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460 2nd pre-election amended ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. j ' .~~ {'mil "° D~ St~np~~ ~~ ~ '' , , - Statement covers period Date of election if appli 1 ~ ~ - (Month, Day, Year) from `~- X> -r' through lc-i- I ~ _ _ C ERTlNJ CITY CL RK ~ . Type Of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ^X Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part S) Q Sponsored ^ General Purpose Committee (AlsoComplefePart6) Q Sponsored ^ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/CentralCommittee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1 321 505 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) BARRY CHANG FOR COUNCIL 09 STREET ADDRESS (NO P.O. BOX) 10495 S De Anza Blvd #A CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-688-6398 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE ~- of -~ For Official Use Only 2. Type of Statement: ^ Preelection Statement ^ quarterly Statement ^ Semi-annual Statement ^ Special Odd-Year Report ^ Termination Statement ^ Supplemental Preelection (Also file a Form 410 Termination) Statement-Attach Form 495 Amendment (Explain below) ~~~ `®--~a.~9 :zurr~~~ of .~~_,~.~-011 Treasurer(s) NAME OF TREASURER Sue Chang MAILING ADDRESS I U495 J Ue Hi1Gc1 cs1VC1 #A '4V0-000-0399 CITY Cupertino STATE CA ZIP CODE AREA CODE/PHONE 9 014 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 of the State of California that the foregoing is true and correct. Executed on i (' ' ~ By Date Executed on ! ~' ~ ~ By Date Executed an Date Executed on Dale By Signature of Controlling Olficehdder, Candidate, Slate Measure Proponent FPPC Forth 46D (January105) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-3772) State of California By Signaure oFControlling O(ficehdder, Candidate, Stale Measure Proponent ecipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Barry Chang OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cupertino City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 10495 S De Anza Blvd#A Cupertino CA 95014 Related Committees Not Included in this Statement: cisranycommittees not included in this statement that are contro/led by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. . COMMITTEE NAME I.D. NUMBER Rarrv C'hancr fnr ('rnmc-i 1 (lA 1 X21 ~,~~i -~__ j __~__J ___ _.____ __ _ _ _ _ NAME OF TREASURER ~ CONTROLLED COMMITTEE? Sue Chang ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) 10495 S De Anza Blvd #A CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408-688-6398 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE-PART2 Page 2 of BALLOT NO.OR LETTER JURISDICTION ^ SUPPORT ^ 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 List names of ofFceholder(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 (January/Ob) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers errod Summary Page to whole douars• p •_ - ~ • 1 from 9- ~D ~ • SEE INSTRUCTIONS ON REVERSE through Page ~_ of NAME OF FILER ~3 A ~Y Ci-f~AAJ6 ~P... c~ LEA,°~> X 0 9 I.D. NUMBER / 3 a ~ S--a ~ Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... scneduie A, Line 3 $ ~ $ •~yo~ 1, y~ ~ 2. Loans Received .................................................'..... scneduie a, Line 3 ~g^ ~ h ~ ~~ ~ nZt?~ Fj (~~, 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ...................... ... Add Lines ~ + 2 $ ~.,~_~~ ~ ~ $ ~,{1 ~6 `J, 9 ~ ~~ 20. Contributions t~ q y~~ 7 / R i ~ ece ved $ $ 4. Nonmonetary Contributions .................................... scneduie c, Line 3 © b ~ 5. TOTALCONTRIBUTIONSRECElVED ..................... ...... AddLines3+4 $ aft ~6 9~ _~ ~ $ may. y~ 21. 6cpenditures Made $~~ $1z~..~~ Expenditures Made 6. Payments Made .................................................... ... scneduie e, Line 4 7. Loans Made .......................................................... ... Schedule H. Line 3 a. JU13111 IF~LI,HJI"I 1-'HTMtN I J .............................. ...... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ......................... ...... scneduie F, Ljne 3 10. Nonmonetary Adjustment ..................................... ..... scneduie c, Line 3 11. TOTAL EXPENDITURES MADE ............................. ...Addunesa+s+lo S I~ $ fib, ! ~/•T / $ ,zs, i ~/. ~9 .'i'1.- $ a;~~~~~ Y~' Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 13. Cash Receipts ................................................... column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... scneduie r, Line 4 15. Cash Payments .................................................. column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines /z + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ /.~~ ,~~ D $ _ ,? o ~' 17. LOAN GUARANTEES RECEIVED ........................... Schedule 9, Part 2 $ Cash Equivalents and Outstanding Debts ~ 18. Cash Equivalents ........................................ See instructions on reverse $ 19. OUtstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ ,~P1Tt~ ~~: "' To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative ExnPnditurr±s Ma_r_in_* (Ir Subject to Voluntary E:penditure Llmit) Date of Election Total to Date (mm/dd/yy) -~/ $ I ~-~ ~ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) chedule A Type or print in ink. SCHEDULE A Amounts may oe rounaea Monetary Contributions Received to wnote dollars. Statement covers eriod p . - , ~ from ~ - h' '~ ~ • SEE INSTRUCTIONS ON REVERSE through / b-'/~~ Page ~ of ~1L- NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOMMITTEE, ALSO ENTER I.D.NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE. CALENDAR YEAR PER ELECTION TO DATE (IFSELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ,q ~~16 SUM1HlT ~k'• ^OTH ~D~'/VS C~~~S Z> t' I $N~L./~vG.4 F'1 &, CA `~~/ ~ ^ PTY ^scc V ~,vyu~ R ~ ~, iN9 ~,U~ jFYS ~ ~ IND ^coM ~,~ TN£-R. 9-77 ~ o?~Co3f~ ©/}fe ~'i1179LL ~/k ^OTH ^ PTY Air ,~'~s ~JAMp~ ~ A ~, ~~ ^scc G~~tiTc9R'~ 1'N~'/V/ti 9 Cl~~/~f~ ~COM ~,y~-~ [i~b/ ~A~k~ R~A/~H k~ u^Pnr ~Rlt'~T>~ ~n~'7~ ~L~ h ~ ^scc FIND ~" ,733 /`1c~%zl/~ 2~ ^OTH r 1~2 ~vD ~~ ^scc $~LL~ zL'~I IND ~COM ~~Ar ~ ~~sG~iE/G /tea ~ _ /t~3 I~^M/NleA ~ ^OTH ^ SA// ~~5~ S"T~TE- ,- y , ~"~ / I ^ S ~ r u~ r yam, / ~ SUBTOTALS Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include altSchedule A subtotals.) ~ ~ ........................................................................................................ $ 4~ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ `%~ ~~~ 9 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ~ , 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 07H -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) chedule A (Continuation Sheet) Type or print in ink. SCHEDULER (CONT.) - Amounts ma be rounded .one ary on r( U IOnS eceive Statement covers period • . to whole dollars. , • ' from 4. k--c~ • through f~~,=~ Page _~ of NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOMMfTTEE,AL50ENTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) `r'~~C' i .A fJ/N~ C.i~ AND ^coM ~j~ NAic~2 ~p r p.. Z ~ ~ ~ fj 3 S'~TA ~~ R D b ~. ^ OTH t ~ ~("//W ~ Cf} S`~/~ ^ S ~ soda T!~ ~ '~~/l/ ~ ~1ND ^ COM ~~_~,~ a~~~9..,~'Ati)re~ ~~ QPrr t-~Dl'--~ ti~t~€P` ~o-o, -~' >~2T~N~% e r~ ~ ~~ ^ scc ^IND n COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTAL $ ~~ i ~ 'Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) CHEDULER-PART1 5chedUle B-Part'I ~'r ~~ '"~~~~- ~~~ ~~~~~~ Amounts may be rounded Statement covers period ~ Loans Received to whole dollars. c~_ ~,--~9 ' ~ ~ 1 from ~// ~ th h ~ ~D~-`~ ,! P f © SEE INSTRUCTIONS ON REVERSE roug age o NAME OF FILER I.D. NUMBER `$>~FRRY e~ ~~ ~ r~~ unl~~c L o FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING ggLANCE tb) gMOUNT (c) AMOUNT PAID (d) OUTSTANDING gALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IFCOMMITTEE, ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN ' CLOSE OF THIS PAID THIS PERIOD AMOUNTOF CONTRIBUTIONS TO DATE NAME OF BUSINESS) ERI THIS PERIOD PERI D LOAN ~~ { ,~ ~ ~ . ~~ rt ~~~ ~,~~ ~~ ^ PAID CALENDAR YEAR ~ S. s ~ s S y ~,~~ ~y n Y~''~ ATE " j~~C ~ ~ I~ v ^ FORGIVEN PER ELECTION ~.tTl ~ ~ C ~ l ~ l ~ S~ S ~~ ~ S ~ S ~/ S t IND ^ COM ^ OTH ^ PTY ^ SCC DATE DUE DATE INCURRED ^ PAID CALENDAR YEAR S S % S S ^ FORGIVEN RniE PER ELECTION "* S S S S S t^ IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE __ - __ DATE INCURRED ' ^ PAID CALENDAR YEAR S S % S S ^ FORGIVEN RAte PER ELECTION "' S S S S S t^ IND ^ COM ^ OTH ^ PTY ^ SCC DATE DUE DATE INCURRED SUBTOTALS ~ ~~ j~~', ~ $ S Schedule BSummary / 1. Loans received this period .................................................................................................................... $ ~ b 5<~~ (Total Column (b) plus unitemized loans of less than $100.) ( (Enter (e)on Schedule E, Line 3) 2. Loans paid orforgiven this period ......................................................................................................... $ ~ (Total Column (c) plus loans under$100 paid orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net chan a this eriod. //Subtract Line 2 from Line 1. ................................. NEB $ ~'i ~ `~ ~- '~ 9 P l ) """"""""""""""" (May beanegative number) Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. '" If required. tContributor Codes IND -Individual COM-Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) chedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER I~RY G~ N~~v~ ~ ~- UiliL% Statement cove~rsp period from ~' ~ °~' through CODES: If one of the following codes accurately describes the payment, you may enter the c6de. Otherwise, describe the payment. SCHEDULE Page ~ of I.D. NUMBER 3~/ ~' CMP campaign paraphernalia/misc. Ml3R 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 TF1 t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO .phone banks 1RC candidate travel, lodging, and meals FND 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, accouniing) VOT voter registration LJT campaign literature and mailings PRT print ads WEB information technology costs (internet, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.O: NUMBER) f~! ~--~logtrRy DR ~HlL~f7'~A-5, CA ~~3~ ~R»v. W z~ CODE OR DESCRIPTION OF PAYMENT ~ AMOUNT PAID SA[- ~ Cj~ s .... * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ l,L~.~-t', 3 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ a'~6 /SL ~ ~ 9 2. Unitemized payments made this period of under $100 ...................................................................................................... ~~~ '~ 3. Total interest aid this eriod on loans. Enter amount from Schedule B, Part 1, Column e . ........................................................ $ P P ( () ) ....................... 4. Total a ments made this eriod. Add Lines 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. TOTAL $ ~ ~ ~~ ' P Y P ( IY 9 ) ............................. Type or print in ink. Amounts may be .rounded to whole dollars. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) ChedUle E Type or print in ink. SCHEDULEE(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period •' ~ t Payments Made t°wnoled°nars. fr°m ~-'~~ , through D'/ P f SEE INSTRUCTIONS ON REVERSE a e o g NAME OF FILER I.D. NUMBER $kRR`f' cl!-dnl6 ~,~ i~~utirCiL o ~' / 3~/S`~~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 PEf petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FT1D 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 LJT campaign literature and mailings PRT print ads WEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID T~~R ~ ~~~~ ~ w,~Lr~~ ~ "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL a ~~ / /6 ~ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)