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HomeMy WebLinkAbout2014_09_30 Form 460 - John Chen Recipient Committee COVER MGE Campaign Statement Type or print In Ink. Date Stamp Cover Page •- '� • (Government Code Sections 84200-84216.5) D �[ �— _ 2 Statement covers period Date of election if applicable: of from 8/1/2014 (Month,Day,Year) SEP 3 0 2014 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 9/30/2014 11/4 /2014 L. By 1. Type of Recipient Committee: All Commut e.-Complota Pans 1,2,11,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement 0oRe alerePen8} 0 Controlled Termination Statement ❑ Special Odd-Year Report 0 SponsC-Owe (Also file a Form 410 Termination) ❑ Statement-AttachForm495 ection (APao camNlete Pert e) ❑ General Purpose Committee ❑ Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (AW C-n*te PW(7) 3. Committee Information I.D. NUMBER Treasurer(s)1370979 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF Chiachia Lo MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE Saratoga CA 95070 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER. IF ANY Saratoga CA 95070 ( MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX i 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. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and corn Executed on- ��✓�/� �� BY , ��- / " ftnaknoll. ®war Executed on- 9 By of ate.State Meawre Proponent ar aeponeible Sponsor Executed on BY SIBS dCondoanp Oti>celnldw,Candidate,State M"w"Proponent Executed on DOW BY Sipnetwe e,st&W Messum Rvnent FPPC Form 160(January/05) FPPC Toll-Fro*Helpline:11MASK-FPPC(866/275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE-PART 2 Campaign Statement CALIFORNIA 460 Cover Page— Part 2 FORM Page 2 of 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE John Chen OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Saratoga City Council Member ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Saratoga, CA 95070 Identify the controlling officeholder, candidate, or state measure proponent, if any. 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 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of F-1 YES F-1 NO officeholder(s)or candidate(s)for which this committee is primarily formed. COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT - ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE 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(January/05) FPPC Toll-Free Helpline:866/ASK.FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. Statement covers period CALIFORNIA A from 8/11/20114 •- • SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 1 of 1 NAME OF FILER I.D. NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR (FROMATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 6717.50 $ 6717.50 General Elections 2. Loans Received ...................................................... schedule B,Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines/+2 $ 6717.50 $ 6717.50 20. Contributions 0 0 Received $ 0 $ 6717.50 4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 6717.50 $ 6717.50 Made $ 0 $ 11631.66 Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 7888.97 $ 7888.97 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 $ 7888 97 $ 7888 97 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines6+7 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F,Line 3 3742.69 3742.69 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines s+9+to $ 11631.66 $ 11631.66 11 / 4 14 $ 11631.66 Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 0 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 6717.50 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Linea above 7888.97 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ -1171.47 figures that should be subtracted from previous K this is a termination statement, Line 16 must be zero, period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7, and 9(if 18. Cash Equivalents........................................ See instructions on reverse $ 0 any). 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 3742.69 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers Monetary Contributions Received period to whole dollars. CALIFORNIA from 8/1/2014 - 9/30/2014 SEE INSTRUCTIONS ON REVERSE through Page 1 of 5 NAME OF FILER I.D. NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) VI IND 8/28/2014 John Chen ❑COM Engineer, Raptr, Inc ❑PTY ❑SCC ®IND 9/3/2014 Jia-Ning Chen [3Com Search Analyst,Apple ❑PTY [:]SCC WIND John Chen ❑COM Engineer, p 9/3/2014 ❑PTY ❑SCC Yukai Lin and Yung-Ju Chen ®IND 9/8/2014 ❑PTY ❑SCC Chiachia Lo ®IND 9/8/2014 ❑pN ❑SCC SUBTOTAL$ 1667.50 Schedule A Summary Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 6717.50 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ 0 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small contributor committee (Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. . TOTAL $ 6717.50 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheen Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA from 8/1/2014FORM through 9/30/2014 Page 2 of 5 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) ®IND Benjamin Lu ❑COp� Retiree 600 2267.50 9/8/2014 ❑PTY ❑SCC Jim I.Yeh and Sabrina S. Wun ®IND COM Engineer, A10 networks 9/$/2014 ❑PTY ❑SCC Yuchu Yu and Chyang John Yu ®IND Retiree 9/8/2014 ❑PTY ❑SCC Mac Yang and Jenny Chang ®COM IND Engineer, Google 91$/2014 ❑PTY ❑SCC Peter Du Lam and Amanda Hui Chiang OIND Engineer, LSI Logic 9/8/2014 ❑PTY ❑SCC SUBTOTAL$ 1700 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) /05 SCC—Small Contributor Committee ( ry ) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA460 from 8/1/2014 - through 9/30/2014 Page 3 of 5 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) Kate Lin ®IND ❑COM Homemaker 9/8/2014 ❑PTY ❑SCC John Chen and Nancy Chen ®IND Retiree 9/9/2014 E]PTY ❑SCC Gordon Jensen and Cheriel Jensen ®oRetiree 9/9/2014 E]PTY ❑SCC Yong Zheng and Weili Long mIND Engineer, NVIDIA 9/9/2014 ❑PTY ❑SCC Jennifer Feng and Rae OINDFinancial Planner, 9/9/2014 El PTY ❑SCC SUBTOTAL$ 1200 'Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) OTH —Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) / SCC—Small Contributor Committee ( ry 05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink, SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 8/1/2014 - • from through 9/30/2014 Page 4 of 5 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) Yung-Wen Wu and Yuhisu Huang OIND DPartner at HWA 9/9/2014 EICOM ❑PTY ❑SCC Richard Dorsay and Dorothy Dorsay ®IND Retiree 9/9/2014 El PTY ❑SCC Mary Robertson ®IND coM Homemaker 9/9/2014 (]PTY ❑SCC John Chen ®IND COM Engineer, Raptr, Inc 9/26/2014 El PTY ❑SCC Bar Chan ®IND ry g coM Politician, Cupertino 9/29/2014 ❑PTY []SCC SUBTOTAL$ 2100 "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) /OS SCC—Small Contributor Committee ( ry ) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA , from 8/1/2014 • - through 9/30/2014 Page 5 of 5 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (EET A IT ADDRESS ZIP I.D.CODE CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) DFBUSINESS) IND Margaret L. Hall E]COM Retiree 9/29/2014 D PTY D SCC ❑IND D COM DOTH ❑PTY ❑SCC D IND ❑COM [_]OTH ❑PTY ❑SCC ❑IND [:]Com ❑OTH ❑PTY ❑SCC ❑IND ❑COM D OTH ❑PTY ❑SCC SUBTOTAL$ 50 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule B— Part 1 Type or print in ink. SCHEDULEB-PART1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from RM 8/1/2014 �CALIFORNIA � • SEE INSTRUCTIONS ON REVERSEthrough 9/30/2014 Page 1 of 2 NAME OF FILER I.D. NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) (c) Id► (e) () (g) OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE (IF SELF-EMPLOYED, RECEIVED THIS BALANCE AT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) ,ENBEGINNING THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) p PERIOD THIS PERIOD" p PERIOD LOAN TO DATE ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION`" t❑ IND [:jCOM ❑OTH ❑ PTY $ $ $ $ $ ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR ❑FORGIVEN RATE PER ELECTION•"` s s s t❑ IND ❑ COM ❑ OTH ❑ PTY 0 SCC DATE DUE $ DATE INCURRED $ ❑PAID CALENDAR YEAR $ $ % $ $ ❑ RATE FORGIVEN PER ELECTION" t❑ IND ❑ COM ❑ OTH $ $ $ $ $ ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0$ 0 $ 0 $ 0 (Enter(e)on Schedule B Summary SdiedMeE,Line 3) 1. Loans received this period....................................................... $ 0 ....................................................... (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 0IND—Individual 2. Loans paid or forgiven this period .........................................................................................................$ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) PTY—Political Party 3. Net change this period. Subtract Line 2 from Line 1. .. NET $ 0 SCC—Small Contributor Committee Enter the net here and on the Summary Page,Column A, Line 2. (May be a negative number) `Amounts forgiven or paid by another party also must be reported on Schedule A. "`If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE B-PART2 Schedule B—Part 2 Type or print in ink. Statement covers eriod Amounts may be rounded pCALIFORNIA ' Loan Guarantors to whole dollars. 8/1/2014 •- • from SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 2 of 2 NAME OF FILER I.D. NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYERCUMULATIVE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IFSELF-EMPLOYED,ENTER LOAN GUARANTEED OUTSTANDING NAME OF BUSINESS THIS PERIOD TO DATE TO DATE []IND LENDER CALENDARYEAR ❑COM $ ❑OTH DATE PER ELECTION ❑PTY (IF REQUIRED) ❑SCC $ ❑IND LENDER CALENDAR YEAR ❑COM $ ❑OTH PER ELECTION FIFTYDATE (IF REQUIRED) ❑SCC CALENDAR YEAR [:]IND LENDER ❑COM $ ❑OTH PER ELECTION ❑PTY DATE (IF REQUIRED) ❑SCC $ ❑IND LENDER CALENDAR YEAR ❑COM $ ❑OTH DATE (PER ELECTION IF REQUIRED) ❑PTY ❑SCC $ Enter on SUBTOTAL. $ 0 Summary Page, Line 17 only. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) Schedule C Type or print in ink. Amounts may be rounded SCHEDULE C Nonrnonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 8/1/2014FORM • SEE INSTRUCTIONS ON REVERSE through 9/30/2014 page 1 of 1 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL,ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER FAIR MARKET DATE IFSELF-EMPLOYED,ENTER GOODS OR SERVICES CALENDAR YEAR TO DATE IIF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF NAME M BUSINESS VALUE (IF REQUIRED) > (JAN 1-DEC 31) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM DOTH ❑PTY ❑SCC ❑IND ❑COM DOTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 0 Schedule C Summary 'Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.).....................................................................................................................$ 0 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ 0 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. 0 SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) ...................... TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule D SCHEDULE D Summary of Expenditures Type or print in ink. Statement covers period Supporting/Opposing Other Amounts may be roundedCALIFORNIA to whole dollars. 8/1/2014 fa- ' Candidates,Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 9/30/2014 page 1 of 1 NAME OF FILER I.D. NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTIONCUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 0 2. Unitemized contributions and independent expenditures made this period of under$100 ..................................................................................... $ 0 3. Total contributions and independent expenditures made this period.(Add Lines 1 and 2. Do not enter on the Summary Page.)e. 0 ) ............ TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULE Statement covers period Payments Made Amounts may be rounded CALIFORNIA to whole dollars. 8/1/2014 •' ' from SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 1 of 2 NAME OF FILER I.D. NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIvP campaign paraphernalia/mise. NUR 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 ISD 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 (IF COMMITTEE,ALSO ENTER LD.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Advantage Grafix Various signs,total Q =3,950 Barry Chang for Council 2014 Join fund raising dinner, 3 tables Advantage Grafix yard signs Q=100 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3491.33 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).................. $ 7888.97 2. Unitemized payments made this period of under$100 ................. $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6.) . TOTAL $ 7888.97 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFOR Payments Made NIA to whole dollars. 8/1/2014 . - • ' from 11 SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 2 of 2 NAME OF FILER ER NUMB Chen For Saratoga City Council 2014; Friends Of 1370979 I.D.NUMB CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 Lv. 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 KD 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 UT campaign literature and mailings PRT print ads UVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) AMOUNT PAID Advantage Grafix EDDM flyers, Q = 12,000 Post Master Postage for 12,000 EDDM Saratoga, CA POS 2032.14 Advantage Grafix unpaid tax for inv#35256 `Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4397.64 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule F Type or print in ink. SCHEDULE F Amounts may be rounded Statement covers period CALIFORNIA Accrued Expenses (Unpaid Bills) to whole dollars. 8/1/2014 , 1 • - from 9/30/2014 1 SEE INSTRUCTIONS ON REVERSE through Page of 1 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NITG 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 FIND 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) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER ID.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD John Chen FIL, VOT, WEB, PRT.. Payments that are contributions or independent expenditures must also be SUBTOTALS$ 0 $ 3742.69 summarized on Schedule D. 0 $ 3742.69 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 3742.69 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) .................................PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ............................ ...................................................... NET $ 3742.69 May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA Contractor(on Behalf of This Committee) to whole dollars. from $/1/2014 _ • 1 SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 2 of 3 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 NAME OF AGENT OR INDEPENDENT CONTRACTOR John Chen CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. NBR 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 BSD 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 1AIEB information technology costs (intemet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Corel Corporation CorelDraw subscription for graphic design Secretary of State From 410 registration Political Reform Division, 1500 11th Street, Room 495, FIL $50.00 Sacramento, CA 95814 Advantage Grafix 50 yard signs 24x18, 2 sides Kristina Rust Photography for campaign photo Saratoga, CA 95070 CMP 150.00 Attach additional information on appropriately labeled continuation sheets. TOTAL• $ $763.26 *Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period _ Contractor(on Behalf of This Committee) to whole dollars, from 8/1/2014 • 1 9/30/2014 SEE INSTRUCTIONS ON REVERSE through Page 3 of 3 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 NAME OF AGENT OR INDEPENDENT CONTRACTOR John Chen CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc. ISR member communications RAD radio airtime and production costs CNS campaign consultants WG 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 W independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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) "Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) AMOUNT PAID Corel Corporation CorelDraw subscription for graphic design- renewal CampaignPartner.Com Website service Attach additional information on appropriately labeled continuation sheets. TOTAL" $ $73.95 "Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule H Type or print in ink. Statement covers period SCHEDULE H CALIFORNIA Loans Made to Others* Amounts may be rounded 8/1/2014 • to whole dollars. from FORM SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 1 of 1 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER OUTSTANDING (b) (c) 1� (e) M (y) OF RECIPIENT OCCUPATION AND EMPLOYER BALANCE AMOUNT REPAYMENT OR OUTSTA DING INTEREST ORIGINAL CUMULATIVE LOANED THIS (IF SELF-EMPLOYED,ENTER BALANCE AT ff COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS pERl00 FORGIVENESS CLOSE OF THIS RECEIVED AMOUNT OF LOANS PERIOD THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Ej FORGIVEN RATE PER ELECTION** $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ FORGIVEN RATE PER ELECTION- $ $ $ $ $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ 0 $ 0 $ 0 $ 0 (Enter(e)on Schedule I,Line 3) Schedule H Summary 1. Loans made this period ................ .................... ..........................................$ 0 ................................................................... (Total Column(b)plus unitemized loans of less than$100.) -*If Required 2. Payments received on loans ........................ ... $ 0 . ......................................................................................................... (Total Column(c)plus unitemized payments of less than$100.) 3. Net change this period. Subtract Line 2 from Line 1. NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule I Type or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period to whole dollars. 8/1/2014 •CALIFORNIA , from SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page 1 of 1 NAME OF FILER I.D.NUMBER Chen For Saratoga City Council 2014; Friends Of 1370979 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 0 Schedule I Summary 1. Itemized increases to cash this period. ................. $ 0 2. Unitemized increases to cash of under$100 this period.................................. 0 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................. 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ 0 FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)