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Home My WebLink About460 - 01/01/2021 thru 12/31/2021_ Redacted (JL)Recipient Comm ittee Date Stamp COVER PAGE Campaign Statement RECEIVED . ' • Covet Page SEF INSTRUCTIONS ON REVERSE Statement covers period from Ol/Ol/2021 through 12/31/2021 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee ommittee O Recall Controlled (AWComplete Part5) Sponsored (Ako Complete Part6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Pad7) 3. Committee Information I.D. NUMBER 1440480 LEE FOR COUNCIL 2022 STREET ADDRESS (NO P.O. BOX) 1320 S 2nd Avenue CITY STATE ZIP CODE AREA CODE/PHONE Arcadia CA 91006 626-396-9397 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Jason@leelawla.com 4. Verification Date of election if applicable: (Month, Day, Year) Page 1 of 17 JAN 2 1 2022 1 For Official Use Only 11/08/2022 CITY OF ARCADIA [ CITY CLERK [ 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement m Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURE Jason J Lee MAILING ADDRESS 1320 S 2nd Avenue CITY STATE ZIP CODE AREA CODE/PHONE Arcadia CA 91006 626-396-9397 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 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 and r the laws of the State of California that the foregoing is true and IT t. Executed on D /g i2 022 By - ate igna�ureor"reasurerar�ssistant Treasurer q�4 Executed on D% g�2 D2 2 ByTA Date I /SignAture of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candi !ate, 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 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jason J Lee OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Arcadia City Council District 5 RES I DENTIAUBUSI NESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP 1320 S 2nd Avenue Arcadia CA 91006 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 ormake expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [:]_YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 17 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 Listnames of officeholder(s) or candidate(s) for which this committee is primarily tormed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 01/01/2021 h hrou 12/31/2021 Page 3 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUME LEE FOR COUNCIL 2022 1440480 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions................................................... scheduleA, Line 3 $ 0 $ 0 2. Loans Received................................................................ schedule e, Line 3 20,000.00 20,000.00 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 20,000.00 $ 20,000.00 4. Nonmonetary Contributions ............................................ schedule c, Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED................................AddLines3+4 $ 20,000.00 $ 20,000.00 Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 6,333.96 $ 6,333.96 7. Loans Made....................................................................... schedule N. Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 6,333.96 $ 6,333.96 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 3 0 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 6,333.96 $ 6,333.96 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 0 13. Cash Receipts ........................................................... column A, Line 3 above 20+000•00 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above 6,333.96 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 13,666.04 if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ schedules, Part2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ U 19. Outstanding Debts .............................. Add Line 2+Line 9 in Column 8 above $ 0 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 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE of 17 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 Total to Date (mm/dd/yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 ()an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnole aouars. Statement covers period CALIFORNIA , from 01/01/2021 • " • through 12/31/2021 Page 4 Of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER LEE FOR COUNCIL 2022 1440480 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY f ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC [:1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC [1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 0 Schedule A Summary 1. Amount received this 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. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................TOTAL $ 0 '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 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received townoie aouars• Statement covers period CALIFORNIA from 01/01/2021 FORM through 12/31/2021 Page 5 of 17 NAME OF FILER I.Q NUMBER LEE FOR COUNCIL 2022 1440480 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) — --' PERIOD - - (JAN. 1 - DEC. 31) (IF REQUIRED) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC [:]IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY SCC ^_ SUBTOTAL $ 0 1 *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 SCHEDULE B-PART 1 Schedule — Part I to whole dollars. Statement covers period CALIFa - I Loans Received from 01/01/2021 � FORM through 12131/2021 Page 6 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER LEE FOR COUNCIL 2022 1440480 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNIT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD* CLOPSE CIF HIS PERIOD LOAN TO DATE I ❑ PAID CALENDAR YEW JASON J LEE Lawyer $ 0 $ 20,000.00 None ,� $ 20,000. $ 20,000.00 1320 S 2nd Avenue Law Offices of Jason J Lee Arcadia, CA 91006 & Associates ❑ FORGIVEN RATE PER ELECTION` A Law Corporation $ 0 $ 20,000.00 0 $ 0 09/24/21 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE DUE _ DATE INCURRED PAID CALENDAR ❑ FORGIVEN RATE PER ELECTION' t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR PER ELECTION** � ❑ FORGIVPN RATE $ $ $ $ $ 10 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ 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 loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. .......................................$ ........................................$ 0 ................................ NET $ 20,000.00 (May be a negative number) tuner te) on xneouie c, Line a) tContributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 Schedule B — Part 2 Amounts may rounded to whole dolollars. � Statement covers period 1_0an V uaraF110U5 from 01/01/2021 -r through 12/31/2021 71.DNUMBER SEE INSTRUCTIONS ON REVERSE NAME OF FILER LEE FOR COUNCIL 2022 1440480 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE BALANCE CONTRIBUTOR * CODE (IF SELF-EMPLOYED, ENTER LOAN GUARANTEED THIS PERIOD TO DATE OUTSTANDING TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) LENDER CALENDAR YEAR ❑IND ❑ CoM $ ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC s LENDER CALENDAR YEAR ❑IND ❑ COM s ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC $ LENDER CALENDAR YEAR ❑IND ❑ COM $ ❑ OTH PER ELECTION ❑ PTY DATE (IF REQUIRED) ❑ SCC s LENDER CALENDARYEAR ❑ IND ❑ COM s ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) []SCC i $ mE r on SUBTOTAL $ Q Summary Page, Line 17 only. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE LEE FOR COUNCIL 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2021 through 12/31/2021 SCHEDULE C Page 8 of 17 I.D. NUMBER 1440480 FULL NAME, STREETADDRESS AND WAN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO DATE CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE T IF SELF-EMPLOYEDENTER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR , (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) VALUE (JAN 1 - DEC 31) ' ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (include all Schedule C subtotals.).......................................................................... 2. Amount received this period — unitemized nonmonetary contributions of less than $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) SUBTOTAL$ $0 ......................... $ 0 ................TOTAL $ 0 PER ELECTION TO DATE (IF REQUIRED) "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 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D summary or tx enaitures Amounts may oe rounaea Statement covers period Supporting/OpposingOther to whole dollars. 01/01/2021 � � • • , -' Candidates, Measures and Committees from FORM through 12/31/2021 page 9 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER LEE FOR COUNCIL 2022 1440480 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (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.) ......................................... 2. Unitemized contributions and independent expenditures made this period of under$100...................................................................... 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ......... ............. $ 0 $0 TOTAL.. $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.r-a.gov (866/275-3772) www.fppc.ca.gov Schedule D wA ,V VIILIII MQLIVII V11'WgW%.j lUIIVu111D 111Qy UC IVUIIUCU to whole dollars. Statement covers period Summary of Expenditures p Supporting/Opposing Other from 01/01/2021 Candidates, Measures and Committees Sr. (-IEnIiLED CONT , .. � � . - • through 12/31/2021 Page 10 of 17 NAME OF FILER I.D. NUMBER LEE FOR COUNCIL 2022 1440480 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (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 ❑ Monetary Contribution ❑ Nonmonetary Contribution Independent —i ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.co.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period Paym ents ts Made to whole dollars. y from 01/01/2021 SEE INSTRUCTIONS ON REVERSE through_12131/2021 Page 11 of 17 _ _ NAME OF FILER I.D. NUMBER LEE FOR COUNCIL 2022 l 1440480 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CA Secretary of State, Political Reform Division 150011th Street, Rm 495 Sacramento, CA 95814 Plaza Printing 126 East Valley Blvd. Alhambra, CA 91801 IHLR Media LLC 121 E. Chestnut Avenue Monrovia, CA 91016 CODE OR DESCRIPTION OF PAYMENT FrL I Filing fee for filing Form 410 Amendment AMOUNT PAID $50.00 LTr IPrinting 2,000 campaign name cards and 2,500 tri-fold $799.31 campaign brochures PRT Campaign Display Advertisement 1/4 page on Arcadia 805.00 Weekly October 2021 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all 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(e).).............................................................. 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... SUBTOTAL $ 1,654.31 6,333.96 ............ $ 0 ............ $ 0 TOTAL $ 6,333.96 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER LEE FOR COUNCIL 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2021 through 12/31/2021 SCHEDULE E (CONT.) Page 12 of 17 I.D. NUMBER 1440480 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) HLR Media LLC 121 E. Chestnut Avenue Monrovia, CA 91016 CODE OR DESCRIPTION OF PAYMENT PRT Campaign Display Advertisement 1/4 page on Arcadia Weekly November 2021 Plaza Printing LIT 126 East Valley Blvd. Alhambra, CA 91801 Plaza Printing LPf 126 East Valley Blvd. Alhambra, CA 91801 Plaza Printing L1T 126 East Valley Blvd. Alhambra, CA 91801 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Printing tri-fold campaign brochures Printing campaign posters Printing campaign mailers (combined with Christmas/New Year cards) and mailed them to registered voters in District 5, Arcadia AMOUNT PAID $940.00 $550.37 $1,106.91 $2,082.37 SUBTOTAL $ 4,679.65 FPPC Form 460 (3an/2016)j FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Amounts may be rounded to whole dollars. Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER LEE FOR COUNCIL 2022 CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate fling/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Statement covers period from 01/01no21 through 12/31/2021 Page 13 of 17 I.D. NUMBER 1440480 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNTINCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ $ 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 accrued 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 on the Summary Page, Column A, Line 9.)............................................................................... Ct7 0 .................................................................................................. NET $ — May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ce.gov (866/275-3772) www.fppc.ca.gov Schedule F Amounts may be rounded SCHEDULE F (CONT) • ' (Continuation Sheet) to whole dollars. Statement covers period Accrued Expenses (Unpaid Bills) from 01/01/2021 FORM through 12/31/2021 14 17 Page of NAME OF FILER I.D. NUMBER LEE FOR COUNCIL 2022 1440480 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 U. 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 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 ANDADDRESS OF CREDITOR (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS$ $ $ $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER LEE FOR COUNCIL 2022 NAME OFAGENTOR INDEPENDENT CONTRACTOR NONE CODES: If one of the following codes accurately describes the CMP campaign paraphemalia/misc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)* OFC CVC civic donations PET FIL candidate filing/ballot fees PHO FND fundraising events POL IND independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT Amounts may be rounded to whole dollars. payment, you may enter the code 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. covers from 01/01/2021 through 12/31/2021 SCHEDULE G Page 15 of 17 v I.D. NUMBER 1440480 Otherwise, describe the payment. RAO radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0 *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 Jan 2016 independent contractor as reported on Schedule E. ( / )) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period CALIFORNIA ' � 6 Loans Made to Others* to whole dollars. from 01/01/2021 FORM through 12/31/2021 page 16 Uf 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1.0 NUMBER LEE FOR COUNCIL, 2022 1440480 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING {ul AMOUNT c REPAYMENT OR e OUTSTANDING ORIGINAL CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT INTEREST CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD THIS PERIOD* LOAN TO DATE ❑ PAID CALENDAR YEAR $ $ °k $ $ ❑ FORGIVEN PER ELECTION'* RATE DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN 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 $ $ $ $ (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period................................................................................ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans........................................................................ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)................................. (Enter the net here and on the Summary Page, Column A, Line 7.) ...............................................................$ o ..........................................................$ 0 ..... NET $ 0 (May be a negative number) **If Required FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/27S-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER LEE FOR COUNCIL 2022 DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Amounts may be rounded to whole dollars. Statement covers period from 01/01/2021 through 12/31n021 DESCRIPTION OF RECEIPT Page 17 of 17 I.D. NUMBER 1440480 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 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 0 TOTAL $ AMOUNT OF INCREASE TO CASH SummaryPage, Llne 14.)............................................................................................................................. FPPc Form Arn (ian/2oi6)1 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov