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460 Recipient Committee Campaign Statement - Pre-Election 07-01-16 to 12-31-16 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE IJSt 1I (c17 R ii W A i ,l Statement covers period Date of election if appli tlt FEB — 2017 from 07/01/2016 (Month, Day,Year) through 12/31/2016 �, PERTINO CITY CLE 1. Type of Recipient Committee: All Committees-Complete Pates 1,2,3,and 4. El Officeholder,Candidate Controlled Committee E] Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1299673 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMM CUPERTINO CHAMBER PAC STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4, verlticatlon I have used all reasonable diligence in preparing and reviewing this statement and to attached schedules is true and complete. I certify By Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder,Candidate,State Measure Proponent By Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page—Part 2 COVER PAGE-PART 2 Page 2 of 12 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIAUBUSINESS 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 are 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 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of E] YES F1 NO officeholder(s)or candidate(s)for which this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (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 STREETADDRESS (NO P.O.BOX) 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary www.netrile.com FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement SummaPage Amounts may be rounded Summary g to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER PAC Contributions Received 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 2. Loans Received ...................................................... Schedule e,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) 26,100.00 $ 0.00 26,100.00 $ 0.00 26,100.00 $ Statement covers period from 07/01/2016 through Column B CALENDAR YEAR TOTALTO DATE 26,400.00 0.00 26,400.00 0.00 26,400.00 Expenditures Made 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 50.00 6. Payments Made....................................................... Schedule E,Line 4 $ _ 17,199.69 $ 17,449.69 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 17,199.69 $ 17,449.69 9. Accrued Expenses (Unpaid Bills)...............................Schedule F,Line 20,089.61 20,089.61 10. Nonmonetary Adjustment .......................................... Schedule C,Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE................................ Add Lines 8+g+10 $ 37,289.30 $ 37,539.30 Current Cash Statement 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 50.00 13.Cash Receipts ................................................... Column A,Line 3above 26,100.00 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0.00 15.Cash Payments.................................................. Column A,Line 8above 17,199.69 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 8,950.31 If this is a termination statement, Line 16 must be zero. 17.LOAN GUARANTEES RECEIVED........................... Schedule e,Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 20,089.61 www.netfile.com 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). SUMMARY PAGE 12/31/2016 Page 3 of 12 I.D. NUMBER 1299673 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) H *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A SCHFnl]I F A mvE11CLQ1y Kecelvea to whole dollars. Statement covers period CALIFORNIA from 07/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 4 of 12 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER PAC 1299673 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITEE,ALSO ENTER I.D.NLIMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAAN.N.1 1 --DEC.31) (IF REQUIRED) 07/01/2016 KEITH WARNER 10601 M DRIVE MIND MANAGING PARTNER 100.00 1 00.00 CUPERTINNOO,, C A 95109 C ❑COM PACIFIC WORKPLACES ❑OTH ❑PTY ❑SCC 08/22/2016 SAN JOSE WATER COMPANY ❑IND 1,000.00 110 W. TAYLOR STREET 1,000.00 SAN JOSE, CA 95196 ❑COM ❑x OTH ❑PTY ❑SCC 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED ❑IND ENTITIES 6,906.66 25,000.00 MULTI FAM PROPERTY, LLC, SAME ❑SCC 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED 5,023.12 ENTITIES ❑IND 25,000.00 RETAIL PROPERTY, LLC, SAME ADDRESS [:]SCC 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED 650.53 ENTITIES ❑IND 25,000.00 HOTEL PROPERTY, LLC, SAME ADDRESS [-]SCC SUBTOTAL$ 13,680.311 %j%-11=uu1C h outtimary 1. Amount received this period—itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................$ 26,100.00 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ 0.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line 1.)....................... TOTAL $ 26,100.00 www.netfile.com *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.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER CUPERTINO CHAMBER PAC DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED,ENTER NAME 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED ENTITIES ❑IND OF BUSINESS) OFFICE PROPERTY, LLC, SAME ADDRESS ❑SCC FIND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ r *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 www.netfile.com SCHEDULE A (CONT) Statement covers period from 07/01/2016 through 12/31/2016 of Page 5 12 AMOUNT RECEIVED THIS PERIOD 12,419. 12,419.69 I.D.NUMBER 1299673 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN.1-DEC.31) (IF REQUIRED) 25,000.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D Summary of Expenditures Supporting/Opposing Other Amounts may be rounded Candidates, Measures and Committees to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2016 through 12/31/2 016 Page 6 of 12 rvtAmt Ur riLth CUPERTINO CHAMBER PAC DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS OR COMMITTEE (IF REQUIRED) PERIOD 10/31/2016 LIANG CHAO LIT City Council Member ❑ Monetary 2,393.69 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution ® Independent Support ❑ Oppose Expenditure 10/31/2016 MEASURE C & D LIT CITY OF CUPERTINO ❑ Monetary 4,787 38 Contribution ❑ Nonmonetary Contribution ❑x Independent ❑ Support ® Oppose Expenditure 10/31/2016 STEVEN SCHARF LIT City Council Member ❑ Monetary 2,393.69 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution ® Independent Q Support ❑ Oppose Expenditure SUBTOTAL $ 9,574.76 Schedule D Summary 1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.)................... 2. Unitemized contributions and independent expenditures made this period of under$100......................................................... 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.). I.D.NUMBER 1299673 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN.1-DEC.31) (IF REQUIRED) 6,219.25 20,089.61 6,219.25 ........... $ 34,921.81 $ 0.00 TOTAL $ 34,921.81 197 www.netfile.com FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER CUPERTINO CHAMBER PAC Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 12/31/2016 SCHEDULE D(COPE FORM . 1 Page 7 of 12 I.D.NUMBER 1999673 DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) PER ELECTION TO DATE (IF REQUIRED) 10/31/2016 MEASURE B COUNTY OF SANTA CLARA ❑ Monetary LIT 2,393.70 2,393.70 Contribution ❑ Nonmonetary Contribution x❑ Independent Expenditure ❑x Support ❑ Oppose 11/01/2016 LIANG CHAO City Council Member ❑ Monetary LIT 1,921.84 6,219.25 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution ❑x Independent x❑ Support ❑ Oppose Expenditure 11/01/2016 MEASURE C & D CITY OF CUPERTINO ❑ Monetary LIT 7,687.37 20,089.61 Contribution ❑ Nonmonetary Contribution ❑x Independent ❑ Support ❑x Oppose Expenditure 11/01/2016 STEVEN SCHARF City Council Member CITY OF CUPERTINO ❑ Monetary Contribution LIT 1,921.84 6,219.25 ❑ Nonmonetary Contribution ® Independent x❑ Support ❑ Oppose Expenditure SUBTOTAL $ 13,924.7 www.netfile.com FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Summary of Expenditures Amounts may be rounded Statement covers period Supporting/Opposing towholedollars. Other Candidates, Measures and Committees from 07/01/2016 NAME OF FILER through 12/31/2016 CUPERTINO CHAMBER PAC SCHEDULED Page 8 of 12 I.D.NUMBER SUBTOTAL $ 11,422.3 www.netfile.com FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov 1Gyyb -/:i DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) PER ELECTION TO DATE (IF REQUIRED) 11/03/2016 LIANG CHAO City Council Member ❑ Monetary LIT 1,903.72 6,219.25 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution Independent Expenditure Support ❑ Oppose 11/03/2016 MEASURE C & D CITY OF CUPERTINO ❑ Monetary LIT 7,614.86 20,089.61 Contribution ❑ Nonmonetary Contribution ❑x Independent ❑ Support ❑x Oppose Expenditure 11/03/2016 STEVEN SCHARF City Council Member ❑ Monetary LIT 1,903.72 6,219.25 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution ❑x Independent x❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 11,422.3 www.netfile.com FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAMt Ur VILLK CUPERTINO CHAMBER PAC Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 12/31/2016 Page 9 of 12 I.D. NUMBER 1299673 E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP CNS campaign paraphemalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL TEL campaign workers' salaries t.v.or cable airtime and production costs FIL FIND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel,lodging,and meals M LEG independent expenditure supporting/opposing others (explain)' POL POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LIT legal defense campaign literature and mailings PRO professional services (legal, accounting) VOT voter registration PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID SECRETARY OF STATE SUTTON LAW FIRM PRO 962.41 r i SUTTON LAW FIRM PRO 1,855.08 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,367.49 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ 17,199.69 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 0.00 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 $ 17,199.69 www.neffle.com FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 12/31/2016 SCHEDULE E Page 10 of 12 I.D.NUMBER CUPERTINO CHAMBER PAC CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID TERRIS BARNES WALTERS (TBW) 400 MONTGOMERY STREET, 7TH FLOOR IND SEE SCHEDULE G 11,968.46 SAN FRANCISCO, CA 94104 TERRIS BARNES WALTERS (TBW) 400 MONTGOMERY STREET, 7TH FLOOR 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP CNS campaign paraphernalia/misc. campaign consultants MBR member communications RAID radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations candidate filing/ballot fees PET petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel,lodging,and meals M LEG independent expenditure supporting/opposing others (explain)* legal defense POS postage, delivery and messenger services TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor Lrf campaign literature and mailings PRO professional services (legal, accounting) VOT voter registration PRT print ads WEB information technoloov c nctc lintPrnPt a_mniil NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID TERRIS BARNES WALTERS (TBW) 400 MONTGOMERY STREET, 7TH FLOOR IND SEE SCHEDULE G 11,968.46 SAN FRANCISCO, CA 94104 TERRIS BARNES WALTERS (TBW) 400 MONTGOMERY STREET, 7TH FLOOR IND SEE SCHEDULE G 2,863.74 SAN FRANCISCO, CA 94104 SEE SCHEDULE G rayments inat are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 14,832.20 FPPC Form 460(Jan/2016) www.netfile.com FPPC Toll-Free Helpline:866 1ASK-FPPC(866/275-3772) www.fppc.ca.gov Schedule F I SCHEDULE F statement covers Amounts may be rounded period CALIFORNIA Accrued Expenses (Unpaid Bills) J • ' to whole dollars. from 07/01/2016 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER PAC through 12/31/2016 Page 11 of 12 I.D.NUMBER 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ClNP CNS campaign paraphernalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC RL civic donations PET petition circulating SAL TEL campaign workers' salaries t.v.or cable airtime and production costs FND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel,lodging,and meals ND LEG independent expenditure supporting/opposing others (explain)* POL POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LIT legal defense campaign literature PRO professional services (legal, accounting) VOT voter registration and mailings PRT print ads wFR inf-ffnn NAME AND ADDRESS OF CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD TERRIS BARNES WALTERS (TBW) IND 400 MONTGOMERY STREET, 7TH FLOOR 0.00 11,422.30 0.00 11,422.30 SAN FRANCISCO, CA 94104 TERRIS BARNES WALTERS (TBW) IND SEE SCHEDULE G 0.00 400 MONTGOMERY STREET, 7TH FLOOR 8,667.31 0.00 8,667.31 SAN FRANCISCO, CA 94104 �Y'..1a...e wrnnuuuons or maepenoent expenditures must also be summarized on Schedule D. SUBTOTALS$ 0.00$ 20,089.61$ 0.00$ 20,089.61 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 $ 20,089.61 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 on the Summary Page, Column A, Line 9.) ................................................................................................................................................NET$ 20,089.61 May be a negative number FPPC Form 460(Jan/2016) www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Contractor(on Behalf of This Committee) to whole dollars. from 07/01/2016 . _ • 1 SEE INSTRUCTIONS ON REVERSE IVHMC Ur rILtK CUPERTINO CHAMBER PAC rvruwc Ur/AUr-N 1 UK INUEF'ENDENT CONTRACTOR TERRIS BARNES WALTERS (TBW) through 12/31/2016 Page 12 of 12 I.D.NUMBER 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations candidate filing/ballot fees PET petition circulating SAL TEL campaign workers' salaries t.v.or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC candidate travel,lodging,and meals M LEG independent expenditure supporting/opposing others (explain)* legal defense POS postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LfT campaign literature and mailings PRO PRT professional services (legal, accounting) VOT voter registration * print ads WEB information technology costs(internet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAMEANDADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CORNERSTONE PRINTING USPS ZEBRA GRAPHICS INC Attach additional information on appropriately labeled continuation sheets. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LIT 9,007.00 POS I I 5,711.04 LIT I 1,125.00 *Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com TOTAL* $ 15,843.04 FPPC Form 460(Jan/2016) FPPC Advice:advice&ppc.ca.gov(866/275-3772) www.fppc.ca.gov