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460 Recipient Committee Campaign Statement - Semi-Annual, Amendment 10-23-2016-10-31-2016 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/23/201 through 12/31/2016 1. Type of recipient Committee: All Committees—Complete Parts 1,2,3,and 4. x Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ ©State Candidate Election Committee Committee ❑ Recall Q Controlled (Also Compfele Faris) O Sponsored (Also Complete Pad 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political PartyfCentral Committee (Also Oomplefe Part 7) 3. Committee information I.D. NUMBER 1378937 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) Barry Chang for Assembly 2016 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE MAILING ADDRESS(IF DIFFERENT)NO-AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE V/ Date of election if appllc'1e FEB 2017 jj 'LJ' j 1 (Month, Day,Year) e F l °f 6 i (�[ Q !� [�;0 III r Official Use Only 06/07/2016 la 1PEi i IN t $ l CL,-RK 2. Type of Statement; ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement [❑ Supplemental Preelection (Also file a Fora 410 Termination) Statement-Attach Form 495 ❑ Amendment(Explain below) Treasurer(s) NAME OF TREASURER Barry Chang MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER,IF ANY MAILING ADDRESS CITY OPTIONAL: FAX 1 E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 4. Verification €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 cerdfy under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 01/23/2017 BY Date Executed on 01/23/2017 By Date Executed on By Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(.fan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.g ov tvww.ne#fffe.coreT Recipient Committee Campaign Statement Cover Page—Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Barry Chang OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Assembly District 24 RESIDENTIAL/BUSINESS 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 Friends of Barry Chang Against the Recall NAME OF TREASURER CONTROLLED COMMITTEE? Rita Copeland X❑ 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) CITY STATE ZIP CODE AREA CODE/PHONE www.netf►le.corn COVERPAGE-PART2 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE 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 I DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of 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/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov SCHF,nt II F R-PART 1 era.e u—r- ar d r Amounts may be rounded Statement covers period Loans Received to whole dollars. A � from 10/23/2016 - SEE INSTRUCTIONS ON REVERSE through 12/31/2016 page 4 of 6 NAME OF FILER I.D. NUMBER Barry Chang for Assembly 2016 1378937 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) AMOUNT (c) td) OUTSTANDING e) (f) (e) OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNTPAID BALANCEAT REST 7PAID ORIGINAL CUMULATIVE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IFSELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS THIS AMOUNT OF CONTRIBUTIONS NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD PERIOD RIOD LOAN TO DATE Barry Chang Candidate 11450 Canyon View Circle n/a ❑PAID CALENDAR YEAR Cupertino, CA 95014 $ 0.00 $ 30,000.00 0.00 % $ 30,000.00 $ 160,000.00 ❑FORGIVEN RATE PER ELECTION** t© $ 30,000.00 $ 0.00 $ 0.00 11/19/2016 $ 0.00 05/19/2016 $P2016 160,000. DATE DUE DATE INCURRED IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Barry Chang Candidate 11450 Canyon View Circle n/a ❑PAID CALENDAR YEAR Cupertino, CA 95014 $ 0.00 $ 30,000.00 0.00 % $ 30,000.00 $ 160,000.00 [j FORGIVEN RATE PER ELECTION** ?® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ 30,000.00 $ 0.00 $ 0.00 11/20/2016 $ 0.00 05/20/2016 sp2016 160,000. DATE DUE DATE INCURRED Barry Chang Candidate 11450 Canyon View Circle n/a ❑PAID CALENDAR YEAR Cupertino, CA 95014 $ 0.00 $ 40,000.00 0.00 $ 40,000.00 $ 160,000.00 E]FORGIVEN FORGIVEN PER ELECTION'"` t l IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ 40,000.00 $ 0.00 $ 0.00 11/20/2016 $ 0.00 05/20/2016 $P2016 160,000. DATE DUE DATE INCURRED SUBTOTALS $ 0.00$ 0.00$ 100,000.00$ o.00 gcneause B summary 1. Loans received this period.................................................................................................__...............$ (Total Column(b)plus unitemized loans of less than$100.) 2. Loans paid or forgiven this period .........................................................................__................. ...........$ (Total Column(c)plus loans under$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).................................................. 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. www.netfile.com 0.00 0.00 ..... NET $ 0.00 (Maybe a negative number) ,­­k, Schedule E,Line 3) 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 I0 in '0 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded Statement covers period to whole dollars. from 10/23/2016 SCHEDULEF 12/31/2016 SEE INSTRUCTIONS ON REVERSE through Page 6 of 6 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. CMP campaign paraphernalia/misc. MBR member communications RAID 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 FI=T 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 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 LIT campaign literature and mailings PRT print ads WEB information technolnnv rncts fintprnpt a-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER CODE OR (a) OUTSTANDING OUTSTANDING (b) AMOUNT INCURRED tc) AMOUNT PAID (d) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD River City Business Services PRO 5429 Madison Avenue 0.00 96.25 0.00 96.25 Sacramento, CA 95841 -rayments tnat are contributions or independent expenditures must also be SUBTOTALS $ 0.00 summarized on Schedule D. $ 96.25$ 0.00$ 96.25 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.)............................................ INCURRED TOTALS $ 96.25 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.).................................PAID TOTALS $ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) .............................................................................................................................. ................. NET$ 96.25 May be a negative number FPPC Form 460(Jan12016) www.netflle.c®►n FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) www,fppc.ca.gov