460 Recipient Committee Campaign Statement - Semi Annual 10-23-2016 to 12-31-2016 Recipient Committee COVER PAGE
Campaign Statement (� (�' M 7 v ( 460 :
Cover Page iJ '
(Government Code Sections 84200-$4216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period Date of election if
from 10/23/2016 (Month, Day,
through 12/3-1/2016
1. Type of Recipient Committee! All Committees—Complete Parts 1,2,3,and 4.
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall ®Controlled
(Also Complete Hari&) O Sponsored
❑ General Purpose Committee (Also Complete Part 6)
Q Sponsored ❑ Primarily Formed Candidate!
0 Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Arsocom#ate Part 7)
3. Committee Information I.D. NUMBER
1385778
COMMITTEES NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)
Friends of Barry Chang Against the Recall
STREET ADDRESS(NO P0.BOX)
CITY STATE ZIP CODE AREA CODElPHONE
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
s
1 of 6
For Official Use Only
Ir
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
91 Semi-annual Statement ❑ Special Odd-Year Report
❑ TerminafionStatement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement-Attach Form 495
❑ Amendment(Explain below)
Treasurer(s)
NAME OF TREASURER
Rita Copeland
MAILING ADDRESS
CITY STATE ZiP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEWHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the
/ "
Executed on 01/23/2017
Date
Executed on 01/23/2017
Dale
Executed on
Date
Executed on
Date
www.netflle.com
By
By
By v
Signatur eofContoMing Officehdder,Cand€date,StateMeasur Proponent
By
SignatureofCantrolting Officeholder,Candedate.State MeasureProponent FPPC Fornt 460(Jan/2016)
FPPC Advice:advice@wfppc.ca.gov(8661275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page— Part 2
5. Officeholder or Candidate Contrnllpri Cr,r miffan
NAME OF OFFICEHOLDER OR CANDIDATE
Barry Chang
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member_ City of Cupertino
RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
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
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
Barry Chang for Assembly 2016 1378937
NAME OF TREASURER CONTROLLED COMMITTEE?
Barry Chang 0 YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
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COVERPAGE-PART2
Page 2 of 6
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
Recall Barry Chang (pending)
BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
X❑
City of Cupertino OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnamesof
officeholder(s)or candidate(s)for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460(Jan/2046)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/23/2016
through 12/31/2016 Page 4 of 6
rvHiwt Ur nLLK -_
I.D.NUMBER
Friends of Barry Chang Against the Recall
1385778
DATE
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1-DEC.31)
PER ELECTION
TO DATE
(IF REQUIRED)
11/14/2016
Jerry Liu
8,400.00
City Council Member
Monetary
4,400.00
City of Cupertino
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
Q Support ❑ Oppose
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose Expenditure
SUBTOTAL $ 4,400.0
Schedule D Summary
1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.).................
2. Unitemized contributions and independent expenditures made this period of under$100.................................................
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)
................ $ 4,400.00
................ $ 0.00
.... TOTAL $ 4,400.00
www.netflle.com FPPC Form 460(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule F
Amounts may be rounded Statement covers period
Accrued Expenses (Unpaid Bills) to whole dollars. 10/23/2016
from
SEE INSTRUCTIONS ON REVERSE
through 12/31/2016
NAME OF FILER
Friends of Barry Chang Against the Recall
SCHEDULEF
Page 6 of 6
I.D.NUMBER
1385778
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
CNS
campaign paraphernalia/misc.
campaign consultants
MBR
member communications
RAID
radio airtime and production costs
CTB
contribution (explain nonmonetary)*
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
FIL
civic donations
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FND
candidate filing/ballot fees
fundraising events
PHO
phone banks
TRC
candidate travel, lodging,and meals
IND
LEG
independent expenditure supporting/opposing others (explain)*
legal
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
LIT
defense
campaign literature
PRO
professional services (legal, accounting)
VOT
voter registration
and mailings
PRT
print ads
tAfGR
; r +; ti _
o m epen en expenditures must also be
summarized on Schedule D. SUBTOTALS $ 0.00$ 69.97$ 0.00$ 69.97
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.)......................
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.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ...
...................... INCURRED TOTALS $
..............I..............PAID TOTALS $
69.97
0.00
NET$ 69.97
May be a negative number
FPPC Form 460(Jan/2016)
www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
www.fppc.ca.gov
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
River City Business Services
5429 Madison Avenue
PRO
0.00
69.97
0.00
69.97
Sacramento, CA 95841
*Payments that are contributions r' d d t
o m epen en expenditures must also be
summarized on Schedule D. SUBTOTALS $ 0.00$ 69.97$ 0.00$ 69.97
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.)......................
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.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ...
...................... INCURRED TOTALS $
..............I..............PAID TOTALS $
69.97
0.00
NET$ 69.97
May be a negative number
FPPC Form 460(Jan/2016)
www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
www.fppc.ca.gov