HomeMy WebLinkAbout410 - 08/05/2024 Amendment_ Redacted (PC)Statement of Organization
Recipient Committee
Date Stam p
RECEIVED CALIFORNIA 41 Q
FORM r-------------.....-------------..--------------1 Statement Type D Initial Ix! Amendment D Termination -See Part 5
0 Not yet qualified
or AUG 5 2024
0 Date qualificatio n threshold met Date qualifica tion thre sho ld met Date of termination
-1-1--__ 0_2 _,1 __ 1_9-1I 2020 CITY OF ARCADIA
. ' . _____ _._ ___________ _._ __ _
I.D. Number 1. Committee Information . . . . {if applicable}
NAME OF COMMITTEE
Cheng 4 Arcadia for Arcadia City Council 2024
1425003
NAME OF TREASURER
Paul Cheng
STREET ADDRESS (NO P.O. BOX)
790 E. Colorado Blvd. Ste. 260
1--------------------------------------i EMAIL ADDRESS OF TREASURER (REQUIRED)
STREET ADDRESS (NO P.O. BOX) cheng4arcadia@gmail.com
12501 Imperial Hwy. Ste. 2 00 NAME OF ASSISTANT TREASURER, IF ANY
1--------------------------------------i
CITY STATE ZIP CODE AREA CODE/PHONE David Gould
I-N_o _r _w_a _l _k _______________ c_A ____ 9_0_6_5_o _____ ( 2_1_3_) 4_8_9_-4_7_92_-STREET ADDRESS (NO P.O . BOX)
FULL MAILING ADDRESS (IF DIFFERENT) 12501 Imperial Hwy . Ste . 200
I
1--------------------------------------1 EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL) dlgould@gouldorellana.com
dlgould@gouldorellana.com / (213) 489-4818 NAME OF PRINCIPAL OFFICER(S)
CITY
CITY
1---------------.------------------------i
COUNTY OF DOMICILE JURISD ICTION WHERE COMMITTEE IS ACTIVE Ingrid Harris (Assistant Treasurer)
1-L_o _s _An_g_e_l _e_s ________ ...._ __ A_r_c_a_d_i_a __________________ STREET ADDRESS (NO P.O. BOX)
Attach additional info rmation on appropriately lab eled continuation sheets .
12501 Imperial Hwy. Ste. 200
EMA IL ADDRESS OF PRINCIPAL OFF I CER(S) (REQU I RED)
iorellana@gouldorellana.com
CITY
Pasadena
Norwalk
Norwalk
For Official Use Only
STATE ZIP CODE
CA 91101
AREA CODE/PHONE
(626)202-5120
STATE ZIP CODE
CA 90650
AREA CODE/PHONE
(213) 489-4 792
STATE ZIP CODE
CA 90650
AREA CODE/PHONE
(213)489-4792
I -• ' -' • • "' , --' -,r--• ' • -' " °' l
, 3. Verification . . • • .
I have used all reasonab le diligence in prepar ing this statement and to the best of my knowle dge the information contained herein is true and complete.
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
I certify under
Executed on
Executed on
Executed on
Executed on
netfile.com
07 /31 /2024
DATE
07/31/2024
DATE
DATE
DATE
JX;.,vif{L Goutd
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
By~
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT
By ---------s-,G-NA_T_U _RE_O_F-CO-N-TR-O-LL-IN_G_O_FF-IC-E-HO-L-DE-R-.C-A-ND-I-DA-TE-,-OR-S-TA_T_E_M-EA-:-SU--:R-:-E-PR:-0-:-PO:-N-:E-:-NT:----------
By------------------------------------------SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE , OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice : advice@fppc.ca.gov (866/275 -3 772)
www.fppc.ca .gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Cheng 4 Arcadia for Arcadia City Council 2024
2. Additional Officers (continued)
NAME
Nadia Modesto ( Assistant Treasurer)
STREET ADDRESS (NO P.O. BOX)
12501 Imperial Hwy. Ste. 200
E-MAIL AD DRE SS
nmodesto@gouldorellana.com
POSITION
Principal Officer
CITY
Norwalk
AREA CODE/PHONE
(213) 489-4 792
STATE ZIP CODE
CA 90650
1.D. NUMBER
1425003
FP PC Form 41 0 (October/2 023)
FPP C Advice : advice@fp pc .ca .gov (866/2 75-3 772)
www.fppc.ca .gov
Statement of Organization
Recipient Committee
INSTRUCT IONS ON RE VERSE
1:'b~~~T~E~~~ldia for Arcadia City Council 2024
CALIFORNIA 410 FORM
Page 3 of 4
I.D. N UMBER
1425003
. All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records .
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE
California Bank & Trust (213)228-1700
David Gould, Ingrid Harris, Nadia Modesto, Diana Reynoso
ADDRESS OF FINANCIAL INSTITUTION CITY
550 s. Hope Street Ste. 100 Los Angeles
4. Type of Committee Complete the applicable ~ections .
. ' .... -.. .. .
Controlled Committee
• List the name of each controlling officeholder, candidat e, or state measure proponent . If candidate or offi ce holder controlled,
also list the elective office so ught or held, and district number, if any, and the year of the election.
BANK ACCOUNT NUMBER
5798050166
STATE ZIP CODE
CA 90071
. --..,..~--~ . . .
• List the political party with wh ich each officeholder or candidate is affiliated or check "nonparti san." Stating "N o party preference" is acceptable.
• If this committee acts jointly with another controlled committee, list the name and ide nti ficatio n number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
City
Paul Cheng
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTR ICT NUMBER IF APPLICABLE)
Council Member Arcadia District 4
YEAR OF
ELECTION
2024
PARTY
CHECK ONE
Nonpartisan Partisan
X
Nonpartisan Partisan
(list political party below)
(list political party below)
Primarily Formed Committee Pr ima ri ly formed to support or oppose specific candidate s or measures in a single election. List below :
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLU DE BALLOT NO . OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME .
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
I w • .,.. I o .. os, I
SUPPORT
FPPC Form 410 (October/2023)
FPPC Advice : advice@fppc.ca.gov (866/275-3 772)
www.fppc.ca.gov
Statement of Organization
Recipient Committe e
INSTRUCTIONS ON REVERS E
COMMITTEE NAME
Chen g 4 Arcadia for Arcadia City Council 2024 I.D. NUMBER
1425003
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election . Check only one box :
0 CITY Committee O COUNTY Committee O STATE Committee
PROV I DE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP O R A FFILIATION OF SPONSOR
STREET ADDRESS NO. AND ST REET CITY STATE ZIP CODE AREA CODE /PHONE
Small Contributor Committee D __ / _ _,
Date qualified
. s. Termination Re·qufrements • By signing th~ verification, the treas.urer, assistant ~reasurer and/or ca°iididate, office.hol_der~-or ponent certify_th_at all of _th-e)ollowing conditions have beenmet: ~~:·:.
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received , and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions .
There are restrictions on the dispos ition of surplus campaign funds held by elected officers who are le aving office and by defeated candidates . Refer to
Government Code Section 89519 .
Leftover funds of ballot mea sure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5 .
FPPC Form 410 (October/2023)
FPPC Advice : advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov