CA Form 460 Recipient Committee Preelection Campaign Statement No. 2 - Jeff Chenr
COVER PAGE
Recipient Committee Date Stamp
460
Campaign Statement CALIFORNIA
RECEIVE® FORM
Cover Page
CITY OF RANCHO PALOS - 1 8
Statement covers period Date of election if applicable: Page of
9/22/2024 (Month, Day,Year) 0 C T 24 2024 For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE through 10/19/2024 11/5/2024 g CITY CLERK'S OFFICE
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
✓ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee ❑ Semi-annual Statement 0 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 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 AREA CODE/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.
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 10 / 24 / 2024 By
%a�024 Signature f Try re or Assistant Treasurer
10 / 24
Executed on By C
Date Signature of Controlling Officeholder,Candi e,&fate 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)
Doc ID: 39Cb8f8641 aef2b16e0C00301a7fMcgA7705e
COVER PAGE-PART 2
Recipient Committee CALIFORNIA 460
Campaign Statement FORM
Cover Page Part 2
Page 2 of 8
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Jeffrey Chen
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
❑ SUPPORT
CITY COUNCIL MEMBER: Rancho Palos Verdes ❑ OPPOSE
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
❑ YES El NO
SUPPORT
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
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www.fppc.ca.gov
Doc ID: 39cb8f8641 aef2b16e0c00303a97ea565c67705e
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period
Summary Page CALIFORNIA 460
from 9/22/2024 FORM
through
10/19/2024 Page 3 of 88
SEE INSTRUCTIONS ON REVERSE 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 $ 8,150.00 $ 16,416.00
500.00 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 8,150.00 $ 16,916.00 20. Contributions
$ $
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 8,150.00 $ 16,916.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 8,622.94 $ 13,130.74 Candidates
7. Loans Made Schedule H,Line 3
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $
8 622.94 13'130.74 22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 8,622.94 $ 13,130.74
/ / $
Current Cash Statement / / $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 4,258.20
To calculate Column B,
13. Cash Receipts Column A,Line 3 above 8,1 50.00 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 8,622.94 of your last report. Some
3,786.26 amounts in Column A may
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 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
17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $
filed for this calendar year,
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))
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Doc ID: 39cb8f8641aef2b16e0c00303a97ea565c67705e
Schedule A Amounts may be rounded SCHEDULE A
Monetar Contributions Received to whole dollars. CALIFORNIA 460
y Statement covers period
from 9/22/2024 FORM
through 10/19/2024 Page 4 of 8
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER I.D.NUMBER
JEFF CHEN FOR RPV CITY COUNCIL 2024 73420
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)
9/24/2024 Randall Fan ®IND Physican 1,000.00 1,000.00
26 Coffee Berry Lane ❑coM G2 Anthesia - BAAM
Orinda CA 94563 ❑OTH
❑PTY
❑SCC
9/24/2024 Allen Huang ®IND Product Manager
821 Dolores Street ❑coM Goole 500.00 500.00
San Francisco, CA 94110
❑OTH g
❑PTY
❑SCC
9/26/2024 Derrick Lee ®IND Lawyer 100.00 100.00
1604 Via Barcelona ❑coM
Palos Verdes Estates, CA 90274 ❑OTH
❑PTY
❑SCC
9/30/2024 Daisy Fan ®IND Homemaker 2,000.00 2,000.00
1 Sagebrush Ln ❑coM Retired
Rolling Hills, CA 90274 ❑OTH
❑PTY
❑SCC
9/30/2024 Kenneth Yen ®IND Manager
28929 Briarhurst Dr ❑coM 300.00 300.00
Rancho Palos Verdes, CA 90275
ElOTH Simplehuman
❑PTY
❑SCC
SUBTOTAL$ 3,900.00
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions. IND—Individual
8,150.00 COM—Recipient Committee
$ '
(Include all Schedule A subtotals.) (other than PTY or SCC)
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.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 8,150.00 FPPC Form 460(Jan/2016))
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Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460
from 9/22/2024 FORM
through 10/19/2024 Page 5 8
of
g
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
CONTRIBUTOR * OCCUPATION AND EMPLOYER 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)
9/30/2024 Eugene Hsin ®IND Technican
5758 Geary Blvd ❑coM San Francisco Intl Airport 200.00 200.00
San Francisco, CA 94121 ❑OTH
❑PTY
❑SCC
10/4/2024 Dulce Costa ®IND Supervisor
28242 Lobrook Drive ❑coM TJ MAXX - RHE 50.00 50.00
Rancho Palos Verdes, CA 90275 ❑OTH
❑PTY
❑SCC
10/5/2024 Carol Chen ®IND Retired 100.00 100.00
29073 Palos Verdes Drive East ❑coM
Rancho Palos Verdes, CA 90275 ❑OTH
❑PTY
❑SCC
10/8/2024 Tony and Christine Wang ®IND Homemaker 800.00 800.00
6 Sunrise ❑coM
Newport Coast, CA 92567 ❑OTH
❑PTY
❑SCC
10/8/2024 Rhea Mitha ®IND Sales
200.00 200.00
5088 Silver Arrow Drive ❑coM Meta
Rancho Palos Verdes CA 90275 El OTH
El PTY
❑SCC
SUBTOTAL$ 1,350.00
*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
Doc ID: 39cb8f8641 aef2b16e0c00303a97ea565c67705e
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460
from 9/22/2024 FORM
through 10/19/2024 Page 6 of 8
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)
10/14/2024 Janet & Richard Yamamoto ®IND Retired 100.00 100.00
11 Sea Cove Drive ❑coM
Rancho Palos Verdes, CA 90275 ❑OTH
❑PTY
❑SCC
9/28/2024 Brian Huang ®IND Product Manager 500.00 500.00
42 Antioch Dr San Mateo, CA 94403 ❑coM Google
❑OTH
❑PTY
❑SCC
10/6/2024 Maria Luisa Mateo ®IND Retired 500.00 500.00
6161 Arrowroot Ln ❑coM
Rancho Palos Verdes, CA 90275 ❑OTH
❑PTY
❑SCC
10/14/2024 Benjamin Chen IND Accountant 1,800.00 1,800.00
1920 Malcolm Ave, Unit 201 ❑coM
Los Angeles, CA 90025 ❑OTH
❑PTY
❑SCC
11]IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 2,900.00
*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
Doc ID: 39cb8f8641 aef2b16e0c00303a97ea565c67705e
Amounts may be rounded SCHEDULE E
Schedule E Statement covers period to whole dollars. CALIFORNIA 460
Payments Made 9/22/2024 FORM
from
through 10/19/2024 Page 7 of 8
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)
Voterlist Pro Social Media Consulting 750.00
Riverside, CA 92507
Universal Mailworks Mailers and Postage
Buena Park, CA 90620 6,316.35
VoteGTR Website Hosting 179.00
Tyson, VA 22102
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7,245.35
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 8,622.94
2. Unitemized payments made this period of under$100 $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 8,622.94
FPPC Form 460(Jan/2016))
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Doc ID: 39cb8f8641aef2b16e0c00303a97ea565c67705e
Schedule E SCHEDULE E (CONT.)
Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA(Continuation Sheet)
Payments Made from 9/22/2024 FORM
through Page 10/19/2024 P 8 of 8
SEE INSTRUCTIONS ON REVERSE g
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
Peninsula People Print Ads 665.00
Hermosa Beach, CA
Good Party LLC GOTV - Text Campaign 340.31
Rolling Hills Estates, CA
Upirinting Campaign Print Materials 317.08
Van Nuys, CA 91406
Andedot Credit Card Transaction Fees
New Orleans, LA 70112 55.20
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,377.59
FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
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Doc ID: 39cb8f8641 aef2b16e0c00303a97ea565c67705e