CA Form 497 Contribution Report No. 20240930-01 - Jeff Chen 497 Contribution Report Amounts may be rounded to whole dollars.
NAME OF FILER Date of 09/30/2024 Date Stamp CALIFORNIA 497
JEFF CHEN FOR RPV CITY COUNCIL 2024 This Filing FORM
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) 20240930-01 dOkkIOS)IbJ21 PIVifficial Use Only
424-888-0178 1473420 Report No.
STREET ADDRESS
❑Amendment iZO? g 130
to Report No.
CITY STATE ZIP CODE (explain below) S
1 .rBG}J A SOlVd Of iONVH JO AIIO
Rolling Hills Estates CA 90274 No. of Pages aAck]0 RI
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
9/28/2024 Daisy Fan ® IND Home Maker
$2,000.00
coM
❑ 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 cyo
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
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