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460 Recipient Committee Campaign Statement - Semi Annual 07-01-16 to 12-31-16 - Amendment Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2016 through 12/31/2016 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee (xD Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1299673 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) CUPERTINO CHAMBER OF COMMERCE PAC STREET ADDRESS (NO P.O. BOX) ul l y STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE GOVER PAGE D k- • Date of election if applic i I (Month, Day, Year) FEB 1 v 2017 a e 1 of 12 For Official Use Only PERTINO CITY CLE K 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑x Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement-Attach Form 495 ❑x Amendment(Explain below) UPDATED SCHEDULE D Treasurer(s) NAME OF TREASURER ANDREW WALTERS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and Executed on Date Executed on Date Executed on Date 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 C OVER PAGE-PART 2 Campaign Statement • ' 460 Cover Page— Part 2 O ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE Page 2 of 12 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE ❑ SUPPORT NAME OF BALLOT MEASURE ❑ OPPOSE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE ❑ 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 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 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO 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 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC Contributions Received 1. Monetary Contributions .............................. 2. Loans Received .......................................... 3. SUBTOTALCASH CONTRIBUTIONS ......... 4. Nonmonetary Contributions........................ 5. TOTAL CONTRIBUTIONS RECEIVED ........ Expenditures Made 6. Payments Made...................................... 7. Loans Made............................................ 8. SUBTOTAL CASH PAYMENTS ............... 9. Accrued Expenses (Unpaid Bills) .......... 10. Nonmonetary Adjustment ...................... 11. TOTAL EXPENDITURES MADE.............. Statement covers period from 07/01/2016 through ............. Schedule E, Line 4 $ Column A ............. Schedule H,Line 3 Column B ................. Add Lines 6+7 $ TOTALTHIS PERIOD .................Schedule F,Line 3 CALENDAR YEAR ................Schedule C,Line 3 (FROM ATTACHED SCHEDULES) ..............Add Lines 8+9+10 $ TOTALTO DATE ............ Schedule A,Line a $ 26,100.00 $ 26,400.00 ............ Schedule B, Line 3 0.00 0.00 ................ Add Lines 1+2 $ 26,100.00 $ 26,400.00 ............ Schedule C,Line 3 0.00 0.00 •••••.......•.•••••Add Lines 3+4 $ 26,100.00 $ 26,400.00 ............. Schedule E, Line 4 $ 17,199.69 ............. Schedule H,Line 3 0.00 ................. Add Lines 6+7 $ 17,199.69 .................Schedule F,Line 3 20,089.61 ................Schedule C,Line 3 0.00 ..............Add Lines 8+9+10 $ 37,289.30 Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 13. Cash Receipts ................................................... Column A,Line 3 above 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 15. Cash Payments.................................................. Column A,Line 8 above 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 50.00 26,100.00 0.00 17,199.69 8,950.31 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 $ _ 17,449.69 0.00 $ 17,449.69 20,089.61 0.00 $ 37,539.30 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 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) I $ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov Schedule A Scl-IFnt 11 F A monetary L;ontrinutions Keceived ^ ­­ ...°y — 1-lucu Statement covers period to whole dollars. from 07/01/2016 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 9 NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC CALIFORNIA ' FORM Page 4 of 12 I.D. NUMBER 1299673 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 ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) 07/01/2016 KEITH WARNER MIND OF BUSINESS) MANAGING PARTNER 100.00 100.00 10601 M DRIVE PACIFIC WORKPLACES CUPERTINNOO,, C A 95104 C ❑COM ❑OTH ❑PTY ❑SCC 08/22/2016 SAN JOSE WATER COMPANY ❑IND 1,000.00 1,000.00 110 W. TAYLOR STREET ❑COM SAN JOSE, CA 95196 ❑x OTH ❑PTY ❑SCC 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED ❑IND 6,906.66 25,000.00 ENTITIES MULTI FAM PROPERTY, LLC, SAME ADDRESS ❑SCC 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED ❑IND 5,023.12 25,000.00 ENTITIES RETAIL PROPERTY, LLC, SAME ADDRESS ❑SCC 11/02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED ❑IND 650.53 25,000.00 ENTITIES HOTEL PROPERTY, LLC, SAME ADDRESS ❑SCC SUBTOTAL$ 13,680.31 Schedule A Summary 1. Amount received this period—itemized monetary contributions. (Include all Schedule A subtotals.)............................................ 2. Amount received this period—unitemized monetary contributions of less than$100 . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)........ ................... $ 26,100.00 $ 0.00 TOTAL $ 26,100.00 '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(8661275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) RA—w..4..... I7_ SCHEDULE A (CONT) IWw UARy VvlIL!1LJULIV11.E 11C%.C1VCU 'vlwunwmayoerounueo Statement covers period to whole dollars. CALIFORNIA 1 from 07/01/2016 • through 12/31/2016 Page 5 of 12 NAME OF FILER I.D.NUMBER CUPERTINO CHAMBER OF COMMERCE 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 COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) 11 02/2016 SAND HILL PROPERTY COMPANY AND AFFILIATED ❑I ND 12,419.69 25,000.00 ENTITIES OFFICE PROPERTY, LLC, SAME ADDRESS ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH []PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 12,419.69 `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(8661275-3772) www.fppc.ca.gov Schedule D C..r„rN. —. _4 C.. ...I:a....... crruc:n u C n -- Amounts may be rounded Supporting/Opposing Other Statement covers period CALIFORNIA to whole dollars. Candidates, Measures and Committees from o7/0l/2016 ' FORM , SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 6 of 12 NAME OF FILER I.D. NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) 10/31/2016 LIANG CHAO SCHOOL BOARD MEMBER ❑ Monetary LIT 2,393.69 6,219.25 CUPERTINO UNION SCHOOL DISTRICT Contribution ❑ Nonmonetary Contribution ® Independent ❑ Support Oppose Expenditure 10/31/2016 MEASURE C CITY OF CUPERTINO ❑ Monetary LIT 2,393.69 17,695.92 Contribution ❑x Nonmonetary Contribution ❑ Independent ❑ Support ® Oppose Expenditure 10/31/2016 MEASURE D CITY OF CUPERTINO ❑ Monetary LIT 2,393.69 2,393.69 Contribution Nonmonetary Contribution ❑ Independent x❑ Support ❑ Oppose Expenditure SUBTOTAL $ 7,181.07 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.) .... $ 34,921.81 .................. $ 0.00 ...... TOTAL $ 34,921.81 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 SCHEDULED(CONT.) Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA ' from 07/01/2016 • - • www.neffile.com SUBTOTAL $ 14,396.60 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.qov through 12/31/2016 Pa 7 12 e Page of NAME OF FILER I.D.NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1-DEC.31) TO DATE (IF REQUIRED) 10/31/2016 STEVEN SCHARF City Council Member ❑ Monetary LIT 2 393 , .69 6 21 , 9.25 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution x❑ Independent ❑ Support ❑x Oppose Expenditure 10/31/2016 MEASURE B COUNTY OF SANTA CLARA ❑ Monetary LIT 2,393.70 2,393.70 Contribution ❑ Nonmonetary Contribution ❑x Independent Support ❑ Oppose Expenditure 11/01/2016 LIANG CHAO SCHOOL BOARD MEMBER ❑ Monetary LIT 1,921.84 6,219.25 CUPERTINO UNION SCHOOL DISTRICT Contribution ❑ Nonmonetary Contribution ❑x Independent ❑ Support ❑x Oppose Expenditure 11/01/2016 MEASURE C CITY OF CUPERTINO ❑ Monetary LIT 7,687.37 17,695.92 Contribution ® Nonmonetary Contribution ❑ Independent ❑ Support ❑x Oppose Expenditure www.neffile.com SUBTOTAL $ 14,396.60 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.qov Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SCHEDULED(CONY.) Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA , from 07/01/2016 • . • through 12/31/2016 Page g 12 g of NAME OF FILER I.D.NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1-DEC.31) TO DATE (IF REQUIRED) 11/01/2016 STEVEN SCHARF City Council Member E] Monetary LIT 192184, . 6,21 9.25 CITY OF CUPERTINO Contribution ❑ Nonmonetary Contribution x❑ Independent ❑ Support ❑x Oppose Expenditure 11/03/2016 LIANG CHAO SCHOOL BOARD MEMBER ❑ Monetary LIT 1,903.72 6,219.25 CUPERTINO UNION SCHOOL DISTRICT Contribution ❑ Nonmonetary Contribution ❑x Independent ❑ Support ❑x Oppose Expenditure 11/03/2016 MEASURE C CITY OF CUPERTINO E] Monetary LIT 7,614.86 17,695.92 Contribution ❑x Nonmonetary Contribution ❑ 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 ® Independent ❑ Support ❑x Oppose Expenditure www.neffile.com SUBTOTAL $ 13,344.1 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.qov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER OF COMMERCE 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. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS CTB campaign consultants 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 candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging,and meals FND IND fundraising events independent expenditure supporting/opposing others (explain)* POL POS polling and survey research TRS postage, delivery and messenger services TSF staff/spouse travel, lodging, and meals transfer LEG legal defense PRO professional services (legal, accounting) VOT between committees of the same candidate/sponsor voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID SECRETARY OF STATE ANNUAL FEE 1500 11TH STREET, ROOM 495 50.00 SACRAMENTO, CA 95814 SUTTON LAW FIRM PRO 150 POST STREET, SUITE 405 462.41 SAN FRANCISCO, CA 94108 SUTTON LAW FIRM PRO 150 POST STREET, SUITE 405 1,855.08 SAN FRANCISCO, CA 94108 * 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,e, Column A, Line 6. ,) ............................. TOTAL $ 17 199.69 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.fppc.ca.qov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 SCHEDULE E(CONT.) SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 10 of 12 NAME OF FILER I.D.NUMBER CUPERTINO CHAMBER OF COMMERCE PAC 1299673 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP CNS campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CTB campaign consultants contribution (explain nonmonetary)' IVITG 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 FND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel, lodging,and meals IND 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 LEG LIT legal defense PRO professional services (legal, accounting) VOT voter registration campaign literature and mailings PRT print ads WEB information technoloqv costs (internet. e-mail) 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 SAN FRANCISCO, CA 94104 IND SEE SCHEDULE G 11,968.46 TERRIS BARNES WALTERS (TBW) 400 MONTGOMERY STREET, 7TH FLOOR SAN FRANCISCO, CA 94104 IND SEE SCHEDULE G 2,863.74 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 14,832.20 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC Statement covers period from 07/01/2016 through 12/31/2016 SCHEDULEF 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. CIVP CNS campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CTB campaign consultants 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 IND 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 LEG LIT legal defense PRO professional services (legal, accounting) VOT voter registration campaign literature and mailings PRT print ads wFR infnrmafinn f—hnnl—, ­+c /In+e..m . a% NAME AND ADDRESS OF CREDITOR CODE OR (a) (b) (c) (d) (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD TERRIS BARNES WALTERS (TBW) IND 0.00 11,422.30 400 MONTGOMERY STREET, 7TH FLOOR 0.00 11,422.30 SAN FRANCISCO, CA 94104 TERRIS BARNES WALTERS (TBW) IND SEE SCHEDULE G 0.00 8,667.31 400 MONTGOMERY STREET, 7TH FLOOR 0.00 8,667.31 SAN FRANCISCO, CA 94104 *Pavmants that-r ntrihnfinnc.. ..rler..,...+....�.. 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.)...... 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.) . 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .......................................................................................... INCURRED TOTALS $ PAID TOTALS $ 20,089.61 0.00 NET $ 20,089.61 May be a negative number FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor(on Behalf of This Committee) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER CUPERTINO CHAMBER OF COMMERCE PAC NAME OF AGENT OR INDEPENDENT CONTRACTOR TERRIS BARNES WALTERS (TBW) Statement covers period from 07/01/2016 through 12/31/2016 Page 12 of 12 I.D.NUMBER 1299673 G 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 PET 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 IND fundraising events independent expenditure supporting/opposing others (explain)* POL POS polling and survey research delivery TRS staff/spouse travel, lodging, and meals LEG legal defense postage, and messenger services TSF transfer between committees of the same candidate/sponsor LIT PRO professional services (legal, accounting) VOT voter registration campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CORNERSTONE PRINTING LIT 50 FRANCISCO STREET, SUITE 245 9,007.00 SAN FRANCISCO, CA 94133 USPS POS 2700 CAMPUS DRIVE 5,711.04 SAN MATEO, CA 94497 ZEBRA GRAPHICS INC LIT 1182 FOLSOM STREET 1,125.00 SAN FRANCISCO, CA 94103 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 15,843.04 *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. FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.qov