CA Form 497 Contribution Report No. 20241015-01 - Jeff Chen 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of Date Stamp CALIFORNIA
JEFF CHEN FOR RPV CITY COUNCIL 2024 This Filing 10/15/2024497
_ FORM
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) RECEI •
Report No. 20241015-01 For Official Use Only
424-888-0178 1473420 CITY OF RANCHO PALOS VERDES
STREET ADDRESS
❑Amendment OCT 15 2024
46E Peninsula Center#191 to Report No.
CITY STATE ZIP CODE (explain below)
1
RollingHills Estates CA 90274 No. of Pages CITY CLERKS
OFFICE
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) RECEIVED
10/14/2024 Benjamin Chen ® IND Accountant $1,800
1920 Malcolm Ave #201 COM
Los Angeles, CA 90025 ❑ OTH
❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑Check if Loan
❑ PTY
❑ SCC
Provide interest rate
*Contributor Codes
IND - Individual
COM - Recipient Committee(other than PTY or SCC)
OTH - Other(e.g., business entity)
Reason for Amendment: PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497(Feb/2019)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov