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Home My WebLink About2014_10_21 Form 460 - John Chen Recipient Committee Type or print in ink. Date Stamp Campaign Statement ! Cover Page . (Government Code Sections 84200-84216.5) !Page from 1 of Statement covers period Date of election if applicable: from 10/1/2014 (Month, Day,Year) OCT 2 12014 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 10/18/2014 11/04/2014 By 1. Type of Recipient Committee: All Committees–Complete Parts 1,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure [ja Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement Q Recall Q Controlled Termination Statement ❑ Supple Odd-Year Report N80 Complete pan 5) O Sponsored ❑ Also file a Form 410 Termination ❑ Supplemental-A Preelection (Atao complete l=ert fJ) ( ) Statement-Attach Form 495 ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponge ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Woo C-VIetePan7) 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 CODE/PHONE 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 CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 70 1 Executed on By Date Treasurer Executed on 10 17_J Z'J../ ,`-' ),C+ By Date aloe Con ,Ca MeawroProponentorRespm omccerofsponaor Executed on Data By Signature d Controlling 011iceholder,Candidate,Slate Measure Proponent Executed on By Date Signature of Contro&V er,Candidate,State Measure Proponent FPPC Form 480(January/05) FPPC T611 Fres Helpline:80WASK-FPPC(888/275.3772) State of Califorda Recipient Committee Type or print in ink. COVER PAGE-PART 2 CALIFORNIA Campaign StatementFORM • 1 Cover Page—Part 2 Page 2 of 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 F SUPPORT SARATOGA CITY COUNCIL MEMBEROPPOSE RESIDENTIAUBUSINESS 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 officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO 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 E] SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) 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 or In Ink. Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summa Pa to whole dollars. Statement covers period • , Summary from 10/1/2014 • 10/18/2014 Page 1 of 1 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D.NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF 11370979 Contributions Received TOCOIumnA Column Calendar Year Summary for Candidates TALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and (FROMATTACHED SCHEDULES) TOTALTODATE Primary 366.12 7083.62 General Elections 1. Monetary Contributions ........................................... Schedule A,tine 3 $ $ 111 through sr3o 7r1 to Date 2. Loans Received ...................................................... Schedule e.Line 3 3341 35 3 3U- 3S 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines i+2 $ 700.47 $ 7 4 i 7'.97 20. Contributions Received $ 0 $ $7,q-17.97 Schedule C.Line 3 4. Nonmonetary Contributions.... 0 0 ................................ 21. Expenditures 7a m.47 141+x.97 Made $ 0 $ $11,666.66 5. TOTAL CONTRIBUTIONS RECEIVED ......••••••••••••.••••.•••Add Lines 3+4 $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,tine 4 $ $35.00 $ $7,923.97 Candidates 7. Loans Made............................................................. Schedule H.Line 3 0 0 22• $7 923.97 Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 5+7 $ $35.00 $ ' (MsubieettovoluMeryExpendihueLNnit) $3,742.69 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 0 Date of Election Total to Date 10.Nonmonetary Adjustment ..........................................Schedule C.Line 3 0 0 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+s+10 $ $35.00 $ $11,666.66 11 l04_j 14 $ $11,666.66 Current Cash Statement --�-J $ 12.Beginning Cash Balance....................... Previous summary Page,Line 16 $ -1171.47 To calculate Column B,add 13.Cash Receipts ................................................... Column A.Line 3 above rf 00.i q_ amounts in Column A to the corresponding amounts "Amounts in this section maybe different from amounts 14.Miscellaneous Increases to Cash........................... Schedule r,Line 4 0 from Column B of your last reported in Column B. 3500 report. Some amounts in 15.Cash Payments.................................................. Column A.Line 8 above Column A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ "506,co figures that should be subtracted from previous H 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 cant'over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. Cash Equivalents........................................ See instructions on reverse $ 0 an ,.4 D �1 19. Outstanding Debts......................... Add Line 2 Line 9 in Column 8 above $ .OIL FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772) Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded Statement covers period �/ to whole dollars. CALIRNIA 10/1/2014 FO ' from SEE INSTRUCTIONS ON REVERSE through 10/18/2014 page 1 of 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.N DEO CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) Beelan Lin ®IND ❑COM $6,817.50 10/15/201 ❑PTY ❑scc [RIND unknown 10/15/201 Murali Ponnuraj ❑COM E]Pn thru $23.97 $6,841.47 ❑SCC Paypal ®IND 10/15/2014 Rex Shang ❑COM unknown $96.80 $6,938.27 E]OTH thru Paypal F�PTY ❑scc [RIND Alan Tani ❑COM Pharmacist 10/15/2014 F-1 scc ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ $366.12 Schedule A Summary "Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) ................ $ $366.12 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 ............................. $ 0 0TH-Other(e.g.,business entity) Y-Political Party 3. Total monetary contributions received this period. scc-Small contributor committee Add Lines 1 and 2. Enter here and on the Summa eTOTAL $ $366.12 ( Summary Page,Column A,Line 1.) FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(86612753772) Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA A Loans Received to whole dollars. 10/1/2014 FORM -r60 from SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page 1 of 1 NAME OF FILER I.D. NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF 1370979 IF AN INDIVIDUALENTER a (b) (c) (d (e) ) (g) , FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNTOUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIODPERIOD PERIOD LOAN TO DATE John Chen ❑PAID CALENDAR YEAR Raptr, Inc. ❑FORGIVEN RATE PERELECTION* $ 0 $ $334.35 $ 0 10/3/14 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR ❑FORGIVEN RATE PER ELECTION`" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $334.35$ 0 $ $334.35 $ 0 (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period..................................................... ........................$ $334.35 (Total Column(b)plus unitemized loans of less than$100.) tcontributor codes IND—individual 2. Loans paid or forgiven this period .........................................................................................................$ 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 $ $334.35 SCC—Small Contributor Committee 9 p � .)............................................................... NET 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) SCHEDULEB-PART2 Schedule B—Part 2 Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA Loan Guarantors to Whole dollars. • ' from 10/1/2014 FORM SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page 2 of 1 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 CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING ZIP CODE OF GUARANTOR CODE (IF SELF-EMPLOYED,ENTER TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS THIS PERIOD TO DATE IND LENDER CALENDAR YEAR ❑ ❑COM 5 ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC $ CALENDAR YEAR ❑IND LENDER ❑COM $ ❑OTH PER ELECTION DATE (IF REQUIRED) ❑PTY ❑SCC $ CALENDAR YEAR ❑IND LENDER ❑COM $ PER ELECTION ❑OTH DATE (IF REQUIRED) ❑PTY ❑SCC $ LENDER CALENDAR YEAR [:)IND ❑COM $ PER ELECTION ❑OTH DATE (IF REQUIRED) ❑PTY ❑SCC $ Enteron SUBTOTAL $ 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 CHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers periodCALIFORNIA A no, 10/1/2014 FORM -r60 SEE INSTRUCTIONS ON REVERSE through 10/18/2014 page 1 of 1 NAME OF FILER I.D.NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF 1370979 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME.STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE i OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) (IF REQUIRED) MIND Ocom ❑OTH OPTY ❑SCC ❑IND ❑COM ❑OTH ❑Pry ❑SCC []IND 000M ❑OTH ❑P'Ty ❑SCC ❑IND I]00M pOTH ❑m ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary •Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. IND-individual (include all Schedule C subtotals.) .......$ U COM—Recipient Committee .............................................................................................................. (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100 $ OTH-Other(e.g.,business entity) .................................... PTY—Political Party 3. Total nonmonetary contributions received this period. 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:8WASK-FPPC(866/2753772) Schedule D soriEouLEo Summary of Expenditures Type or print in ink. Statement covers Period Amounts may be rounded Supporting/Opposing Other to whole dollars. •• / ' Candidates,Measures and Committees from 10/1/2014 through 10/18/2014 Page 1 of 1 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF 1370979 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetery Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution 0 Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL. $ d Schedule D Summary 1. Itemized contributions and independent expenditures made this period.(Include all Schedule D subtotals.) •••••• $ 2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $ a 3. Total contributions and independent expenditures made this period.(Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK.FPPC(866/275.3772) SCFEDULEE Schedule E Type or print In Ink. Statement covers period . Amounts may be rounded ' Payments Made to whole dollars. from 10/1/2014 through 10/18/2014 Page of 1 SEE INSTRUCTIONS ON REVERSE 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. CMP campaign paraphemalia/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 t.v.or cable airtime and production costs FIL candidate filing/ballot fees PFID phone banks TRC candidate travel,lodging,and meals FND 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(intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Weiss Fargo PRO $35.00 I " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 3S - 1. Itemized payments made this period.(Include all Schedule E subtotals.) 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ O 3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).)............................................................................... $ D 4. Total payments made this period.(Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A,Line 6.) ............................. TOTAL $ 35N� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEF Schedule F Type or print In Ink. Statement covers period Accrued Expenses (Unpaid Bilis "`�Oto�ry ollarrsunded s'' J S ' p � p � from 10/1/2014 ___ through 10/18/2014 Page 1 of 1 SEE INSTRUCTIONS ON REVERSE 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. CMP campaign paraphemalla/misc. MBR member communications RAD radio airtime and production costs CPS campaign consultants WrG 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 FL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FPD 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 PRD professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs(Internet,e-mail) b c NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD •Payments that are contributions or independent expsndtures must also be SUBTOTALS$ $ $ $ summarized on Schedule 0. 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 $ 2. Total ac=ed expenses paid this period. (Include all Schedule F, Column (c)subtotals for payments on 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 onthe Summary Page,Column A, Line 9.)................................................................................................................................................ NET >n . numaw FPPC Form 460(January/05) FPPC Toll-Free Helpline:$MASK-FPPC(866/275.3772) Schedule C7 Type or print In Ink. SCHEDULEG, Payments Made by an Agent or Independent Amounts may be rounded Statement` "'a •• NIA Contractor(on Behalf of This Committee) to whole dollars. from 10/1/2014 •• • ' through 10/18/2014 Pa of 1 9 Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF -7 1370979 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances If returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating T& t.v.or cable airtime and production costs FIL candidate filingiballot fees PHO phone banks TRC candidate travel,lodging,and meals FAD 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) "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 AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL" $ Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460(January/05) independent contractor as reported on Schedule E. FPPC ToH-Free Helpline:IlMASK-FPPC(866!2733772) SCHEDULE H Schedule H Type or print In Ink. Statement covers period - Amounts may be rounded Loans Made to Others* 10/1/2014 to whole dollars. from • - SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page 1 of 1 NAME OF FILER I.D.NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF 1370979 IF AN INDIVIDUAL,ENTER (a) (b) (o) (d1 fie) M (9) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER REPAYMENT OR OF RECIPIENT BALANCE LOANED THIS BALANCE AT RECEIVED AMOUNT OF LOANS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS PERIOD FORGIVENESS CLOSE n THIS LOAN TO DATE NAME OF BUSINESS) PERI D THIS PERIOD PRI D PAID CALENDAR YEAR 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 SUBTOTALS $ 0 $ 0 $ 0 $ 0 also be reported on Schedule E. (Enter(e)on Schedule I,Line 3) Schedule H Summary Loans made this period .......... $ 0 1 p .................. ..... ............................................................................................ `klf Required (Total Column(b)plus unitemized loans of less than$100.) 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. 0 9 P ( ).......................................................................................... NET $ (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(866/2753772) Schedule I Type or print in Ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period • . to whole dollars. from 10/1/2014 • ' SEE INSTRUCTIONS ON REVERSE through 10/18/2014 page 1 of NAME OF FILER I.D.NUMBER CHEN FOR SARATOGA CITY COUNCIL 2014; FRIENDS OF 1370979 DATE FULL NAME AND ADDRESS OF SOURCEAMOUNT 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 1 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/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)