Chen 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period
7/01/2015
through
1. Type of Recipient Committee: All Commit- tees — Complete Parts 1, 2, 3, and 4.
12/31/2015
Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
EI General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM(TTEE)
Stewart Chen for Alameda City Council 2016
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1349155
STATE ZIP CODE
CA 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
San Leandro
OPTIONAL: FAX E-MAIL ADDRESS
lindajperry@hotmail.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to
Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
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
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 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
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
CONTROLLED COMMITTEE?
❑ YES ❑ NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE /PHONE
I.D. NUMBER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE /PHONE
COVER PAGE - PART 2
CALIFORNIA An
FORM
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
❑ SUPPORT
❑ 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 OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Stewart Chen for Alameda City Council 2016
Contributions Received
1. Monetary Contributions Schedule A, Line3
2. Loans Received Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4
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 3
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line 16
13. Cash Receipts Column A, Line 3above
14. Miscellaneous Increases to Cash Schedule t, Line 4
15. Cash Payments Column A, Line 8 above
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0.00
0.00
0.00
0.00
0.00
580.00
0.00
580.00
0.00
0.00
580.00
500.53
0.00
500.62
580.00
421.15
0.00
0.00
2850.00
$
$
Statement covers period
7/01/2015
from
through
Column B
CALENDAR YEAR
TOTAL TO DATE
0.00
2850.00
2850.00
0.00
2850.00
3766.82
0.00
3766.82
0.00
0.00
3766.82
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
12/31/2015
SUMMARY PAGE
Page 3 of 8
I.D. NUMBER
1349155
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received $
21. Expenditures
Made $
1/1 through 6/30 7/1 to Date
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm /dd /yy)
$
Total to Date
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Stewart Chen for Alameda City Council 2016
DATE
RECEIVED
m� whole � a"n"� _ SCHEDULE
___
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER m.NUMBER)
CODE *
None
Statement covers period
7/01/2015
from
through
12/31/2015
CALIFORNIA 460
FORM
4
Page of
/.owuMosn
1349155
8
IFxw INDIVIDUAL, ENTER AMOUNT CUMULATIVE roDATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLQYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
SUBTOTAL$ 0.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all ScheduleAsubtotals.) �
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 $
*Contributor Codes
IND - Individual
0.00 COM - Recipient Committee
(other than PTY or SCC
0.00 OTH - Othe (e.g., busines entity)
prr - Pn|iVoa|Paoy
scC - amanounmu"tn,cummimee
0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule B — Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Stewart Chen for Alameda City Council 2016
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Stewart Chen
Alameda, CA 94501
t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Stewart Chen
Alameda, CA 94501
IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Stewart Chen
Alameda, CA 94501
I:6 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Schedule B Summary
Amounts may be rounded
to whole dollars.
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- employed:
Careplus Chiropractic
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
AMOUNT
RECEIVED THIS
PERIOD
s 800.00
$ 1000.00
700.00 s
SUBTOTALS $
Statement covers period
7/01/2015
from
through
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
0 PAID
12/31/2015
(31
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
0 800.00
0 FORGIVEN
0 $ 0 12/31/14
DATE DUE
0
❑ PAID
$ 0
❑ FORGIVEN
❑ PAID
1000.00
0 12/31/14 $
DATE DUE
SCHEDULE B - PART 1
Page 5
I.D. NUMBER
1349155
INTEREST ORIGINAL
PAID THIS AMOUNT OF
PERIOD LOAN
0 i
RATE
cyo
RATE
of
8
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
$ 800.00 2500.00
PER ELECTION*"
0 2/4/13 $
DATE INCURRED
$ 0 $ 700.00 0 i
❑ FORGIVEN RATE
0 0 12/31/14 s 0
DATE DUE
0 $ 0 $ 2500.00 $ 0
(Enter (e) on
Schedule E, Line 3)
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.)
3. Net change this period. (Subtract Line 2 from Line 1.) NET $
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.
n no
n nn
(May be a negative number)
CALENDAR YEAR
s 1000.00 s 2500.00
PER ELECTION **
7/30/12
DATE INCURRED
700.00
CALENDAR YEAR
$ 2500.00
PER ELECTION"
9/28/12
DATE INCURRED
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 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Schedule B — Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Stewart Chen for Alameda City Council 2016
1110010111
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER 1 D, NUMBER)
Stewart Chen
Alameda, CA 94501
Amounts may be rounded
to whole doltars.
IFAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOY D, ENTER
NAME OF BUSINESS)
Chiropractor
Self-employed:
Careplus Chiropractic
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
n
(b)
AMOUNT
RECEIVED THIS
PERIOD
350.00 s 0.00
SUBTOTALS $
s
Statement covers period
7/01/2015
from
through
12/31/2015
w (d)
AMOUNT
OUTSTANDING
BALANCE AT
OR FORGIVEN. CLOSE opTxm
THIS PERIOD PERIOD
O'mo
0 n 350.00
0 FORGIVEN
�
0 PAID
0 12/31/14
DATE DUE
0
0 FORGIVEN
�
0 PAID
0
0
0 FORGIVEN
,
�
0
0.00 $ 0.00 $
Schedule B Summary
1. Loans received this period �
(Total Column (b) plus unitemized loans of less than $100j
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.)
3. Net change this period. (Subtract Line 2 from Line 1.) NET $
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party a(so must be reported on ScheduleA,
If required.
DATE DUE
DATE DUE
7e)--
INTEREST
PAID THIS
PERIOD
O %
RATE
0.00
RATE
RATE
350.00 $ 0.00
nno
n nn
n nn
(May be a negative number)
(Enter (e) on
Schedule E, Line 3)
SCHEDULE B PART 1
CALIFORNIA
FORM
6
Page
I.D. NUMBER
1349155
of
8
0'--- (m'
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TO DATE
CALENDAR YEAR
350.00 F 350.00
PER ELECTION**
$ 2850.00
4/20/14
DATE INCURRED
S
DATE INCURRED
s o
CALENDAR YEAR
PER ELECTION**
DATE INCURRED
CALENDAR YEAR
PER ELECTION'
tContributor Codes
|wo — |rmwuval
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)
rppc Advice: aumce@h`ncop.gov(nsa/2r5'3rrz)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Stewart Chen for Alameda City Council 2016
Amounts may be rounded
to whole doflars.
Statement covers period
7/01/2015
from
through
12/31/2015
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IN D
LEG
LIT
campaign
campaign consultants
contribution (explain nonmonetary)
civic donations
candidate fiUng/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAMEANDADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
Family Bridges
Oakland, CA 94608
Man
MTG
OFC
PET
PHO
POL
poa
PRO
PRT
member communication
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
CVC
* Payments that are contribution or independ nt exp nditures must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E
CALIFORNIA
FORM
7 8
Page of
ID. NUMBER
1349155
radio airtime and production costs
returned contributions
campaign workers' salaries
tv. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the sanie candidate/sponsor
voter registration
information technology costs (Internet, e-mail)
OR DESCRIPTION OF PAYMENT
Sponsorship 11/21 Event
AMOUNT PAID
528.00
SUBTOTAL* 528.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) �
2. Untemized 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 $
528.00
52.00
0.00
580.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Stewart Chen for Alameda City Council 2016
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
Alameda Sister City Association (ASCA)
12/31/15
Alameda, CA
Attach additional information onappropriately Iabeled continuation sheets.
Amounts may be rounded
to whole dollars.
Statement covers perio
7/01/2015
from
through 12/31/2015
DESCRIPTION OF RECEIPT
Voided Check --not cashed/stale dated
Schedule 1 Summary
1. Itemized increases to cash this period. �
2. Unitemized increases to cash of under $100 this period. �
3. Total of all interest received this period on loans made to others. (Schedule H. Column (e).) s
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) TOTAL $
SCHEDULE I
CALIFORNIA 460
FORM
8
Page of
ID. NUMBER
1349155
8
AMOUNT OF
INCREASE TO CASH
500.00
SUBTOTAL $ 500.00
500.00
0.62
0.00
500.62
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov