Loading...
Chen 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 10/1/12 from through 10/20/12 COVER PAGE CAi .IF, RNIA 460 OF'M Date of election if applicable: 166 (Month, Day, Year) 11/6/12 OCT 2 5 CITY OF ALAM DA CITY CLERK'S 0 FICE 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. [21 Officeholder, Candidate Controlled Committee () State Candidate Election Committee 0 Recall (Also Complete Pail 5) 0 General Purpose Committee () Sponsored 0 Small Contributor Committee (9 Political Party/Central Committee 3. Committee Information 0 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Pad 6) Li Primarily Formed Candidate/ Officeholder Committee (Also Complete Pail 7) [I.D. NUMBER 1349155 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEL) Stewart Chen for Alameda City Council 2012 STRL.ET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE AREA CODE/PHONE CA 94501 (510) 465-7982 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE San Leandro CA 94578 (510) 258-7787 OPTIONAL: FAX / E-MAIL ADDRESS lindajperry@hotmail.com 2. Type of Statement: Preelection Statement 0 Semi-annual Statement O Termination Stateinent (Also file a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS San Leandro NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS of r Official Use Only O Quarterly Statement LI Special Odd-Year Report O Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 94578 STATE ZIP CODE AREA CODE/PHONE (510) 258-7787 AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info under penalty of perjury under the laws of the State of California that the Responsible Officer of Sporrsor Signatut e of Controlling Officeholder, Car ididate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 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 of Alameda City Council Member RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREE() 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 CALIFORNIA 460 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 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRLJCTIONS ON REVERSE NAME OF FILER Stewart Chen for Alameda City Council 2012 Contributions Received Type or print in ink. Amounts may be rounded to wliole dollars. 1. Monetary Contribution 2. Loans Received 3 SUBTOTAL CASH CONTRIBUTIONS 4, NnnmonetaryOmtribudons 5. TOTAL CONTRIBUTIONS RECEIVED Schedu/o A, Line 3 Schedule B, Line 3 Add Lines 1 2 Schedule Add Lines 3 + 4 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10, Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Schedule n Line o Schedule C, Line 3 � Column A TOTAL THIS PERIOD (FROM ATwnNEoSCHEDULES) 2,148.00 0 2,148.00 0 2,148.00 Current Cash Statement 12. Beginning Cash Balance Previous SumrnaryPage, Line 16 $ 13. Cash Receipts Column ^ Line aabove 14. Miscellaneous Increases to Cash Schedule Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines /z~,x~/^ then ,"^tracr Line /o $ /f this is a termination statement, Line 16 must be zero. 0115011191 10,346.84 0 10,346.84 0 0 10,346.84 13,172.25 2,148.00 0 10,346.84 4,973.41 � � Statement covers period 10/1/12 from through Column CAI ENDARmAR TOTALTO DATE 18,884.00 1,700.00 20,584.00 450.00 21,034.00 15,611.58 0 15,611.58 0 450.00 16,061.58 17. LOAN GUARANTEES RECEIVED Schedule B, Part $ -----------------`---------~~~~~ Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts See instructions on reverse Add Line 2 + Line 9 in Column B above � � U 1700.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your Iast report. Some amounts in Colurnn 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, r, and 9 (if any). 10/20/12 SUMMARY PAGE CALIFORNIA FORM �460 � 3 Page of � / / D. NUMBER 1349155 Calendar Year 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 Expenditures Made* (11 Subject to Voluntary Expenthturo Lmft) Date of Electio / / � J Total to Date *AmotJflts in this section may be different from amounts reported in Column 8. FPPC Form 460 Schedule A Monetary Contributions Received SEE NSTRUCTIONS ON REVERSE NAME OF FILER Stewart Chen for Alameda Cty Council 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/1/12 from through DATE RECEIVED 10/14/12 10/14/12 10/3/12 10/16/12 10/15/12 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO EN TER La NUMBER) CODE * Kathleen Low Alameda, CA 94502 Frank Matarrese Alameda, CA 94501 Ivy Y. Kwong Berkeley, CA 94705 Susan Kang Gordon San Francisco, CA 94110-2771 Judy Chu Oakland, CA 94607-4736 |mo UCOM UoTH [1] PTY |]oCC 0|wo Oc0M []oTH []PTY []aCo |wn |]com 00TH OPTY L]acn |wo []coM []oTH []PTY []oco 0|wo []cow []oTH []PTY Fl000 IF AN INDIVIDUAL, ENTER 000UPATION AND EMPLOYER (IF osu^mrm,D, ENTER NAME OF BUSINESS) Optometrist Kaiser Permanente Consultant Self-employed: GxP Base Physical Therapist Asan Network Hospice Attorney Self-employed: Susan Kang Gordon, Attorney Realtor Self-employed: Co|dwmU Banker SUBTOTAL $ Schedule A Summary 1. Amount received ths period — itemized monetary contributions. (Include all Schedule A subtotals.) � 2. Amount received this period - unitemized monetary contributions of less than $100 � 3. Total monetary contributions received this period. (AdcJ Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ AMOUNT RECEIVED THIS PERIOD 100.00 500.00 500.00 250.00 100.00 1,450.00 1,950.00 198.00 2,148.00 10/20/12 SCHEDULE A CALIFORNIA AAn FORM -1r 4 Page of /.o.muwaen 1349155 CUMULATIVE nzDATE CALENDAR YEAR (JAN. 1 - DEC. 31) 100.00 500.00 250.00 100.00 PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND - Individual oom- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party 000- Small Contributor Committee FPPC Form wm(January/05) *Ppo Toll-Free nelpone:oVnwSmfppc(86smrs-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Stewart Chen for Alameda City Council 2012 DATE RECEIVED 10/9/12 10/12/12 Type or print in ink. Amounts may be rounded to whole dollars, FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMIT TEE, ALSO ENTER I D NUMBER) CODE * Chinese American Citizens Alliance Oakland Lodge Oakland, CA 946074209 American Delivery Systems Tucson, AZ 85745 *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 0 IND 0 COM OTH LI PTY SCC El IND 0 COM 67i OTH PTY LIISCC 0 IND COM OTH fIi PTY SCC 0 IND 0 COM 00TH PTY [IISCC El IND 0 COM OTH [1 PTY SCC from Statement covers period 10/1/12 through IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF EMPLOYED, EN TIER NAME PERIOD OF BUSINESS) 10/20/12 SCHEDULE A (CONT.) CALIFORNIA FORM 460 5 Page of I.D. NUMBER 1349155 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 100.00 100.00 400.00 400.00 SUBTOTAL $ 500.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTONS ON REVERSE NAME OF FU FR Stewart Chen for Alameda City Council 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/1/12 from through 10/20/12 CODES: If one of the following codes accurately describes the payment, you may ente the code. Othanwiso, describe the payment. CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/bailot tees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and malings NAME ANJD ADDRESS OF PAYEE Pacific Printing San Jose, CA 95112 Californians Vote Green FPPC ID#1323171 c/o Dakota Communications Los Angeles, CA 90064 COPS Voter Guide FPPC ID #599014 Folsom, CA 95630 MBR MTG OFC PET PHO POL pos PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research vuotaon, delivery and messenger services professional services (/ooa|, accounting) print ads CODE LIT RAD RFD SAL TEL TRC TRS TSF VOT WEB oCnEou EE CALIFORNIA 460 FORM 6 7 Page of /o.momecn 1349155 radio airtime and production costs returned contributions campaign workers' salaries t.^ or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, |ouyins, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) OR DESCRIPTION OF PAYMENT Slate Card Mailer Slate Card Mailer * Payments that are contributions or independent expenditures must also be sumrnanzed on Schedule D. AMOUNT PAID 3572.19 966.35 568.00 SUBTOTAL$ 5.106.54 Schedule E Summary 1. Iternized payments made this period. (lnclude all Schedule E subtotals.) � 2. Unitemized payments made this period of under $100 � 3. Total nterest 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 0j TOTAL $ 10,339.84 7.00 0 10,346.84 FPPC Form 460 (January/05 FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTPONS ON REVERSE NAME OF FILER Stewart Chen for Alameda City Council 2012 CODES: CfVP CNS CTB CVC FIL FND IND LEG LIT Type or print in ink. Amounts may be rounded to whole dollars. If one of the following codes accurately describes the payment, you may enter the code. campaign paraphernalia/misc. campaign consultants contribution (explain nnnmvnetary)" civic donations vanmuoten|innmanot fees fundraising events independent expenditure supporting/opposing others (explain)" legal defense campaign literature and maiHngs MBR MTG OFC PET mo POL pno PRO nn member communications meetings and appearances office expenses petition circulating phone banks polling and survey research voetaea, delivery and messenger services professional services (legal, accounting) print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, m,oewnn/uwmw ,R) California Latino Voters Guide Los Angeles, CA 90041 Your Bailot Guide FPPC|D#588O11 Published by Jill Barad & Associates Sherman 0aks, CA 91403 Noun Graphic Design Sacramento, CA 95823 Alameda Sun Alameda, CA 94501 Handled With Care Mailing Service San Leandro, CA 94577 LIT PRT POS * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Statement covers perio 10/1/12 from through 10/20/12 Otherwise, describe the payment. RAD radio airtime and production oosts RFD returned contributions SAL campaign workers' salaries TEL t^ or cable airtime and production costs n*C candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals Tor transfer between committees of the same candidate/sponsor VOT voter re iutmuvn WEB information technology costs (internet, e-mail) SCHEDULE E (CONT.) CALIFORNIA Ann FORM -r Iho of 7 DESCRIPTION OF PAYMENT Slate Card Mailer Slate Card Mailer Design Services Postage/Mailing Service AMOUNT PAID 250.00 700.00 700.00 406.80 3176.50 SUBTOTAL $ 5.233.30 FPPC Form 460 (January/05) pppo Toll-Free xu|vxno:uosmmK-Fppo(800/275-37,u