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410 Statement of Organization Recipient Committee – Initial Not Yet QualifiedStatement of Organization Recipient Committee Statement Type U Initial Not yet qualifiedEA) or Date qualifiedcas ornmittee ❑ Amendment List I.D. number: i Date qualified as committee (It applicaule) 1. Committee Information NAME OF COMMITTEE Barry Chang for Board of F:qual.izat.ion 2018 STREET ADDRESS (NO PO BOX) CII-( STATE ZIP CODE COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE is ACTIVE Sacramento Attach additional infomTation on apprnpriatel_y labeled continuation s1leets. f Date cfTemninalion ) UPERT NIr) CITY r%i ERK a 2. Treasurer and Offer Principal Officers NAME OF TREASURER Tota Copeland STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANTTREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEWHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 3_ Verification I have used all reasonable diligence in preparing SIGNR-URE O PJTROL€.[NG OFFICEHOLDER, CANDIDATE, OR S TATE PLEASURE PROPONENT By SIGNATURE OF CONTROLLING OFEICEHOL.DER. CANDIDATE. OR SIM E MEASURE PROPONENT FPPC Forn 410 (Jan/2016) evwvr.neifile_com FPPC Advice: advice@ff?pc.ca.gov (866!275-3772) www.fppc_ca.gov Stat6nnent of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME I.D. NUMBER Barry Chang for Board of Equalization 2018 e All COrnlnitteeS must list the financial institution where the campaign bank account is located. OF FINANCIALINSTITUTION ADDRESS AREA CODE/PHONE CITY BANK ACCOUNT STATE ZIP CODE 4_ Tyjae of Con-irnittee Complete the applicable sections. List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. R List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." m If this committee acts jointly with another controlled committee, list the name and identification number of the Other controlled committee, ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY a Prirnarilyformed to support or oppose specific candidates ormeasures in a single election. List below: CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURES) JURISDICTION CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) (INCLUDE DISTRICTNO., CITY OR COUNTY, ASAPPLICABLE) CHECK ONE SUPPORT�i OPPOSE 1vWu/./aefli?e.cottl FPPC Form 410 (Jan/2016) f PPC Advice_ a(lvice@fppc.ca.gov (8661275-3772) wwuv_fppc.ca_gov Board of Equalization Member_ Board of ❑ Nonpartisan Barry Chang Equall2ation Di. s tsict 2 2018 Democratic Party [_] Nonpartisan a Prirnarilyformed to support or oppose specific candidates ormeasures in a single election. List below: CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURES) JURISDICTION CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) (INCLUDE DISTRICTNO., CITY OR COUNTY, ASAPPLICABLE) CHECK ONE SUPPORT�i OPPOSE 1vWu/./aefli?e.cottl FPPC Form 410 (Jan/2016) f PPC Advice_ a(lvice@fppc.ca.gov (8661275-3772) wwuv_fppc.ca_gov Staterr7ent of Organization Recipient Committee ° `' , eFAIR a- INS IRUCTIONS ON REVERSE Paae 3 of 377 , COMMITTEE NAME I.D. NUMBER Barry Chang for Soa.rd of 3g.rajA zat_on 2028 4.Type of Corn(Tlittee (Continued) ! Not formed to support or oppose specific candidates or measures in a single election. Check only one box: E] CITY Committee F1 COUNTY Committee ❑ STATECominittee PROVIDE BRIEF DESCRIPTION Or! ACTIVITY • _ List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET" CITY STAI"'E ZIP CODE - ! P 8 E I Date qualified 5.Termination Requiremeilts By signing the verification, the treasurer, assistant treasurerarid/or candidate, officeholder, orproponent certify that all of the following conditions have been met: This committee has ceased to receive contributions and make expenditures; • This committee does riot anticipate receiving contributions or making expenditures in the Future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • -ftlis committee has no surplus funds; and • This committee has riled all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519_ -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 98521.5. FPPC Form 410 (Jan/2016) www.netfile-coni FPPC Advice: adviceefppc.ca.gov (866/275-3772) wwwJppc.ea.gov