CA Form 501 Candidate Intention Statement - Jeffrey K. Chen Candidate Intention Statement CALIFORNIAREtETcJED FORM 501
CITY OF RANCHO PALOS V'
For Official Use Only
Check One: m Initial ❑Amendment
(Explain) AUG 0 7 2024
CITY CLERK'S OFFICE
1. Candidate Information:
NAME OF CANDIDATE (Last,First Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER(optional) EMAIL(optional)
CHEN,JEFFREY K ( 424 ) 888-0178 ( ) JEFF@CHEN4RPV.COM
STREET ADDRESS CITY STATE ZIP CODE
5557 SEASIDE HEIGHTS DR RANCHO PALOS VERDES CA 90275
OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER,if applicable. [ZI NON-PARTISAN OFFICE
CITY COUNCIL MEMBER CITY OF RANCHO PALOS VERDES _PARTY PREFERENCE:
OFFICE JURISDICTION (Check one box,if applicable.)
❑ State (Complete Part 2.) PRIMARY/GENERAL
LOS ANGELES 2024
City County ❑ Multi-County: (Name of Multi-County Jurisdiction) ( SPECIAL/RUNOFF
Year of Election)
2. State Candidate Expenditure Limit Statement:
(CaIPERS and CaISTRS candidates,judges,judicial candidates,and candidates for local offices do not complete Part 2.)
(Check one box)
accept the voluntary expenditure ceiling for the election stated above.
❑I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment:
0 I did not exceed the expenditure ceiling in the primary or special election held on and I accept the voluntary expenditure ceil-
ing for the general or special run-off election.
(Mark if applicable)
❑ On I contributed personal funds in excess of the expenditure ceiling for the election stated above.
3. Verification:
I certify under penalty of perjury under the laws of the State of California foregoing is true and correct.
l:' L
Executed on Signature
(month,day,year) C ate)
FPPC Form 501(August/2023)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov