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CA Form 460 Recipient Committee Termination Campaign Statement - Jeff Chen COVER PAGE Recipient Committee Campaign StatementFfEIVEICALIFORNIAPORM Cover Page CI OF RANCHO PALOS 1 Statement covers period Date of election if applicable: ?ii.7.5 Page of 4 (Month,Day,Year) For Official Use Only from 1/1/2025 SEE INSTRUCTIONS ON REVERSE through 6/30/2025 11/5/2024 C TY CLERK1S 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 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report 0 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 7/30/2025 �,:� �� Executed on By Date Si ature f Treasurer or Assistant Treasurer Executed on 7/30/2025 By •� .' Date Signature of Controlling I r,Candidate,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 ri Part 2 Page 2 of 4 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 0 SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ O• PPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ O• PPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ 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) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page CALIFORNIA 460 from 1/1/2025 FORM through 6/30/2025 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE 9 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 $ $ 16,966.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 500.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ 17,466.00Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ $ 17,466.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 1,547.86 $ 17,467.00 Candidates 7. Loans Made Schedule H,Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 1,547.86 $ 17,467.00 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 (mm/dd/yy) 10. Nonmonetary Adjustment Schedule C,Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 1,547.86 $ 17,467.00 / i $ Current Cash Statement / / $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 1,547.86 To calculate Column B, 13. Cash Receipts Column A,Line 3 above add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 1,547.86 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0.00 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)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE E Schedule E to whole dollars. Statement covers period CALIFORNIA 460 Payments Made 1/1/2025 FORM from through 6/30/2025 Page 4 of 4 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) Paul Seo for Assemblymember Political Donation 1,000.00 Eric Alegria for State Senate Political Donation 500.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,500.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 1,500.00 2. Unitemized payments made this period of under$100 $ 47.86 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 $ 1,547.86 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov