460 Recipient Committee Campaign Statement - Preelection Statement, Amendment 01-01-2016 - 04-23-2016 •
_ Recipient Committee COVE;PAGE
Campaign Statement REctIVE® CALIFORNIA 460
Cover Page FORM
(Government Code Sections 84200-84216.5)
Statement covers period Date of election If applicable: MAY 2 I 7 2016
(Month, Day,Year) Page 1 of_Ty_
from 01/01/2016
SEE INSTRUCTIONS ON REVERSE through 04/23/2016 06/07/2016
CUPERTINO CITY CL ERKFnr Official Use Only
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4.. 2. Type of Statement:
❑X Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑X Preelection Statement ❑ Quarterly Statement
®State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
O Recall . Q Controlled ❑ Termination Statement ❑ Supplemental Preelection
(Also Complete Part 5) 0 Sponsored Also file a Form 410 Termination)) Statement-Attach Form 495
(Also ComplalePart 6)
❑ General Purpose Committee rg Amendment(Explain below) /
OSponsored ❑ Primarily Formed Candidate/ 9,y�� g�,rEbaLE F9- /.Ct/ygi4 r.
Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (Also Comple(aPert7) Sit
^^MAP i f AR -
3. Committee Information D. NUMBER Treasurer(s) T
1378937
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Barry Chang for Assembly 2016 Barry Chang
MAILING ADDRESS
STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY •
MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS ..
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/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 true and complete. I certify
under penalty of perjury under the laws off the State of California that the foregoing is true and correct.
Executed on 5/_6:/ I 0 By
Proponent or Responsible Officer of Sponsor
Executed on • By
Date Signature&Controlling Officeholder,Candidate.State Measure Proponent -
•
Executed on By
Date Signature of Controlling OfeceholdetCandidate,State MeasureProponenl FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
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COVER PAGE-PART
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
Cover Page—Part 2
Page 2 of 14
5. Officeholder or Candidate Controlled Committee • 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Barry Chang
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
Assembly District 24 ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.NUMBER
Friends of Barry Chang Against the Recall
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s)or candidate(s)for which this committee is primarily formed.
Rita Copeland X❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(6661275-3772)
www.netfile.com www.fppc.ca.gov
•
Campaign Disclosure Statement SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA 460
Summary Page to whole dollars.
from 01/01/2016 FORM
SEE INSTRUCTIONS ON REVERSE through 04/23/2016 Page 3 of 14
NAME OF FILER I.D. NUMBER
Barry Chang for Assembly 2016 1378937
ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHIsPERIOD cALENDAR YEAR Runningin Both the State Primaryand
(FROMATTACHEDSCHEDIRES) TOTPLTODATE
General Elections
1. Monetary Contributions Schedule A,Linea $ 22,038.00 $ 22,038.00
1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line -30,000.00 0.00
3. SUBTOTALCASH CONTRIBUTIONS Add Lines l+2 $ -7,962.00 $ 22,038.00 20. Contributions
Received $ $
4. Nonmonelary Contributions Schedule C,line 3 500.00 600.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines3+4 $ -7,362.00 $ 22,638.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 48,841.59 $ 48,841.59 Candidates
7. Loans Made Schedule H,Line 0.00 0.00
22.Cumulative Expenditures Made*
8. SUBTOTALCASH PAYMENTS Add Lines 6+7 $ 48,841.59 $ 48,841.59 or Subject to VoluntaryExpenditure Limit)
9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 15,200.00 15,200.00 Date of Election Total to Dale
10.Nonmonetary Adjustment Schedule C,Line 3 600.00 600.00 (mm/dd/yy)
11.TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 64,641.59 $ 64,641.59 06 / 07 / 2016 $ 43,500.39
Current Cash Statement _/___/ $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 337,558.11 To calculate Column B,add
13.Cash Receipts Column A,Linea above -7,962.00 amounts in Column A to the
corresponding amounts Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash Schedule 1,Line 4 0.00 from Column B of your last reported in Column B.
15.Cash Payments Column A,Line a above 48,841.59 report. Some amounts in
Column A may be negative
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 280,754.52 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule B,Pad 2 $ 0.00 for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts any)Lines 2,7,and 9(if
18. Cash Equivalents See instructions on reverse $ 0.00
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 15,200.00
FPPC Form 460(Jan/2016)
' FPPC Advice:advice@fppc.ca.gov(866/275-3772)
•
www.fppc.ca.gov
www.netfile.com
SCHEDULE F
Schedule FAmounts may be rounded Statement covers period CALIFORNIA 460
Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2016 FORM
through 04/23/2016 Page 19 of 14
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Barry Chang £or Assembly 2016 1378937
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL Iv.or cable airtime and production costs
FL candidate filinglballot fees PHO phone banks TRC candidate travel,lodging,and meals
FWD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
(al (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE,ALSO ENTER I.O.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
Anzalone Liszt Grove Research Inc. POL 0.00 15,200.00 0.00 15,200.00
•
•Payments that are contributions or Independent expenditures must also be SUBTOTALS$ 0.00$ 15,200.00$ 0.00$ 15,200.00
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.) INCURRED TOTALS $ 15,200.00
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) PAID TOTALS $ 0.00
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) NET$ 15,200.00
May be a negative number
FPPC Form 460(Jan/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
www.netflle.com www.fppc.ca.gov