410 Statement of Organization Recipient Committee - TerminationStatement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified❑ or
Date qualified as committee
x❑ Amendment
List l.D. number.
# 1.385778
�2j 2016
Date qualified as committee
(If applicatfe)
® Termination – See P
List I.D, number:
# 1385778
07 t. 2. 8 ! 2�J17
Date of Termination
1. Committee Information
NAME OF COMMITTEE
Friends of Barry Chang Against the Recall.
STREET ADDRESS (NO P.O- BOX)
CITY STATE ZIP CODE AREA CODEJPkONE
MAILING ADDRESS (IF DIFFERENT)
ADDRESS
COUNTY OF DOMICILE JURISDICTION W IERE COMMITTEE IS ACTIVE
Santa Claza Cupertino ,
Affach additional information on appropriately labeled continuafion sheets.
AUG 1 2017
CCE -R T !NC CITY CLFR
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Rita Copeland
FerOfticial Use Cnly
STREET ADDRESS (NO P -O_ BOX) .
CiIY STATE ZIP CODE AREA CODEIPFiONE
NAME OF ASSISTANTTREASURER, IF ANY
ADDRESS (NO P.D. BOX)
CITY STATE ZIPCODE AREACODEIPHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODEIPHONE
3. Verification
I have used all reasonable diligence in preparing this statenz t and to the best of my knowledge the information contained herein is true and Complete. I certify under
-penalty of perjury under the laws of the State of Cal-1fDFniI
CANDIDATE, OR STATE MEASURE PI?CPCNENT
Executed on —
PATE SIGNATURE OF CONTRCLLItJG FFICEHOLDER, CANDIDdVE, OR STATE MEASURE PROPONENT
Executed on DATE SIGNr4UF25 OF CONTROLLING OFFICEHOtnEP._ CANDIDrTE, OR STATE MEASURE PROPONENT
FPPC Form 410 Pan12016)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2 of 3
COMMITTEE NAME I.D. NUMBER
Friends of Barry Chang Against the Recall 1 1385778
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACODEIPHONE BANK ACCOUNT NUMBER
Community 1st Bank (
ADDRESS CITY STATE ZIP CODE
4. Type of Committee Completethe 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Barry Chang
City Council Member: City of Cupertino
2016
X❑ Nonpartisan
SUPPORT
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) OFFICE SOUGHT DR HELD OR MEASURE(S)JURISDICTION
CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
(INCLUDE DISTRICTNO.. CITY OR COUNTY, AS APPLICABLE) rwpru nh[p
Recall Barry Chang (Pending)
City of Cupertino-
SUPPORT
OPPOSE
x
SUPPORT
OPPOSE
FPPC Form 410 (Janl2016)
www.netrle.com FPPC Advice. advice@fppc.ca.gov (866!275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMFrEE NAME I
I.D.NUM13ER
Friends of Barry Chang Against the Recall 1385775
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 ❑ COUNTYCommittee ❑ STATECommittee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
.. list additional sponsors on an attachment.
NAME OF SPONSOR. INDUSTRY GROUPOR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
J&JIMt. 11f M41
r ❑—�
Date qualified
J.Termination Requirements By signing t.he verffication, the treasurer, assistant treasuw and/or candidate, officeholder, or proponent certify that all ofthefollowing conditions have beer; met:
• 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 Electrons Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Jan12016)
wiwsv: efirie.com FPPC Advice. advice@fppe.ca.gov (666/275-3772)
www.fppc.ca.gov