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460 Recipient Committee Campaign Statement - Preelection Statement, Amendment 01-01-2016-4-23-2016 < _ - Recipient Committee COVER PAGE Dale Stamp CAl IFORNIA Campaign Statement RECEIVE® FORM 4640 Cover Page ' - - (Government Code Sections 84200-84216.5) q q ' Statement covers period Date of election if applicable: MAY 16 2016 = Page 1 of_1.2 (Month, Day,Year) from 01/01/2016 _ "- For Official Use Only 04/23/2016• 06/07/2016 _CJPERTINO CITY CLERK SEE INSTRUCTIONS ON REVERSE through _ Y 1. Type of Recipient Committee: An Committees-Complete Parts 1,2.3,and 4. 2. Type of Statement: (] Officeholder,Candidate Controlled Committee " ❑ Primarily Formed Ballot Measure ❑x Preelection Statement ❑ Quarterly Statement - .0 State'Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Controlled-- • - ❑ Termination Statement -- ❑ Supplemental Preelection (AlsoComplere Pan e). Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 . (AtsoComplero Pan 6) ❑ "General Purpose Committee - ❑x Amendment.(Explaim below) .,Q Sponsored ❑ Primarily Formed Candidate/ Amend B, F. and Update Summary Page .Q Small Contributor Committee ,_ Officeholder Committee . Q Political Party/Central Committee (Also complete Rad?) I.D. NUMBER 3. Committee Information Treasurers 1378937 ( ) COMMITTEE=NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) - -. NAME OF.TREASURER - Harry-Chang for Assembly 2016 Harry Chang - - MAILING.ADDRESS . STREET ADDRESS(NO P-O.BOX) CITY - - STATE . ZIP CODE AREA CODE/PHONE CITY - -- - -STATE -•-ZIP-CODE - AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY ' MAILING ADDRESS (IF DIFFERENT)NO.AND STREET OR P.O.BOX - • MAILING ADDRESS .. _. ,. - CITY - STATE ZIP CODE' "- AREA CODE/PHONE CITY - STATE ZIP CODE AREA CODE/PHONE b - OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS ' 4. Verification - - , . I have Used all?easonable 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 Gale I Measure Proponent orResponsble Dtkeret Sponsor • Executed on By Date Signature of Controlling Otfcehddar.Candidate,Stale Measure Prnpenent Y,.Executed on. By Dale Signature of Controlling Officeholder.Candidate.State Meastee I apene I FPPC Form 4,60(Jan/2016) FPPC Advice advice@fppc.ca.gov(866!275-37F2) - .. ,l't- -;" www.fppc:ca.gov www.netfile.com - , 4} M` COVER PAGE-PART2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page—Part 2 Page 2 of 13 5. Officeholder or Candidate Controlled Committee . 6. Primarily Formed'Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Barry Chang OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Assembly District 24 ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not Included In this statement that am controlled by you or are primarily,formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER Friends of Barry Chang Against the Recall NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee Is primarily formed. Rita Copeland X❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ID NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc:ca.gov www.netfile.com Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. FORM from 01/01/2016 SEE INSTRUCTIONS ON REVERSE through 04/23/2016 Page 3 of 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 - _ 1378937 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR (FROMATTACHEOSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line3 $ 22,038.00 $ 22,038.00 ill through 6/30 7/1 to Date 2. Loans Received Schedule B,Line3 -30,000.00 - 0.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines?+2 $ -7,962.00 $ 22,038.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 600.00 600.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines3+4 $ -7,362.00 $ • 22,638.00 Made $ $ Expenditures MadeExpenditure Limit Summary for State 6. Payments Made Schedule E,Line $ 48,841.59 $ 48,841.59 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 48,841.59 $ 48,841.59 (IfSubject tovoluntaryExpenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule FLine 3 0.00 0:00 . Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line3 600.00 600.00 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE - Add Lines 8+9+10 $ 49,441.59 $ 49,441.59 06 / 07 / 2016 $ 30,600.39 Current Cash Statement ____/_/ $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 337,558.11 To calculate Column B,add 13.Cash Receipts - - Column A,Line 3 above -7,962.00 amounts In Column A to the corresponding amounts Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 0.00 from Column B of your last, reported in Column B. 15.Cash Payments ' Column A,Line a above 48,841.59 report. Some amounts in Column A may be negative 16.ENDINGCASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 280,754.52 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. - period amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any)Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 • . FPPC Form 460(Janl2016) 4 P - FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A SCHEDULE A MonetaryContributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 01/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 04/23/2016 Page 9 of 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTERLD.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELEEMP LOVED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFBUSINESS) 03/04/2016 Chiao-Zen Chang MIND Accountant 2,000.00 2,000.00 P2016 $2,000.00 00TH Services ❑PTY ❑SCC 03/04/2016 Yueh-Yun Chang MIND Homemaker 2,000.00 2,099.00 P2016 $2,099.00 [10TH ❑PTY El SCC 03/04/2016 Yueh-Yun Chang MIND Homemaker 99.00 2,099.00 P2016 $2,099.00 00TH ❑PTY ❑SCC 03/04/2016 CKY Global Financial & Insurance Solutions ❑IND 300.00 300.00 P2016 $300.00 MOTH ❑PTY ❑SCC 03/04/2016 Ping Du MIND Information Requested 100.00 100.00 P2016 $100.00 ❑COM Refunded 5/2016 ❑0TH ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary •Contributor Codes 1. Amount received this period—itemized monetary contributions. RID—Individual 00 COM—Recipient Committee899. (Include all.Schedule A subtotals.) $ 21, (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ 139.00 0TH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Line 1.) TOTAL $ 22,038.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275.3772) www.netfilO.com www.fppc.ca.gov • Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2016 FORM through 04/23/2016 ' Page S of. 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL.ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSO ENTER I.O.NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 02/08/2016 Helix Electric 0IND4,200.00 8,400.00 P2016 $4,200.00 ❑COM MOTH ❑PTY El SCC 02/08/2016 Helix Electric ID IND 4,200.00 8,400.00 P2016 $4,200.00 DOTH ❑PTY ❑SCC 02/08/2016 Yukai Lin MIND Retired 100.00 100.00 P2016 $100.00 00TH ❑PTY ❑SCC 01/08/2016 Marina Food, LLC dba Marina Grocery MIND 4,200.00 8,400.00 P2016 $4,200.00 ❑COM MOTH ❑PTY ❑SCC 01/08/2016 Marina Food, LLC dba Marina Grocery ❑IND 4,200.00 8,400.00 P2016 $4,200.00 ❑COM MOTH ❑PTY ❑SCC SUBTOTALS 16,900 oo , '' `;;" T ^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(Jan/2016) < FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.netiiife.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2016 FORM through 04/23/2016 Page 6 of 13 NAME OF FILER 1.0.NUMBER Harry Chang for Assembly 2016 1378937 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSO ENTER I.O.NUMBER) CODE+ OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OFBUSINESE) 03/09/2016 Jeff Moe x❑IND Owner 100.00 100.00 P2016 $100.00 ❑COM DOTH • ❑PTY USCG 03/04/2016 Hui Qian x❑IND Information Requested 100.00 100.00 P2D16 $100.00 ❑COM Refunded 5/2016 DOTH ❑PTY ❑SCC 03/04/2016 Quan He Investing ❑IND 200.00 200.00 P2016 $200.00 ❑COM DOTH ❑PTY • ❑SCC - 03/09/2016 Ramasubramanian Rajamani MIND Homemaker 100.00 100.00 P2016 $100.00 ❑COM 1110TH ❑PTY. ❑SCC 03/04/2016 Yue Shen MIND Homemaker 600.00 0.00 P2016 $0.00 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTALS 1,100 0o II I:;, • k..t 'Contributor Codes IND-Individual COM-Recipient Committee (other than PT?or SCC) OTH-Other(e.g., business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(Jan12016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.neffife.com www.fppc.ca.gow Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2016 FORM through 04/23/2016 Page 7 of 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSOENTER I.0.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFIRM NESS) 04/22/2016 Yue Shen MIND Homemaker -600.00 0.00 P2016 $0.00 ❑COM ❑OTH ❑PTY ID 500 01/08/2016 Welkin International Industrial, Inc. ❑IND 8,400.00 0.00 P2016 $4,200.00 COM G2016 $4,200.00 To Be Refunded MOTH ❑PTY ❑SCC 04/22/2016 Welkin International Industrial, Inc. El IND -8,400.00 0.00 P2016 $4,200.00 ❑COM 02016 $4,200.00 x❑OTH ❑PTY ❑SCC ID IND ❑COM • ❑OTH El PTY ❑SCC El IND El COM ❑OTH ❑PTY USCG SUBTOTAL$ 600 00 :; q u '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(Jan12016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.neffile.com www.fppc.ca.gov SCHEDULE B-PART I Schedule B—Part 1 Amounts may be rounded Statement covers period ' Loans Received to whole dollars. CALIFORNIA 460 from 01/01/2016 FORM SEE INSTRUCTIONS ON REVERSE • through 04/23/2016 Page 8 of 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 IF AN INDIVIDUAL.ENTER (C) (d) (e) (i) la) a FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE T OF LENDER OCCUPATION C� PATI-EMP oD EMPLOYER BEGINNING BALANCE RECEIVED THIS OR FORGIVEN CLORE OR THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSOENTERI.D.NUMBER) NAMEOF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TODATE Barry Chang for Assembly 2014 ®PAID CALENDAR YEAR $ 10,000.00 $ 0.00 0.005 Y. $ 10,000.00 $ -10,000.00 ❑FORGIVEN RATE PERELECTION*a $ 10,000.00 $ 0.00 $ 0.00 12/26/2016 $ 0.00 12/26/2015 $02016 10,000.00 10 IND El COM ❑ OTH 0 PTY 0 SCC DATE DUE DATE INCURRED Sue-Fay L. Chang El PAID CALENDARYEAR $ 20,000.00 $ 0.00 0.00% v, $ 20,000.00 $-20,000.00 ElFORGIVEN RATE PER ELECTION'S $ 20,000.00 $ 0.00 $ 0.00 12/31/2015 $ 0.00 12/30/2015 §P2016 0.00 110 IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED o PAID CALENDAR YEAR $ $ S 6 $ EI FORGIVEN RATE PERELECTION" t❑ IND 0 COM 0 OTH 0 PTV 0 SCC $ $ § DATE DUE $ DATE INCURRED $ SUBTOTALS $ 0.00$ 30,000.00$ 0.00$ Schedule B Summary Schedule(e)on 1. Loans received this period $ _ 0.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period $ 30,000.00 COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g..business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ -30,000.00 SCC—Small coni butor Committee Enter the net here and on the Summary Page, Column A, Line 2. May beaaega0 en mbar) *Amounts forgiven or paid by another party also must be reported on Schedule A. L '•If required. FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.neffile.com www.fppc.ca.gov Schedule C SCHEDULE C NonmonetaryContributions Received Amounts whole dollars.be snded Statement covers period towholeCALIFORNIA 460 from 01/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 04/23/2016 Page 9 of 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 IFAN INDIVIDUAL ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE* (IF SELF-EMPLOYED. GOODS OR SERVICES CALENDAR YEAR VALUE (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN I-DEC 31) (IF REQUIRED) 03/31/2016 IvyMax ❑IND Rent 600.00 600.00 P2016 $600.00 ['COM x❑OTH In-Kind Rent. ❑PTY ❑SCC DIND ❑COM ❑OB-1 ❑PTY ❑SCC ❑IND ❑COM ❑0TH ❑PTY • ❑SCC ❑IND ❑COM • 00TH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 600.o0 Schedule C Summary *Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND—Individual (Include all Schedule C subtotals.) $ 600.00 COM—Recipient Committee (other than PTY or SCC) • 2. Amount received this period—unitemized nonmonetary contributions of less than$100 $ _ o.oo OTH—Other(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) TOTAL $ 600.00 FPPC Form 460(Jan12016) FPPC Advice:advice@fppc.ca.gov(86612753772) www.fppc.ca.gov www.netlrle.coni Schedule D Summaryof Expenditures SCHEDULE o P Statement covers period 460 Supporting/OpposingOther Amotowunts may ofe ars.rouCALIFORNIAFO to whole dollars. from 01/01/2016 FORM Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through 04/23/2016 Page 10 of 13 _ NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 NAME OF CANDIDATE,OFFICE,AND DISTRICT OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE 02/20/2016 Evan Low ❑X Monetary 100.00 100.00 P2016 $100.00 State Assembly Person District: 28 Contribution ❑ Nonmonetary Contribution ❑ Independent O Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Norimonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent O Support 9 Oppose Expenditure • SUBTOTAL $ l00.o0:: * Schedule D Summary 1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.) $ 100.00 2. Unitemized contributions and independent expenditures made this period of under$100 $ o.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 100.00 FPPC Form 460(Jan/2016) www.netfile.com FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.fppc.ca.gov Schedule E Statement covers period SCHEDULE E Pa ments Made Amounts may be rounded CALIFORNIA 460 y to whole dollars. from 01/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 04/23/2016 page 11 of 13 NAME OF FILER I.D. NUMBER Barry Chang for Assembly 2016 1378937 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. NUR 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 FET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees Ri0 phone banks TRC 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)* PUS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense Rio professional services (legal, accounting) VOT voter registration LR campaign literature and mailings FRT print ads WEB information technology costs(Internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE.ALSOENTERID.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Acosta Consulting CNS 10,000.00 • Anzalone Liszt Grove Research Inc. POL 12,500.00 Evan Low for Assembly 2016 (IDi 1373638) CTS 100.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 22,600.00 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 48,825.65 2. Unitemized'payments made this period of under$100 $ 15.94 3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).) $ 0.00 4. Total payments made this period. (Add Lines 1,2,and 3.Enter here and on the Summary Page,Column A, Line 6.) TOTAL $ 48,841.59 FPPC Form 460(Janf2016) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275.3772) www.fppc.ca.gov www.netfile.com Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 01/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 04/23/2016 pogo 12 of 13 NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MFG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PI-10 phone banks TRC 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, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs(interne(, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER LD.NUMBER) NGP Van Inc. WEB 4,600.00 PayPal Return funds deposited in error 12,939.56 River City Business Services PRO 2,300.00 San Mateo County Elections FND 1,303.00 San Mateo County Registrar of Voters FIL 4,120.00 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 25,262.56 FPPC Form 460(Jan12016) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netrle.com www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 01/01/2016 FORM through 04/23/2016 page 13 of 13 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Barry Chang for Assembly 2016 1378937 • CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MP campaign paraphemalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC office expenses • SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals PD 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 UT campaign literature and mailings PRT print ads WEB information technology costs(Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER ID.NUMBER) Secretary of State FIL 963.09 • • • *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 963.09 • ., FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.neffile.com www.fppc.ca.gov