Chen 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period
01/01/2016
through
06/30/2016
COVER PAGE
Date of election if applica
(Month, Day, Year)
^ ------ ` ~ `--- — � ------~~~��~-- ---
1. Type of Recipient Committee: All Committees - Complete Parts 1.2, 3, and 4. 2.
Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
O General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
0 Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
[] Prirnarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information
COMMITrEE NAME (OR CANDIDATE'S NAME IF NO C0MMIEE)
Stewart Chen forAlameda City Council 2016
STREET ADDRESS (NO puBOX)
CITY
Alameda
-----
uzwuMosn
1349155
STATE ZIP CODE
CA 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX
CITY STATE ZIP CODE
San Leandro CA 94578
OPTIONAL: FAX / E-MAIL ADDRESS
|indajperry@hotmniicom
4. Verification
^ns^000E/p*ows
(510)465-7982
AREA CODE/PHONE
(510)258-7787
11/08/2016
Type of Statement:
[] Preelection Statement
O Semi-annual Statement
O Termination Statement
(Also ole a Form 410 Termination)
O Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Linda Perry
MAILING ADDRESS
1 of 8
For Official Use Only
[] Quarterly Statement
El Special Odd-Year Report
CITY STATE ZIP CODE
San Leandro CA 94578
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
UPTIONAL: FAX / E-MAIL ADDRESS
STATE ZIP CODE
AREA CODE/PHONE
(510)258-7787
AREA CODE/PHONE
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 Ihe laws of the State of Californ that the foreg
Sgnature 01 Controtling Otficeholder. Candidate, State Measure Proponent or Responsibte Officer mSponsor
Signature m Controlling Officeholder, Canddate, State Measure Proponent
Signature m 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 6. Primarily Formed Ballot Measure 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 CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
LJ YES n NO
NAME OF TREASURER CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
ll■■■■ 1411■1611■
Li YES [1] NO
STATE ZIP CODE AREA CODE/PHONE
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
El SUPPORT
LI 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
LJ SUPPORT
LI OPPOSE
Li SUPPORT
LI OPPOSE
LI
El
LI SUPPORT
OPPOSE
SUPPORT
LI 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, Line 3 $
Loans Received Schedule 8, Line 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 $
IMM
Current Cash Statement
_. Beginning Cash Balance Previous Summary Page, Line 16 $
13. Cash Receipts Column A, Line 3 above
14. Miscellaneous Increases to Cash Schedule I, 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.
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents
See instructions on reverse $
19. Outstanding Debts Add Line 2 + Line 9 in Column B above $
0.00
(2850.00)
0.00
0.00
0.00
421.66
0.00
421.66
0.00
0.00
421.66
421.15
0.00
0.51
421.66
0.00
$
Statement covers period
01/01/2016
from
through
Column B
CALENDAR YEAR
TOTAL TO DATE
0.00
0.00
0.00
0.00
0.00
421.66
0.00
421.66
0.00
0.00
421.66
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
0.00 filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
ammelels:
0.00
0.00
06/30/2016
SUMMARY PAGE
CALIFORNIA 460
FORM
3 8
Page of
I.D. NUMBER
1349155
_■■•1
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $
21. Expenditures
Made
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
Amounts may be rounded
to whole dollars.
FULL NAME STREET AIJDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
CODE *
None
IF^m INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule Aeubmta|s.) �
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, Lirie 1.) TOTAL $
Statement covers period
01/01/2016
from
through
06/30/2016
AMOUNT
RECEIVED THIS
PERIOD
0.00
SCHEDULE A
4
Page
I.owoMnER
1349155
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC, 31)
of
8
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
|wo — |nuwumm
0.00 COM — Recipient Committee
(other than PTY or SCC)
0.00 oT*— Other (o.g, business entity)
PTv — poUhna|Pany
soo — am"ncomnuvmroomm/moo
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 REVRSE
NAME OF FILER
Stewart Chen forAlameda City Councii 2016
FULL NAME, STREETADDRESSAND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
( StowartChen
Alameda, CA 94501
Stewart Chen
Alameda, CA 94501
Stewart Chen
Alameda, CA 94501
y~"-- mm 0 com 0 OTH pr' 0
auu
Amounts may be rounded
to whole dollars.
IFAN 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
800.00
1000.00
lw -�
AMOUNT
RECEIVED THIS
PERIOD
700.00 s
SUBTOTALS $
Statement covers period
01/01/2016
from
through
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
0 PAID
417
n .SG
0 FORGIVEN
0 $ 382.34
0 PAID
0
0 FORGIVEN
06/30/2016
OUTSTANDING
BALANCE AT
CLOSE OF TH)S
PERIOD
0.00
12/31/14
DATE DUE
0 PAID
O
0 FORGIVEN
0 700 00
0 $ 2500.00 $
Schedule B Summary
1. Loans received this period �
(Total Column (b) plus unitemized Ioans of Iess than $100.)
2. Loans paid or forgiven this perio �
(Total Column (c) plus Ioans under $1 00 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 1J NET $
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts by another party also must be reported on Schedule A.
** If required.
DATE DUE
0.00
12/31/14
DATE DUE
a
INTEREST
PAID THIS
PERIOD
0 m
RATE
m
RATE
SCHEDULE B - PART 1
5
Page
la NUMBER
1349155
ORIGINAL
AMOUNT OF
LOAN
of
8
-- b[
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
$ 800.00 $ 2500.00
PER ELECTION"
0 2/4/13 �
DATE INCURRED
1000.00
CALENDAR YEAR
s 2500.00
PER ELECTION**
0 7/30/12 s
DATE INCURRED
CALENDAR YEAR
700.00 " 2500.00
PER ELECTION**
0 9/28/12 o
DATE INCURRED
0.00 $ O
n nn
-(2850O0)
(May be a negative number)
(Enter (e) on
Schedule E, Line 3)
tContributor Codes
IND — Individual
Com — nompiemCommineo
(other than PTY or SCC)
OTH — Other (e.g., business entity)
prr — pvmmu/panv
soc — amuxconmvum,cvmmmoe
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 INSTRUCflONS 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 0 COM 0 OTH 0 PTY OSCC
Omo 0 COM 0 OTH 0 PTY OSCC
'O IND 0 COM 0 OTH 0 PTY 0 SCC
Amounts may be rounded
to whole dollars.
IFmw INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
Chiropractor
Self-employed:
Careplus Chiropractic
OUTSTANDING AMOUNT
BALANCE RECEIVED THIS
BEGINNING THIS
PERIOD
PERIOD
350.00
SUBTOTALS $
0.00
Statement covers period
01/01/2016
from
through
*/' --
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
0 PAID
06/30/2016
OUTSTANDING
BALANCE AT
CLOSE OF TH(S
PERIOD
SCHEDULE B - PART 1
6
Page of
/.uwuMosn
8
--'---0
—PER —
1349155
(May be a negative number)
(e)
INTEREST ORIGINAL CUMULATIVE
PAID AMOUNT OF CONTRIBUTIONS PERIOD LOAN TO DATE
CALENDAR YEAR
O m
RATE
FORGIVEN
o
ELECTION"
350.00 12/31/14 0.00 4/20/14 s 2850.00
DATE DUE DATE INCURRED
0 PAID
FORGIVEN
0
0 PAID
0 FORGIVEN
0
0
0
0.00 $ 350.00 $
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 Ioans under$100 paid orforgiven.)
(Include loans paid by a third party that are also itemized on ScheduleA.)
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.
�
RATE
DATE DUE
DATE DUE
DATE INCURRED
DATE INCURRED
0.00 $ 0.00
ono
n no
0 0n
(Enter (e) on
Schedule E, Line 3)
CALENDAR YEAR
$
PER ELECTION**
�
CALENDAR YEAR
PER ELECTION"
tContributor Codes
|wo — |nuwmmg
COM — Recipient Committee
(other than PTY or SCC)
oT*— Other (e.n, business entity)
PTY — Political Party
soc — amancum,muto,ovmmmoo
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTONS ON REVERSE
NAME OF FILER
Stewart Chen forAlameda City CouncU 2016
Amounts may be rounded
to whole dollars.
Statement covers period
01/01/2016
from
SCHEDULE E
through 06/30/2016 puye 7 of 8
�oNUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. [thomian, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
|wo
LEG
LIT
campaign
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/bailot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAMEANDADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID, NUMBER)
Stewart Chen
Alameda, CA 94501
men
MTG
OFC
PET
PHO
POL
pno
PRO
PRT
member communications
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
* Payrnents that are contributions or independent expenditures res must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
1349155
radio airtime and production costs
returned contribution
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 same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
OR DESCRIPTION OF PAYMENT
Loan Repayment
AMOUNT PAID
417.66
SUBTOTAL * 417.68
Schedule E Summary
1. ltemized payments made this period. (Include alt 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 (o).) �
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
417.66
4.00
0.00
421.66
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 forAlameda City CouncU 2016
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
Amounts may be rounded
to whole dollars.
Statement covers period
01/01/2016
from
through 06/30/2016
DESCRIPTION OF
��MwnTs�^mnc�c ID. NUMBER) -^`~~ '^~'~ RECEIPT INCREASE TO CASH
Page of
8
I.D. NUMBER
1349155
8
AMOUNT OF
Attach addition information on appropriately labeled continuation sheets.
Schedule 1 Summary
1. Itemized increases to cash this period. �
2. Unitemized increases to cash of urider $100 this period. �
3. Total of all interest received this period on loans made to others. (Schedule H. Column (n)] �
4. Total miscellaneous increases to cash this period. (Add Lines 1.2. and 3. Enter here and onthe
Summary Page, Line 14.) TOTAL $
SUBTOTAL $ 0.00
0.00
0.51
0.00
0.51
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)