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CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Jeff Chen
COVER PAGE Recipient Committee 1ttT!IVEDCALIFORNIA 460 Campaign Statement FORM Cover Page CITY OF RANCHO PALOS - Statement covers period Date of election if applicable: SEP 2 6 2024 Page 1 of 9 7/1/2024 (Month,Day,Year) For Official Use Only from -- CITY SEE INSTRUCTIONS ON REVERSE through 9/21/2024 11/5/2024 CLERK'S OFFICE 1. Type of Recipient Committee: All Committees r(Complete Parts 1,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure V Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ -termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER 1473420 Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER JEFF CHEN FOR RPV CITY COUNCIL 2024 Janet Chen MAILING ADDRESS 5557 Seaside Heights Dr STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREACODE/PHONE 46E Peninsula Center#191 Rancho Palos Verdes, CA 90275 310-408-1106 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Rolling Hills Estates CA 90274 424-888-0178 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. ------ .A Executed on 9/26/2024 By Date ignatu of Treasurer or Assistant Treasurer Executed on 9/26/2024 By Date Signature of Controlling 0 .ehol , andidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date 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 COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page El Part 2 Page 2 of 9 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE JEFF CHEN OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT h Palos Verdes ❑ OPPOSE CITY COUNCIL MEMBER: Rancho RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 5557 Seaside Heights Dr, Rancho Palos Verdes, CA 90275 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 STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.f ppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page CALIFORNIA 460 from 7/1/2024 FORM 9/21/2024 Page 3 of 9 SEE INSTRUCTIONS ON REVERSE through g NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 8,266.00 $ 8,266.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 500.00 500.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 8,766.00 $ 8,766.00 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 8,766.00 $ 8,766.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 4,507.80 $ 4,507.80 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 4,507.80 4,507.80 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 4,507.80 $ 4,507.80 / / $ Current Cash Statement / / $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 0.00 To calculate Column B, 13. Cash Receipts Column A,Line 3 above _. 8,766.00 add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 4,507.80 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+ 13+14,then subtract Line 15 $ 4,258.20 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being filed for this calendar year, 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9(if any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received CALIFORNIA 460 from 7/1/2024 FORM 9/21/2024 Page4 of 9 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) i 8/20/2024 Annie Tung ©IND Social Media Personality/ 500.00 500.00 San Diego, CA 92111 ❑COM Housewife ❑OTH ❑PTY ❑SCC 8/24/2024 Jianping Wei ®IND p g Retired 100.00 100.00 Torrance, CA 90503 ❑COM ❑OTH ❑PTY ❑SCC 8/25/2024 Jamie Park K IND Self-Employed 250.00 250.00 Rancho Palos Verdes, CA 90275 ❑COM [1 OTH ❑PTY ❑SCC 8/26/2024 Chris Thornton KIND Project Manager 100.00 100.00 Redondo Beach, CA 90278 ❑COM Walt Disney Imagineering ❑OTH ❑PTY ❑SCC 8/27/2024 John Quach $]IND Manager 500.00 500.00 San Francisco, CA 94116 ❑COM Sutter Health ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,450.00 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual all Schedule A subtotals. 8,266.00 coM Recipient Committee (Include ) $ (other than PTY or SCC) 0.00 OTH—Other(e.g., business entity) 2. Amount received this period— unitemized monetary contributions of less than $100 $ PTY—Political Party SCC—Small Contributor Committee 3. Total monetary contributions received this period. 8,266.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 from 7/1/2024 FORM through 9/21/2024 Page 5 of 9 NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR * RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME) (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) 8/27/2024 Kushan Moonesinghe ®IND Doctor 250.00 250.00 Orange, CA 92867 ❑COM ❑OTH ❑PTY ❑SCC 8/28/2024 George Greenberg KI IND Accountant 150.00 150.00 Beverly Hills, CA 90210 ❑COM FUSE ❑OTH ❑PTY ❑SCC 8/28/2024 Dustin Lee IND Product Operations Analyst 250.00 250.00 San Francisco, CA 94122 ❑COM Moody's ❑OTH ❑PTY ❑SCC 8/31/2024 Cliff Lim ®IND Publicist 500.00 500.00 Los Angeles, CA 91423 ❑COM 1st Avenue Public Relations ❑OTH ❑PTY ❑SCC 9/6/2024 Phillip Chen ®IND CO-CEO 1000.00 1000.00 Rolling Hills, CA 90274 ❑coM Prime Wheel ❑OTH ❑PTY ❑SCC SUBTOTAL$ 2,150.00 f. *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) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 from 7/1/2024 FORM through 9/21/2024 Page 6 of 9 NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR * RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME) (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) 9/6/2024 Colleen Slattery ®IND Homemaker 1,000.00 1,000.00 Rolling Hills, CA 90274 ❑COM ❑OTH ❑PTY ❑SCC 9/8/2024 Eddie Chen M IND General Manager 2,000.00 2,000.00 Palos Verdes Estates, CA 90274 ❑COM Potential Industries ❑OTH ❑PTY ❑SCC 9/9/2024 Albert Huang ®IND Retired 866.00 866.00 Rancho Palos Verdes, CA 90275 ❑COM ❑OTH ❑PTY ❑SCC 9/12/2024 Joanna Yu ]IND Retired 600.00 600.00 Rancho Palos Verdes, CA 90275 ❑COM ❑OTH ❑PTY ❑SCC 9/12/2024 Tea Honour Inc ❑IND Tea Honour Inc 200.00 200.00 Torrance, CA 90502 ❑COM OTH ❑PTY ❑SCC SUBTOTAL$ 4,666.00 *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(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B-PART 1 Schedule B [_] Part 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received from 7/1/2024 FORM SEE INSTRUCTIONS ON REVERSE through 9/21/2024 Page 7 of 9 NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF SELF-EMPLOYED,ENTER BEGINNING THIS PERIOD THIS PERIOD. CLOSE OF THIS PERIOD LOAN TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD Jeff Chen ❑ PAID CALENDAR YEAR Rancho Palos Verdes,CA 90275 Technology Engineer 0.00 500.00 0.0 0 500.00 APS Enterprises $ $ io $ $ 500.00 RATE ❑FORGIVEN PER ELECTION** 500.00 500.00 0.00 12/31/2024 0.00 8/1/2024 $ $ $ $ $ XJ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ ❑ IND [1] COM ❑ OTH ❑ PTY ❑ SCC $ $ „� DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ $ $ ij ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter(e)on Schedule E,Line 3) Schedule B Summary 1. Loans received this period $ 500.00 (Total Column (b) plus unitemized loans of less than $100.) 2. Loanspaid or forgiven thisperiod $ 0.00 (-Contributor Codes 9 IND Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM-Recipient Committee (Include loans paid by a third party that are also itemized on Schedule A.) (other than PTY or SCC) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 500.00 OTH—Other(e.g., business entity) Enter the net here and on the Summary Page, Column A, Line 2. PTY-Political Party SCC—Small Contributor Committee (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 Payments Made from 7/1/2024 FORM through 9/21/2024 Page 8 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 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 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 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 technology costs(internet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CA Slates Slate Mailer 2,000.00 Long Beach, CA 90802 Voterlist Pro Social Media Consulting 650.00 Riverside, CA 92507 VoteGTR Website Hosting 358.00 Tysons,VA 22102 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,008.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 4,507.80 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 $ 4,507.80 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) Amounts may be rounded (Continuation Sheet) to whole dollars. Statement covers period CALIFORNIA 460 Payments Made from 7/1/2024 FORM SEE INSTRUCTIONS ON REVERSE through 9/21/2024 Page 9 of 9 NAME OF FILER I.D.NUMBER JEFF CHEN FOR RPV CITY COUNCIL 2024 1473420 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 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 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 technology costs(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Uprinting Campaign Materials 856.93 Van Nuys, CA 91406 Dirt Cheap Signs Campaign Materials 528.43 Lago Vista, TX 78645 Anedot Credit Card Transaction Fees 114.44 New Orleans, LA 70112 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,499.80 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov