. NUMBER
Basry Chauy for nssembly 2016 1378937 +
Colurnn A Column B Calendar Year Summary for Candidates
Contributions Received ror�t ruisreaioo C�LENDARVEAR
�raoM�,��cf�FoscF�Eou�Es� IOIAI_iO�ATF Running in Both the State Primary and
General Elections
1. Monetary Contributions ....... sci,ed�,�e�,�u,e s $ 1,soo.oo g ii,039.19
. . ... ..... . .. ..... .. 1/1 through 6/30 7/1 to Date
2. Loans RBCeIV2CI ...................................................... Schedule B,Line 3 0.00 100,000.00
1,500.00 111,039.19 ?0. Contribulions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... .ndd�ines 1+2 $ $ Received $ $
4. Nonmonetary Contributions.................................... scneduie c,�ine 3 0.o0 3,�40.a 1 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED ...... -. �. � � ��ddr_���es3+� $ l,soo.00 g iia, �so.00 Made $ $
Expenditures Made Expenditure Lirnit Sumrnary for State
6. PayrT�ents Made....................................................... scnedcde e,une� $ z,786.32 $ 4ia,192.91 Candidates
7. Loans Made............................................................. Sr.hedule H,Cine 3 0.oo U.o0
----" - 22. Cumulative Expenditures Made'
8. SUBTOTALCASFiP�YMENTS .................................... .�ddi_��,ess+� $ _____?.786_32 $ _ 413,192.91 (IfSubjecttoVoluntaryF_xpenditureLBniQ
9. Accrued Ex enses Un aid Bills Schedule F,Line 3 _-2,s�o_oo o.oo Uate of Election Total to Date
p � P ) ...............................
10.Nonmonetary Adjustment ...................................._....scned�de c,une s
0.00 3,740.81 (��m/dd/yy)
1"I. TOTALF_XPENDITURESMADE................................Add�inese+g+lo $ 246.32 g 4�c,933.72 05 0� zo�5 39o,s9�.s�
----� �----- � ----
Current Cash Statement ---J--�---- $
12. Beginning Cash BalanCe....................... Previous 5ummary Paqe,Line 16 $ 6,a�i.is
lo calculate Colunm B,add
13. Cash ReC21�fS ................................................... Colunui A,Line 3 above i,so o.o0 2mounts in Colurrui A to the
corresponding amounts `Amounts in this section may be differen(from amounts
14.Miscellaneous InCreases to CaSh........................... Sr,hedtde I,Line 4 0.oo irom Column B of your last reported in Colurnn B.
2, �86.32 report. Sorne arnounts in
15. Cash P2yfllelllS.................................................. Colurnn A,Line 8 ahove -----. -- Colurnn A rnay be negative
16. ENDING CASH BALANCE.......... Add Lines�2+ 13+ 14,fhen subfracf Line 1.5 $ 5�59�-83 figures that should be
subtracted from previous
I(lfris is a lerrnination s(atement, Line 16 mus(be zero. period arnounts. I(this is
the (irst reporl being Filed
o.oo �or this calendar year, only
17.LOAN GUAR/�NTEES RECEIVED ........................... sr.hedu�e B,Part z $ carry over the amounts
Cash Equivalents and Outstanding Debts F�o�T, ���,es z, �, and 9(if
any).
18. Cash Equivalents........................................ see r�,sir�,r.r�o��s on re�Prse $ 0.00
19. OUfSlelldlflg D@bfS ......................._ Fldd Line 2 i Line 9 in Colurnn B above $ 100,000.00
FPPC Form 460(Jan/2016)
. FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.ippc.ca.gov
www.netfile.com
�chedule A
Monetary Contributions Received Amounts may be rounded - ---P-- SCHEDULE A
to wtiole dollars. Statement covers eriod � _
� • 1
from �7/01/2016 '• '
SEE INSTRUC1lONS ON REVERSE through 09/24/2016___ p�ge__4__of__'?_ _
_ ----------...-------------- ----- -- —
N�ME OF FILER I.D. NUMBER
Barry CPiang for Assembly 2016 1378937
DATE FULL NAMF,STRFFT ADDRESS AND ZIP CODE OF CONTRIBUiOR CONTRIBUiOR IF AN INDIVIDUAL, ENTER AMOUNi CUMUL/�TIVETODAfE PFR ELECTION
RFCEIVED (iF��titrvurtee,n�soeNrr-Rio r�ur�i3eR> CODE * OCCUPAiION�ND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE
(IPSFLF��FMPLOYE�,ENI�ERNAbIE PERIOD (,IAN. 1 -DF_C.31) (IF REQUIRED)
OP BUSINE55)
-------------- -- ------- --. -- ___-_ - u I ND-----__ _---- -------- --—---_ _....---
0 7�18�2016 nssociated Buildere k Contra�-tors FI�C (]:��f 500.00 500.00 F201ti $SOO.q0
822i3a, UCUM
��TI-�
u�'TY
U SCC
---------------------. _._------------- -- _------- - ------ -- -----------
07�18�2016 Ci��iistirie Y,. Xouriq ���J� Iii5uraitce Agent 1,000.00 1,000_00 P207.6 $1,000.00
�o,f�
��,Y
___-- - _.._ -----
----- —- - - --
us��
------ --- -----------------------
--- -------------
UiNo __---------- -
u���M
Uorii
U�rv
U scc
----- - — -_ _ — - _ ------___ . _--- ------------ --- - --------
��N� - - --- ------ --—_ -- ---- -- - -
��oM
❑�T��
[]PTY
[_]SCC
__-- ----- - --__ _..------- _ --- - -_ - -
----- --__-___....._____ _ ------ -------
--. ------------------ --- _ .
-----_. ...------
(�INU
❑COM
(�OTI I
LJPTY
❑SCC
-- ----- -- -_ _-- --- ---- _ _ - --- 1
SUBTOTAL$ i,soo.00
--- ___----- -----------
Schedule A Summary }Contributor Codes
1. Amount received this period-itemized monetary contributions. �N�-individuai
(Include all Schedule n subtolals.) $ i,soo.oo COM-RecipientCornrnittee
........................................................................................................ -------- (other than PiY or SCC)
2. Amount received this period-unitemized monetary contributions of less tf�an$100 ............................. $ o.oo �if i-otf,er�e.g., hus��,ess e�,t�ty�
--- --- P1Y-Political Party
3. Total monetary contributions received this period. sCC-smaii Contributor Comrnittee
�f�dd Lines 1 and 2. Enter here and on tlie Surnmar Pa e, Colurnn!1, Line 1. TOT�L l,soo.o0
Y 9 ).................... $ -----
FPPC Form 460(Jan/201G)
fPPC Advice:advice@fppc.ca.gov(866/275-3772)
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SCI IEDULE B-PART 1
Schedule B— Part 1 Amounts may be rounded Statement covers period � _ �
Loans Received to whole dollars. o'�/oi/zoi6 • - � � '
frorn
SEE INSTRUCTIONS ON REVERSE through �9�24�2�16 Page__5_ of__�_
NAME OF FILER I.D. NUMBER
Barry Giang for I�esembly 2016 13`78937
IF AN INDIVIDUAL, ENTER (a) (b) (�) pUTS1�NDING (�) (f) (q)
FUI_L NF1ME.STRF_FT ADDRESS AND ZIP CODE OUTSTANDING AMOUNT qMOUNT PAID INTEREST ORIGINAL � CUMULATIVE
OCCUPA�ION AND EMPLOYER BALnNCE BALANCEAT
Of I_ENDER � BEGINNING iIIIS �ECEIVEU THIS pR FORGIVFN CLOSE OF THIS �AID TfIIS nMOUNTOP CONlRIBUTIONS
IF SEL�-EMPLOI'F_D,EN I ER
�irr.onnnnuree,n�soeruieaio NUMeeR) NAMEOFBUSINESS) PERIOD �'ERIOD THIS PERIOD� PFRIOD PERIOD LOAN iODAlE
Rarry Cl�iang Caiididate �-��,��� CAI.ENDARYE�R
R U.00 � 30,000.00 0_00_� � 30,D00.00 � 160,000.00
R�IF
��fORGIVEN PERFLFCIION""
�_30,000.00 $ 0.00 � 0.00 11/19/2016 � O.pO 05�19/2016 $P�o1e 1r,o,000.on
��X� IND U COM �� OT H U PTY u SCC DAi�E WE DAl F INCURRFD ',
Barry Chaiig Ca[idi.date , �pq�p '� CALENDARYEAR
�� $ 0.00 �_30,000.00 0.00 � � 30,000.00 �i g 160,000.00
��FORGIVEN aniF I PERELEC110N'`"
30 000.00 0.00 0.00 _ll/20.L2o1_6_._ $_____.,0.00 OS/2017.016_ $P-2o15 160,000.n0
$._..._.—_—_. $ $
1�J IND LJ COM LJ OiFI �, P1Y U SCC DATFDUE DNEINCURRED
Rarry Chaiig Candici�te ' � � ��p��p CAI.FNDARYFAR
p.o0 40 OOo.Oo 0.00
g------_ $-- �--,.-_ ---� $ 40,000.00 � 160,000.00
anre
��fORGIVFN PERFI_ECIION"�
g__�o,000_oo g----- o.00 R-- o.00 _�_1/z�/zoi5 �---°_00 os/zo/2oi5_ g�za�e �eo,000.00
��] IND [� conn ❑ or�� L� �Tv ❑ scc nnreoue oareiNcurzaer.�
__.._ —-------___ ___ __ _____ -------. _--___ _ -- _.. ._------ ------ — __— _--------�..__------'— -- —
SUBTOTALS $ o.00$ o.00$ too,000.00$ o.00
---_--- ---._...___------ ----- - ---_.._... ------....—__ ------
(Enter(e)on
Schedule B Surnmary SclieduleE,Line3)
1. Loans received tl�is period.................................................................................................................... $ o.o0
(Total Colurnn(b)plus uniterriized loans of less than$100.) icontributor codes �
IND—Individual
2. Loans paid or forgiven this period ......................................................................................................... $ .___. o.00 COM—Recipient Cornmittee
(Total Column(c)plus loans under$10U paid or forgiven.) (other lhan PTY or SCC)
(Include loans paid by a third party that are also iternized on Schedule A.) U1fi—Other(e.g., business entity)
PTY—Political Party
0.oo SCC—Srnall Contributor CornrniUee
3. Net cfiange this period. (Subtract Line 2 from Line 1.)............................................................... NET $ __..__ ____
Enter the net here and on tl�e Surnmary Page, Colurnn n, Line 2 ��������"�����������"������
� `nrnounts forgiven or paid by another party also must he reporled on Schedule A.
"` I(required. FPPC Forrn 460(Jan12016)
� FPPC Advice:advice@(ppaca.gov(866/275-3772)
www.fppc.ca.gov
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---_-- ----- .
SCI IEDULE E
Sctiedule E Statement covers period s . ,
Amounts may be rounded � �
P'ayrnents Made to W�,o�e dollars. 07/U1%2016 ' '
fron, - ---------- -
through .._ 09/24/2016 _ Page__6__--. of__--�-_..
SEE INSTRUCiIONS ON REVERSE
— ---
------------ - -__- ----- _- -------------- --- ----- - —
NnME OF FILER LD. NUMBER
Ratry Chang for 1lssembly 2016 :i379937
CODES: If one of tl�e followir�g codes accurately describes the payment, you may enter tl�e code. Otf�erwise, describe tf�e payment.
CN1F' campaign paraphernalia/rnisc. MBR member communications RAD radio eirtime and production costs
CNS campaign consultants M�G rneelings and appearances RFD returned contributions
C1B contribution (explain nonmonetary)' OFC of(ice expenses SAL campaign woikers' salaries
CVC civic donalions f�T petition circulating TF_L t.v. or cable airtime and produclion cosls
�IL candidate (iling/ballot fees Pt10 phone banks TRC candidate travel, lodging,and rneals
FND fundraising events POL polling and survey rese2rch TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services �SF trans(er between committees of lhe same candidate/sponsor
LEG Iegal defense F'f20 pro(essional services (legal, accounting) VOT voler regisUation
LII carnpaign literalure and mailings F'RI print ads WEB iiifonnalion technology costs (internel, e-niail)
NAME AND AUDRFSS OF P61YEE FIMOUNT PAID
preotimainee.ni_soerateRio Nunneea� CODE OR DESCRIPTION OF PAYMFNT
---- -- —------------ - _.__ ___- --- -
-------- ------------ ---- ------_._WER-- -
� ?�� ���
'L0563 Steven Creel: Blvd.
C>>pertino, C11 95014
----- ------------------ ._----- ----�----------
- ----------------�--- --- �----------�- -----
vices FP.O 2,3U0.[1
54�9 Madisoi� 1lvenue
Sacrameuto, Cn 95841
---------�---- -- --�------- -----�-----------
sacran,e„r.o, r.n 9ss41
'` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ �.'�gF�32
Schedule E Sumrnary
1. Itemized a rnents made tliis eriod. Include all Schedule E subtotals. $ -----_-_�, '-fl6=3z
P Y P � )..............................................................................................................
o.00
2. Unitemized payments made this period of under$100 .......................................................................................................................................... -----------
3. 7otal interest paid this period on loans. (Enter ar7�ount from Schedule B, Part 1,Column(e).)............................................................................... $ __ o.o0
4. Total payments made this period. (/�dd Lines 1, 2, and 3. Enter here and on the Surnmar Pa e, Colurnn n, Line 6. 2,786.32
Y 9 ) ............................. TOTAL $.---------
fPPC Form 460(Janl?_016)
FPPC Toll-Free Helpiine:866/ASK-FPPC(866/275-3772)
www.(ppc.ca.gov
www.netfile.corn
SCI IEDULF_P
Schedule F qmounts may be rounded Statementcovers period o" � • '
/�ccrued Expenses (Unpaid Bills) towiioledollars. o'7/oi/2o16 e "
from
through �9��4/2016 page—�_— of_�—
SEE INS7RUC f IONS ON REVERSE _ ___
N�ME OF FILER I.D.NUMBER
Bc3TT�/ L}Ic'-1I1g fOY nSPPIl1�JlY 2�].6 1 3���93��
CODES: ff one of the following codes accurately describes the payrnent, you rnay enter the code. Otherwise, describe the payment.
CNT' campaign paraphernalia/misc. MBR mernberconmiunicalions RAD radio airtirne and produclion costs
CNS carnpaign cons�dtants MTG meetings and appearances RFD returned contributions
CTB contribution (expiain nonmonetary)' O�C office expenses SAL campaign workers' salaries
CVC civic donations PET pelition circulating TEL t.v. or cable airtirne and produclion cosis
FIL candidate filing/ballot fees PI 10 phone banks 1RC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research TRS slafUspouse lravel, lodging, and rneals
IND independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services iSF transfer between committees of the sarne candidate/sponsor
I..EG legal de(ense PRO professional services Qegal, accounting) VOT voter registration
I_fT- campaign literature and rnailings F'R� print ads WEB information technology costs (inlernet, e-mail)
(al lb) l�) (dl
NAME FlND ADDRESS OF CREDI iOR COUE OR OU1 STANDING AMOUNT INCURRED AMOUNT PAIU OU iSTANDING
(iF con-iMn iee.ni_so eNrert i o NunnaeR� DFSCRIPTION OF PAYMENT gALANCF BEGINNING TIiIS PERIOD TliIS PERIOD BALANCE AT CLOSE
OF TFIIS PERIOD (n�so aerom or�e� OP THIS PERIOD
--- - ----__- ---------
F;i.veti �ity Riisirtess Services � �'P�� 2,300.00 0.00 2,300.Oo 0.00
��
Rau}: of nmerica WEE3 — ---- 240.00 0.00 ----240.00 0.00
------------- ---------- �— ------- -.._. .. ._ —
*Payments that are contributions or independent expenditures must also be
swnmarizedonScheduleo. SUBTOTALS $ z,s4o.00$ o.00$ 2,s�o.00$ n.00
Schedule F Sum�Y�ary
1. Total accrued expenses incurred this period. (Include all Schedule F, Colurl�n (b) subtotals for
accrued ex enses of$100 or rYiore, lus total unitemized accrued ex enses under$100. INCURRED TOTALS $ o.o0
P p P )............................................ ------
2. Total accrued expenses paid this period. (Include all Schedule F, Colurnn (c) subtotals for payments on
accrued ex enses of$100 or rnore, lus total uniterriized a ments on accrued ex enses under$100. PAID TOTALS $ .__—_ z�540.00
P P p Y P ) ................................. -
3. Net change this period. (Subtract Line 2 irom Line 1. Enter the difference here and
on tl�e Surnmary Page, Col�aii�n n, Lirie 9.) ................................................................................................................................................ NET $ -a,s4o.00
- -May�he-a negalive number
FPPC Form 460(Jan/2016)
FPPC Toll-Free I lelpline:8661ASK-PPPC(8661275-3772)
www.netfile.cort� www.r�pc.ca.gov