497 Contribtion Report 5-9-16 T
0
497 Contribution Report Amounts maybe rounded to whole dollars. 3
497 CONTRIBUTION REPORT m
NAME OF FILER n
Date of I 1:i:�frIORNIA m
Friends of Barry Chang Against the Recall This Filing 05/09/2016 D IA U W ri FORM 49T,
AREA CODE/PHONE NUMBER I.D.NUMBER(iappficabre) I!!
r 011icial Use Only
Report No.05092016-1
( � MAY - g X16
STREET ADDRESS
❑Amendment
to Report No.
CITY STATE ZIP CODE (explain below) CUPERTINO CITY C ERK
No.of Pages 1
1. Contribution(s) Received
DATE FULL NAME.STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ICUP OCCUPATION
ONAND EMPLOYER AMOUNT
RECEIVED IIFCOMNIITTF.E.ALSOENTRLO NUNSERI CODE ` ENTER OCOED.ENTER AMFRECEIVED
(IF SEIF-EN.PLOYFD,ENTE0.NAME OF BUSINESS)
05/04/2016 Pacific Breeze Mechanical, Inc. 5,000.00
❑ IND
❑ COM CO
❑ OTH ❑ Check if Loan O
a
❑ PTY `A
❑ SCC i co
Provide interest rate
9 IND
❑ COM
9 OTH ❑ Check it Loan
❑ PTY
•
❑ SCC i
Provide interest rate o
N
❑ IND o
❑ COM f0
9 OTH p Check if Loan o
❑ PTY o
❑ SCC
Provide interest rate m
0
'Contributor Codes
IND-Individual
COM-Recipient Committee(other Than PTY or SCC)
OTH-Other(e.g..business entity)
PTY-Political Party U
Reason for Amendment: - SCC-Small Contributor Committee N
T
0
0
FPPC Form 497(Jan/2016) N
FPPC Advice:advice@fppc.ca.gov(8661275-3772) o
www.fppc.ca.gov N
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