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Chen 460Recipient Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: xncommitt°es — 0 Officeholder, Candidale Controlled Committee o State Candidate Election Committee LJ Recall (Also Complete Part 5) [] General Purpose Committe 0 Sponsored OSmall Contributor uommmor {}Political Party/Central Committee 3. Committee Information Type or print in ink. Statement covers period 1/01/2014 from through 6/30/2014 Complete Parts 1, 2, 3, and 4. Primarily Formed Ballot Measure Committee 0contm|led [) Sponsored O Primarily Formed Candidatel Officeholder Committee (Also Complete Pad 7) COMMJTTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Stewart Chen for Alameda City Council 2014 STREET ADDRESS (NO RO. BOX) CITY Alameda STATE CA 1349155 ZIP CODE AREA CODE/PHONE 94501 (510)465'7982 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 3139 CITY San Leandro OPTIONAL: mx/s-MmL*oonsoo |indcjpnrry@hotmoiinom STATE ZIP CODE AREA CODE/PHONE CA 94578 (510)258-7787 Date of election if applicable; (Month, Day Year) 11/04/2014 2. Type of Statement: [] Preelection Statement • Semi-annual Statement [] Termination Statement (Also file a Form 410 Termination) [] Amendment (Explain below) �� » ��F JUL OF � � ~ COVER PAGE 460 =� IJA0fficial Use Only Page CITY CLERK'S OFFICE Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS CITY STATE San Leandro CA 94578 O Quarterly Statement O Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 ZIP CODE AREA CODE/PHONE (510)258'7787 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: mx/E-MwLxoonsso STATE ZIP CODE AREA CODE/PHONE '--- ---~^--- —^~--- - - - -- �---' ' - 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best o my knowledge the informa on contained herein and in the attached schedules is true and complete. |cnrtify under penaily of perjury under the laws mthe State of Californ(a that the foregoing is t =. - ct. Executed on Executed on Executed on 7/30/2014 Date 7/30/2014 Date Date Date Treasurer or Assistant Tre By By By igiludifd uo-ntrolling-OffiCeholder, Candidate, 7S.tate Measure Proponent or Responsible Officer of Sponsor Signature of Controlting Officehotder, Canthdate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Ja pppn Toll-Free x°/nux°.onomnx-rppcm 6/275 State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Stewart Chen OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Alameda RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY Type or print in ink. STATE ZIP Alameda CA 94501 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEEADDRESS CITY COMMITTEE NAME CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CAUFORNLA 460 FORM Page 2 1 of 17 Ej SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD Attach continuation sheets if necessary O SUPPORT 0 OPPOSE O SUPPORT O OPPOSE O SUPPORT 0 OPPOSE Li SUPPORT O OPPOSE FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen forAlameda City Council 2014 Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTALCONTRIBUTIONS RECEIVED Schedule A, Linea Schedule B, Line 3 Add Lines 1 + 2 Schedule C, Line 3 Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) Schedule F, Line o 10. Nonmonetary Adjustment Schedule C, Line z 11. TOTAL EXPENDITURES MADE Add Lines o~y~m Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line m 13. Cash Receipts Column A, Line xabove 14. Miscellaneous Increases to Cash Schedule I, Line 15. Cash Payments Column A. Line oabove 16. ENDING CASH BAL.ANCE Add Lines m~,x~/4, then subtract Line 15 If this isa termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instruction on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above Type or prin in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 14924.88 350.00 15274.88 0 15274.88 1084.36 0 1084.36 0 0 1084.36 785.69 | 14924.89 i 0.55 1084.36 14626.77 D! 0 2850.00 o � Statement covers period 1/01/2014 from through Column B CALENDAR YEAR TOTALTO DATE 14924.88 2850.00 17774.88 0 1774.88 1084.36 0 1084.36 0 0 1084.36 To calculate Column B, add amourits in Column A to the corresponding amounts from Column B of your last report. Some amounts in CDIumn A may be negative figures that should be subtracted from previous period amounts. If this is the flrst report being fl!ed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 6/30/2014 SUMMARY PAGE CALIFORNIA 460 FORM - 3 17 Page of uzNUwBEe 1349155 Calendar ¥ear Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions - Received $ 21. Expenditures Made � � 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expendltures Made* (If SubJect 10 Voluntary EpendIture Limit) Date of Election (mm/dd/yy) Total to Date - *Amounts in this section may be differen from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (B66/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen for Alameda City Council 2014 5/9/14 5/6/14 5/9/14 5/10/14 ARCM�� Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITFEE, ALSO ENJTFR ID. NUMBER) CODE * Liyi Zheng San Leandro, CA 94577-1504 Benhad Properties, LLC Tampa, FL 33613 Andrew Meisel San Rafael, CA 94901 %iaOai San Jose, CA 95131 Sharon Yang San Jose, CA 95129-3107 VIwm DOOM UOm UPTY LJanc []|wo Ooom oTH OPTY []noo V|wo OcnM m* OPTv []ecc |wn Doom []oTH OPTY []noc IZ|wo OCOM Insurance Agen LJoTH Self-employed UPTY LJsoo IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTE NAME OF BUSINESS) Home Care Assistant Self-employed: Liyi Zheng Attonrey Self-employed: Andrew Meisel Retired N/A Statement covers period 1/01/2014 from through 6/30/2014 AMOUNT RECEIVED THIS PERIOD 168.88 1000.00 500.00 500.00 200.00 SUBTOTAL $ 2368.88 13604.88 1320.00 14924.88 Schedule A Summary 1. Amount received this period — itemized monetary contrthutions. (Include aU Schedule A subtotals.) � 2. Amount received this period — unitemized monetary contributions of less than $100 � 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ SCHEDULE A CALIFORNIA 460 FORM 4 17 Page of uzNUmBEe 1349155 CUMULAT(VE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 168.88 1000.00 500.00 500.00 200.00 PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND — Individua COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) pTY — pvnUoa|purtv aoc— Small Contributor Committee pppo Form 46mpunuoryms pppc Toll-Free *olpmm:000mmm+ppo(osmens-3rrc Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 DATE Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME, CONTRIBUTOR RECEIVED �cow��c��s ENTER uz*»�o�� CODE * [2]IND Richard ~ P. Jones Umrw 5/27/14 []oTH Tiburon, CA 94920-1939 OPTY USCC |wo Cimberly Tamura 6/14/14 00TH San Leandro CA ' []pr/ []scc IN Stan Tang vj~ Civil Engineer 6/14/14 []oTH Self-employed: Stan Alameda, CA 94502 []PTY Tang []soc Vl|wo 6/8/14 Eunice Edwards []oom Insurance Agent []oT* Self-employed Berkeley, CA []pr/ []scc VI|wo Juan HuaLiang Retired 6/14/14 []uom m N/A O* San Francisco, CA94133 []PTY []scc Statement covers period 1/01/2014 from through 6/30/2014 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page — of I.D. ' 1349155 z�� 17 IF AN INDIVJDUAL, ENTER AMOUNT CUMULATIVE noDATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Real Estate Owner PM Realty Retired N/A *Contributor Code Individual oom — neuviencommxmo (other than PTY or SC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small contributor Committee 1000.00 1000.00 100.00 100l0 100.00 100.00 100D0 100.00 100.00 100.00 SUBTOTAL $ 1400.00 FPPC Form 460 (January/05) pppn Toll-Free nelpmw:a66maK-r PC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 DATE RECEIVED 6/14/14 6/14/14 6/14/14 6/14/14 6/10/14 Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Carl Chan Alameda, CA 94502 Benny Lee San Leandro, CA 94579 Greater Bay Area Capital LLC San Mateo, CA 94401 Jeff Cambra Alameda, CA 94501 Sunny Louie Hercules, CA 94547 *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 I IND COM ▪ OTH • PTY SCC 0 IND 0 COM LJ OTH PTY SCC 0 IND 0 COM 00TH PTY SCC 0 IND L i COM LI OTH PTY El SCC 0 IND 0 COM OTH PTY LI SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Realtor Self-employed Vice Mayor City of San Leandro Attorney/Event Producer Self-employed Branch Manager ICBC Bank SUBTOTAL $ Statement covers period 1/01/2014 from through 6/30/2014 AMOUNT RECEIVED THIS PERIOD 100.00 100.00 100.00 100.00 100.00 500.00 SCHEDULE A (CONT.) CALIFORNIA 460 • Page 6 of I.D. NUMBER 1349155 17 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) ioo.00 100.00 100.00 100.00 100.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 DATE RECEIVED 6/14/14 6/10/14 6/12/14 6/13/14 6/14/14 NOM Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Suzette Ngo Chen Fremont, CA 94556 Rosina Tin Ko Oakland, CA 94619 Audrey C. Huie Castro Valley, CA 94546 Wah Din Leong Vacaville, CA 95687 Prime Circle Insurance Services, Inc San Leandro, cA 94578 *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 [ZINO [1 COM OTH PTY SCC 0 IND El COM LJ OTH PTY SCC 0IND LI COM LI OTH ▪ PTY LI SCC 0 IND ID COM [:] OTH PTY Li SCC LI IND ['COM OTH ▪ PTY LISCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Receptionist CarePlus Life Insurance Agent Self-employed Retired N/A Retired N/A Statement covers period 1/01/2014 from through 6/30/2014 AMOUNT RECEIVED THIS PERIOD 200.00 200.00 200.00 300.00 500.00 SUBTOTAL$ 1400.00 SCHEDULE A (CONT.) CALIFORNIA A ail FORM '1111•OUF 7 Page of I.D. NUMBER 1349155 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQU(RED) £00.00 200.00 200.00 300.00 500.00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 6/15/14 6/14/14 6/14/14 6/14/14 Type or print in ink. Amounts may be rounded to whote dollars. FULL NAME, STREE ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF COMMITTEE, ALSO ENTER LoNUMBER) CODE * Chan Chiropractic Center SpinaI Care Oakland, Ca 94607 Grace Chen Fremont, CA 94555 Outstanding Investment Company, Inc San Leandro, CA 94577 CLIU Restaurant, Inc dba Imperial Chinese Concord,CA 94520 Bira inc. dba Supercuts Alameda, CA 94501 *Contributor Code /wo—Individual COM — Recipient Committee (other than PTY or SCC) mH— Other (e.e business entity) pTY — pvnncu|porty SCC — Small Contributor Committee Statement covers period 1/01/2014 from through 6/30/2014 SCHEDULE x(nowT) 460� FORM 8 17 Page of uzNUMBER 1349155 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE roDATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, NAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) OF BUSINESS) Program Analyst Linked In 350.00 350I0 500.00 500.00 700.00 700.00 1000.00 1000l0 1000D0 1000.00 SUgTOTAL* 1650l0 pppc Form wmponvarym# pppo Toll-Free myponn:monmSmfppoNmomrs-3rru Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED �coww�c�m^ ENTER u�wuuaan CODE * Owm Rob Bonta for Assembly 2014 FPPC [�com 6/23/14 []orH Sacramento, CA 95815 []PTY OSCC |wo Jennie Ong 6/3/14 []oT* Oakland, CAS4G10 []PTY []soo |wo Raymond Chan []com 6/6/14 OmH Oakland, CA 94607 []PTY []aco IZ|wo Thomas Silva 6/6/14 []oom OmH San Lorenzo, CA 94580 []PTY []ono Ling Chong �^~ Manager � LJoow ' []oTH Supercuts Alameda Alameda, CA 94501 []PTY []ecc Statement covers period 1/01/2014 from through 6/30/2014 SCHEDULE A (CONT.) CALIFORNIA 460 FORM 0 17 Page of I.D. NUMBER 1349155 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE nzDATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Executive Director Oakland Chinatown Chamber of Commerce Retired US Army Ve Real Estate Eden Realty GUBTOTAL$ *Contributor Codes |mo—Individual oow — Rempienonmmittee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party ooc— Small Contributor Committee 1000.00 1000.00 1 00.00 100.00 100.00 100.00 250.00 250.00 500.00 500.00 FPPC Form wm(Januan/05) rppo Toll-Free mypnno:xnuoAoK-pppc(800mro-3rrc Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 6/24/14 6/9/14 5/28/14 6/2/14 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTO (IF COMMITTEE, ALSO ENTER In. NUMBER) Suzette Ngo Chen Fremont, CA 94536 Slyvain Dumas Oakland, CA 94612 Meler & Kang Gordon Attorneys at Law Oakland, CA 94607 Law Office of Hien D. Doan Oakland, CA 94607 Thomas Electric Company Alameda, CA 94501 *Contributor Codes /No—Individual oow— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party sco —Small Contributor Committee Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR CODE * Statement covers perio 1/01/2014 from through 6/30/2014 SCHEDULE A(CowT) CALIFORNIA 460 FORM ID. NUMBER 1349155 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE ToDATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF oELF-s°pm,cu��sn�Mc PERIOD (JAN. 1 31) (IF REQUIRED) vrou��sw � DEC. � Receptionist ConoP|uo Sales Associate Nieman Marcus 300.00 .500.00 136.00 136.00 500.00 500.00 600.00 500.00 500.00 500.00 SUBTOTAL $ 1936.00 FPPC Form wm(Januan/05) pppc Toll-Free myomne:nanwmu-Fppo(8oumr5-3nm) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 6/3/14 6/13/14 5/29/14 6/30/14 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITrEE. ALSO ENTER LD.wUMmER) Nancy Chang Dublin, CA 94568 James Leong Fremont, CA 94536 Newport Ch International, LLC , Ste.1388 Orange, CA 92868 U.S. Regional Funding, Inc. Oakland, CA 94607 Margo Millike Chico, CA 95926 _ *Contributor Codes /mo—Individual COM — Recipient Committee (other than PTY or SCC) orH— Other (e.p, business entity) PTY—Political Party acc— Small Contributor Committee Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR CODE * Statement covers period 1/01/2014 from through 6/30/2014 SCHEDULE *(:owT) CALIFORNIA A an 11 Page ' ' of I.D. ' 1349155 z�� 17 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE roDATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) [Z IND cow Nurse 00TH Asian Health Network PTY LJano V]|wo com Engineer O oTH Dinan O OPTY []scn []|wo Ocom �oTH OPTY []aoc []|wo []coM orH OPTY []noc []|wo Retired []oow m N O* N/A OPTY []nCo 400l0 400.00 300.00 200.00 1100.00 1100.00 500.00 500.00 100.00 100.00 SUBTOTAL $ 2300l0 pppo Form 46m(Januarym5) pppc Toll-Free mmvxne 866ouomfppo(866m75-3772 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) RECEIVED CODE * V] IND Samuel Chen 1:1 com 6/25/14 LI0TH Irvine, CA 92618 EPTY SCC 0 IND 0 COM LJ OTH Li ▪ PTY SCC 0 IND Li COM OTH PTY Li SCC 01ND 0 COM 00TH ▪ PTY Ell SCC 0IND 0 COM 0 OTH PTY 0 SCC *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 Statement covers period 1/01/2014 from through 6/30/2014 SCHEDULE A (CONT.) CALIFORNIA 460 FORM 12 17 Page of I.D. NUMBER 1349155 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 200.00 200.0 SUBTOTAL $ 200.00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule B— Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or prin in ink. Amounts may be rounded to whole dollars. Stewart Chen for Alameda City Council 2014 FULL NAME STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER �D. NUMBER) Stewart Chen Alameda, CA 94501 I Stewart Chen Alameda, CA 94501 Stewart Chen Alameda, CA 94501 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Chiropractor Self-employed: Careplus Chiropractic Chiropractor Self-employed: Careplus Chiropractic Chiropractor Self-ompduyod:Coep|uo Chiropractic Statement covers period 1/01/2014 from through OUTSTANDING AMOUNT AMOUNT PAID BALANCE RECEIVED - FORGIVEN OR PERIOD THIS PERIOD* PERIOD 800.00 1000.00 700.00 SUBTOTALS $ ID PAID FORGIVEN 6/30/2014 (d) OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD 0 ~ 0 , 0 12/31/14 $ PAID DATE DUE 1000.00 OFORGIVEN » 0 12/31/14 OPAID O 0 12/31/14 $ DATE DUE 0 DATE DUE 700.00 O$ U $ 2500.0 $ Schedule B Summary 1. Loans received this period � (Total Column (b) plus unitemized Ioans of Iess than $1 00.) 2. Loans paid or forgiven this period � (Total Column (c) plus toans under$100 paid orforgiven.) (Include Ioans paid by a third party that are also itemized on Schedule A.) 350.00 0 350.00 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ Enterthe net here and on the Summary Page, Column A, Line 2. �m�mummw�mp��a��aum��e��u�o��mn� �^^|,mqmmd. | (May be a negative number) px~~~� INTEREST PAID THIS PERIOD O RATE O m RATE 0 RATE SCHEDULE 8 - PART 1 CALIFORNIA Ann 13 Page /.D.wuwosn 1349155 17 of uo ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE 800.00 0 2/4/13 DATE INCURRED $ 1000.00 0 7/30/12 DATE INCURRED 700.00 0 9/28/12 DATE INCURRED 0 Schedule E, Line a ; 800.00 PER ELECTION** 2500.00 CALENDAR YEAR PER ELECTION** 2500.00 CALENDAR YEAR PEaELsCTmw" 2500.00 tContributor Codes Iwo—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee rppc Form wmuanuaryms pppo Toll-Free nnlp|mv:xasouamfppc(8xmzrs-3rro Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen for Alameda City Council FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Stewart Chen 3255 Sterling Avenue Alameda, CA 94501 t121 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ Scc t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Type or print in ink. Amounts may be rounded to whole dollars. 2014 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER NAME OF BUSINESS) Chiropractor Self- employed: Careplus Chiropractic OUTSTANDING BALANCE BEGINNING THIS PFRIOD S (b) AMOUNT RECEIVED THIS PERIOD 0 350.00 SUBTOTALS $ 350.00 $ Statement covers period 1/01/2014 from through (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* ❑ PAID 0 ❑ FORGIVEN s ❑ PAID ❑ FORGIVEN ❑ PAID ❑ FORGIVEN Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ (Total Column (c) plus loans under$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 6/30/2014 ) OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD 350.00 0 12/31/14 s DATE DUE 0$ DATE DUE DATE DUE SCHEDULE B - PART 1 Page 14 of 17 I.D. NUMBER 1349155 ▪ let (f) (g) INTEREST ORIGINAL CUMULATIVE PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD LOAN TO DATE 0 RATE RATE . CALENDAR YEAR 350.00 0 4/26/14 DATE INCURRED DATE INCURRED S RATE DATE INCURRED 0 $ 350.00 0 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 350.00 Enter the net here and on the Summary Page, Column A, Line 2. Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (May be a negative number) 0 (Enter(e) on Schedule E, Line 3) $ 350.00 PER ELECTION ** $ 2850.00 CALENDAR YEAR PER ELECTION** CALENDAR YEAR PER ELECTION** $ tContributor 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen for Alameda City Council 2014 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER /uNUMBER) Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR �*m/woxxouA� ENTER * occuemIomAND EMPLOYER (IF SELF-EMPLOYED, ENTE NAME OF BUSINESS) OIND ECOM OOTH UPTY L]acc []|ND O Dom 00TH O PTY ['SOD []Imo D OOM 00TH OPTY []son []Imo OcoM 00TH OPTY []Soo Attach additional information on appropriately labeled continuation sheets. Statement covers period 1/01/2014 from through DESCRIPTION OF GOODS OR SERVICES 6/30/2014 AMOUNT/ FAIR MARKET VALUE SUBTOlAL$ 0.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) � 2. Amount received this period — unitemized nonnnonetary contributions of less than $100 � 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 0.00 0.00 0.00 SCHEDULE CALIFORNIA 460 FORM 15 17 Page of uzNUMBER 1349155 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OT}-i — Other (e.g., business entity) PTY — Political Party 000 —Small Contributor Committee rppc Form w0Aanuaryms pppc Toll-Free mmomne:u000AoK-Fppc(noomro-3rru Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen forAlameda City Council 2014 Type or print in ink. Amounts may be rounded to who!e dollars. ^ Statement covers period 1/01/2014 from through 6/30/2014 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. oVP CNS CTB CVC FIL FND IND LEG uT campaignparav^mnliamisc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/baliot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LO. NUMBER) Duffy & Capitolo Sacramento, CA 95816 MBR MTG OFC FET PHO POL nOS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research pvstane, delivery and messenger services professional services (leoa|, accounting) print ads 11.111087 CODE CNS RAD RFD SAL TEL nRC TRS Tar VOT WEB ao*souLEE CALIFORNIA 116(� FORM 16 17 Page of I.D. NUMBER 1349155 radio airtime and production costs returned contributions campaign workers' salaries t.v or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, muninV, and meals transfer between committees of the same candidate/sponsor voter registration information technoiogy costs (internet, e-mail) OR DESCRJPTION OF PAYMENT * Payments tha are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (lnclude all Schedule E subtotals.) 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 $ � � AMOUNT PAID 1000.00 1000.00 1000.00 84.36 0 1084.36 FPPC Form 460 (January/05) pppo Toll-Free muponmxsnwmmfppc(8onorsa77z) Schedule Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen forAlameda City Council 2014 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITrEE, ALSO ENTER uzwwMBcR) Attach additional infonnation on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded Statement covers period m whole dollars. 1/01/2014 from SCHEDULE CALIFORNIA 460 through 6/30/2014 Page 17 of 17 mNUMBER 1349155 AMOUNT OF DESCRIPTION opRECEIPT INCREASE TO CASH Schedule 1 Summary 1. ltemized increases to cash this period. � 2. Untemized increases to cash of under $1 00 this period. � 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) � 4. l��m|m\eue|kaneousinurenaoa�oowah�h�speriod��\ddUneo1.2.�nd3�Ent�,henaandonthe � Summary Page, Line 14.) TOTAL $ SUBTOTAL$ 0 0 0.55 0 0.55 FPPC Form 460 (January/05) pppn Toll-Free *mnune:000msu+ppc(8nomru-3rrc