410 Statement of Organization Recipient Committee – Amendment 2Statement of Organization
Recipient Committee
Statement Type [ initial 0 Amendment
Not yet qualified [] or List I.D. number.
� 1397633
07 J. 28 1 2017
Date quall5ed as commMee Date qualified as committee
(If applicable)
0 germination —See Part
List I.D. number
- t f
Date ofTerrnination
1. Committee Information
NAME OF COMMITTEE
Barry Chang for Board of gqualiaation 2418
STREET ADDRESS (ND P.D. E3DX)
Cly STATE ZIP CODE AREA CODEIPHONE
MAILING ADDRESS (IF DIFFERENT)
FAX f E-MAIL ADDRESS
( .,,__,__
COUNTY OF DOMICILE= .7URISDICTION WHERE COMMITTEE IS ACTIVE
Sacramento
Attach additional irrforrrmatton on appmpriately labeled continuation sheets.
Date
F E_ B - 1 2018
For Offlcial Use Only
2. Treasurer an
NAME OF TREASURER
Rite Copeland
STREET ADDRESS (NO P.O. 60X)
Cf(y
STATE
ZIP CODE
AREA CODEIPHONE
NAMF OF ASSISTANTTREASURER, IF ANY
Dem -'se Lewis
STREET ADDRESS (NO P-0. BOX)
CITY
STATE
ZIP COOE
AREA CODG/P"ONE
NAME OF PRINCIPAL OFFICERS)
STREETADDRESS (NO P -O_ SOX)
CITY STATE ZIP GODS AREACODEIPPONE
3. Verification
I have used all reasonable diligence in preparing
STATE MEASURE PROPONENT
By SIGNATURE OF CONTROLLING OPFICEHOiDFR, CANOIDA'E. OR STATE MEASURE PROPONENT
FPPC Form 410 (Janf2416)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME 1.0. NUMBER
Barry Chang for Board cf Rquali2ation 2018 1397633
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
First Foundation Bank
ADDRESS
AREA CODEIPHONE
(
CITY
BANK ACCOUNT
STATE ZIP CODE
4. Type of Comm ittee Complete the applicable sections.
• 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."
• 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
NAME OF CANDiDPTE/OFF10EHOLDERISTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE SAT -LOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE, DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT I OPPOSE
OPPOSE
FPPC Form 410 (Jan12016)
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FPPC Advice: advice@fppc.ca.gov (866I275-3772)
www.fppo.ca.gov
Board of Equalization Member: Board of
❑ Nonpartisan
Barry Chang
Equalization District 2
2018
Democratic Party
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE SAT -LOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE, DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT I OPPOSE
OPPOSE
FPPC Form 410 (Jan12016)
www.netFile.com
FPPC Advice: advice@fppc.ca.gov (866I275-3772)
www.fppo.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
aarry Chanq for Board of Equalization 2018
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 ❑ COUN YCommittee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
(UMBER
1397633
Date qualified
treasurer,assistanttreasurerand/or, candidate, officeholder, or proponent certify that all of the following conditions have been met:
5.Termination Requirements By signing the verification, the
• 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.
wsvw.netfile.eom
FPPC Form 410 (Jan120116)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov