Chang Supp. Ind. Expend. Rept. upplemental Independent
Expenditure Report
(Government Code Section 84203.5)
SEE INSTRUCTIONSONREYERSE
Type or print in ink.
Amounts may be rounded to
whole dollars.
Q AtllendtTl('.Ilt (Explain Below)
LD. NUMBER (It recipient committee)
1. CommitteelFilerlnformation 79971-.
COMMITTEEIFILER'SNAME
South Bay AFL-CIG Labor Council Committee on Political Education
Sponsor?d by South Aay Ar'L-CIO Labor Council
STREETADDRESS(NO P.O.BOX)
2102 A'_maden Road, Suite 100
CITY STATE ZIPCODE AREACODEIPHONE
San Jose CA, 95125 408-266-3790
OPTIONAL: FAXIE•MAILADDRESS
Report covers
EXPENDITURE
from ~ -~
through 12/31/200 dAN 3 02010
age 1 of 5
Date of election if applic ble: For Official Use Onry
(Month, Day, Year)
CU
ERTINO CITY CLER
11/03/200
TreaSUrer (If recipientcommiNee)
NAMEOFTREASURER
Mr. Enri4u? Fernandez
MAILINGADDRESS
2162 Almaden Road, Suite 100
CITY STATE ZIPCODE AREACODEIPHONE
San Jose CA, 95125 408-266-779C
OPTIONAL: FAXIE•MAILADDRESS
n ~r_.Y_ .L P.....I:d.,~n ..~ AAeemvn Cunnnrfatl nr ~nnnsed CHECKONE
c. tvama yr vanuwaw ..~ ,.~......w. ,.....rr-•--- -~ -rr-
ur no un n nnin nieroirr IF GDDI ICARI F SUPPORT OPPOSE
NAME OF CANDIDATE
City Council Member City cE Cupertino X
Barry Chana
BALLOT NO.ILETTER JURISDICTION SUPPORT OPPOSE
NAME OFBALLOTMEASURE
3. indenendentEXpendltUreSMade Attach additional in/ormationon appropriately labeledconfinuationsheets.
CUMULATIVE TO DATE
nno vino
DATE NAMEANDADDRESSOFPAYEE DESCRIPTION OF EXPENDITURE AMOUNT JAN.1-DEC 31)
Barry Chang fcr Coarcil 2009 (#13275051
Phoneharking through 10/23/09
a~/23/2009 _~49= ~, ue F.nza Blvd. 265.00 ~,%-~ =0
Cep?rtino, CA 95019
Barry Chana for Co'arcil. 1009 (#1321505?
Phonebanicing through 10/28/09
10/28/2009
1995 S, 7? Anza Blvd. 29.00 2,747.50
Cupertino, CA 95019
10!2012009 T_cny ~ Alba's Pizza and Pasta
Y21 S. Winch?ster blvd, PM_ 279
Focd *_cr volunte?rs
0.50
,747.50
San ~cse, CF. 95128-
FPPC Form 465
FPPC Toll•Free Helpline: 8661ASK•FPPC (S6li@75.3772)
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
For use by an officeholder, candidate, or committee making independent expend#ures totaling $500 or
more in a calendaryear to support or oppose a single candidate or a single measure. This form must
be filed at the same times and places as the campaign statements filed by the candidate supported or
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is tiled in adddion to
anv other required campaign statements.
Report covers period
from 1ol1a/2oo9
through 12/31/2009
Date of election if applicable;
(Month, Day, Year)
11/03/2009
SUPPLQv1EMAL PDEPENDEM D(PF1JD11URE
Page ? of 5
For Official Use Only
ruMUrarive ro DATE
IV Illgepenge nttXpenql[UI'es m8ge attacnaaamonarrnrormauononappropnareryraoereaconunuanonsneers• chLENDARYEAR
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT (~AN.1 - DEC. 31)
10/21/2009 Tony & Alba's Pizza and Pasta Food for volunteers 20.83 2,747.50
1321 S. Winchester Blvd, PM8 279
San Jose, CA 95128-
10/23/2009 South Bay AFL-CIO Labor Council Staff salaries 199.96 2,747.50
2102 Almaden Rd, #107
San Jose, CA 95125-2104
10/23/2009 Ben Field Staff salaries to support Price, 101.25
Levens, Shepherd, Nihalani & Chang (See MEMO
2102 Almaden Road, Suite 107 Sch D) Subpayment made through:
CA 95125
San Jose South Bay AFL-C 0 Labor
, f nnnril
10/23/2009 Derecka Mehrens Staff salaries to support Price, 50.63
Levens, Shepherd, Nihalani & Chang (See MEMO
2102 Almaden Road, #107 Sch D) Subpayment made through:
South Bay AFL-C 0 Labor
San Jose, CA 95125 Council
10/23/2009 Anna Schlotz Staff salaries to support Price, 48.10
Levens, Shepherd, Nihalani & Chang (see MEMO
2102 Almaden Road, Suite 107 Sch D) Subpayment made through:
San Jose, CA 95125 South Bay AFL-C 0 Labor
Council
10/27/2009 Tony & Albans Pizza and Pasta Food for volunteers 4.09 2,797.50
1321 S. Winchester Blvd, PM8 279
San Jose, CA 95128-
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whale dollars.
For use by an offxx?holder, candidate, or committee making independent expend@ures totaling $500 or
more in a calendaryear to support or oppose a single candidate ar a single measure. This form must
be filed at the same times and places as the campaign statements filed by the candidate supported or
apposed or by a wmmittee primariy formed to support or oppose the measure. A separate form must
be filed for each cend~ate or measure being supported or opposed. This form is filed in addttion to
any other required campaign statements.
Report covers period
suPPL~M~rfrw.IPDEPF.!`DENi D(PF1JDIfLfiE
from to/le/2oo9
through 12/31/2009
Date of election if applicable;
(Month, Day, Year)
Pagp 3 of 5
For Official Use Only
11/03/2009
IV InllepenQe nttXpenQltUreS fYlape Attach additionalinformationonappropnatelylaheledcontinuationsheets. ~~"""""""""""
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN. t -DEC. 31)
10/28/2009 Tony & Albans Pizza and Pasta Food for volunteers 8.06 2,747.50
1321 S. Winchester Blvd, PMB 279
San Jose, CA 95128-
10/25/2009 Albany Services, Inc. Staff salaries 185.7b 2,747.50
1215 W. Center Street, Suite 102
Manteca, CA 95337
10/25/2009 Sergio Jimenez Staff salaries to support Price, 93.60
Levens, Shepherd, Nihalini, Change, MEMO
2102 Almaden Road, #107 Spitaleri, Moylan & Griffith (See Sch D) Subpayment made through:
San Jose, CA 95125 Albany Services Inc.
10/25/2009 Jeremy Barousse Staff salaries to support Price, 92.16
Levens, Shepherd, Nihalini, Change, MEMO
2102 Almaden Road, Suite 107 Spitaleri, Moylan & Griffith (See Sch D) Subpayment made through:
Albany Services Inc,
San Jose, CA 95125
10/30/2009 South Bay AFL-CIO Labor Council Staff salaries 39.43 2,747.50
2102 Almaden Rd, #107
San Jose, CA 95125-2109
10/30/2009 Ben Field Staff salaries to support,Price,
L
h
h
d
ip
l 21.03
2102 Almaden Road
Suite 107 evens, S
ep
er
, N
a
ani Chang
Kausar Liao, McCue, Spitaleri, Moylan MEMO
, & Grif>ith (See Sch D) Subpayment made through:
San Jose, CA 95125 South Bay AFL-C 0 Labor
Council
upplemental Independent
Expenditure Report
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars,
For use by an officeholder, candidate, or committee making independent expendlures totaling $500 or
more in a calendar year to support or oppose a single candidate or a single measure. This form must
be filed at the same times and places as the campaign statements filed by the candidate supported or
opposed or by a committee primarily formed to support or oppose the measure. A separate form must
be filed for each candidate or measure being supported or opposed. This form is filed in add#ion to
anv other reguired campaign statements.
Report covers period
from 10/18/2009
through lz/31/2009
Date of election if applicable:
(Month, Day, Year)
11/03/2009
SUPPLEMEMAL G~DEPEPDENi IXPEADIil1RE
Page 4 of 5
For Official Use Only
IV If1Q@p@f1Qe n[ txpenQliureS llnaoe Attach additionalinformationonappropriatelylabeledcontinuationsheets. ~~"'~`""""""""
DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR
(JAN.1 -DEC. 31)
10/30/2009 Derecka Mehrens Staff salaries to suppport,Price, 7.30
Levens, Shepherd, Nihalani Chanq
Kausar Liao, McCue, Spita~eri, Moylan MEMO
2102 Almaden Road, #107 6< Grif{ith (See Sch D) Subpayment made through:
South Bay AFL-C 0 Labor
San Jose, CA 95125 Council
10/30/2009 Anna Schlotz Staff salaries to support,Price,
p 11.10
Levens, Shepherd, Ni
alani Chang,
~
B MEMO
2102 Almaden Road, Suite 107 Kausar Liao, McCue, Spita
eri,
oylan
~ Grif>:ith (See Sch D)
Subpayment made
through:
San Jose, CA 95125 South Bay AFL-C 0 Labor
Council
11/01/2009 Albany Services, Inc. Staff salaries 36.65 2,747.50
1215 W. Center Street, Suite 102
Manteca, CA 95337
11/01/2009 Sergio Jimenez Staff salaries to support Price, 18.36
Levens, Shepherd, Nihalani, Chang, MEMO
2102 Almaden Road, #107 Kausar, Liao & McCue ISee Sch D) Subpayment made through:
Albany Services Inc.
San Jose, CA 95125
11/01/2009 Jeremy Earousse Staff salaries to support Price, 18.29
Levens, Shepherd, Nihalani, Chang, MEMO
2102 Almaden Road, Suite 107 Kausar, Liao & McCue ISee Sch D) Subpayment made through:
San Jose, CA 95125 Albany Services Inc.
upplemental Independent Type or print in Ink. SUPPLEMENTAL I NDEPENDENT EXPENDITURE
Amounts may be rounded Report covers period ~ .
Expenditure Report to whole dollars. ~ ~
from lc/18/2oa9 ~ ,
12/3'i/2DU9
SEE INSTRUCTIONSON REVERSE through page E of 5
NAME OF FILER I.D. NUMBER (If recipient cnm.)
South Bay AFL-CIO Labor Council Committee on Political Education Sponsored by South Bay AFL-CIO Labor Council 794711
4. Summary
829.29
1. Total independent expenditures of $100 or more made this period. (Part 3.) .................................................. ......................................... $
2. Total independent expenditures under $100 made this period, (Not itemized.) .............................................. .......................................... $ ° 00
829.8
3. Total independent expenditures made this period (Add Lines 1 + 2.) ..........................................................................................TOTAL $
5. Flling Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed.
t) NAMEOFFILINGOFFICER 3) NAMEOFFILINGOFFICER
Santa Clara Coanty Registrar of Voters
ADDRESS (N0. AND STREET) ADDRESS (N0. AND STREET)
1555 Bezger Urive, Building 2
CITY STATE ZIP CODE CITY STATE ZIPCODE
San dose, CA 95112
2) NAME OFFILINGOFFICER 4) NAMEOFFILINGOFFICER
ADDRESS (N0. AND STREET) ADDRESS (NO. AND STREET)
CITY STATE ZIP CODE CITY STATE ZIP CODE
6. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information containe herein 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. l
Executed on (J ~ C ` ~ By
/ / ~DA~TE SIGNATURE OF EASURER OR ASSISTANT TREASURER
Executed on ~~ By
DAT SIGNATURE OF CONTROLLING OEFICE LDER, CANDIDATE, ST MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 465
FPPC Toll•Free Helpline:8661ASK•FPPC (8661275.3772)