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Home My WebLink About460 - 01/01/2023 thru 06/30/2023_ Redacted (MC)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period from 01/01/2023 SEE INSTRUCTIONS ON REVERSE I through 06/30/2023 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information J I.D. NUMBER I 1443037 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Cao 4 Arcadia City Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE Date of election if applicable: Jut 1 3 20LJ (Month, Day, Year) Page 1 of 9 For Official Use Only G��' CIF Ai;C.ADiA 11/08/2022 Ci i -� C.LEERK 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ® Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Michael Cao MAILING ADDRESS CITY Rosemead STATE CA ZIP CODE AREA CODE/PHONE 91770 NAME OF ASSISTANT TREASURER, IF ANY David Could MAILING ADDRESS CITY Norwalk STATE CA ZIP CODE AREA CODEIPHONE 90650 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to schedules is true and complete. I certify under penalty of perjury underthe laws of the State of California that the foregoing is Executed on 7 _ 2 — -7 3 Date Executed on `1-10 ?_'j Date Executed on Data By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) . www.fooc.ca.aov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Michael Cao OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member Arcadia District 5 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead CA 91770 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE IPage 2 of 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ 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 (8661275-3772) www.faoc.ca.aov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 Contributions Received Amounts may be rounded to whole dollars. 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions .................................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED......•.•..............••••AddLines3+4 $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedulec, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) 0.00 $ 2,500.00 2r500.00 $ 0.00 Statement covers period from 01/01/2023 through Column B CALENDARYEAR TOTALTO DATE 0.00 34,785.00 34,785.00 0.00 2,500.00 $ 34,785.00 2,693.63 $ 2,693.63 0.00 0.00 2,693.63 $ -1,581.63 0.00 1,112.00 $ 2,693.63 0.00 0.00 2,693.63 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2,689.77 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 2,500.00 amounts in Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule ►, Line 4 0.00 from Column B of your last 15.Cash Payments ......................"""'..................... Column A, Line 8above 2,693.63 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add lines 12 + 13 + 14, then subtract Line 15 $ 2,496.14 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ the first report being filed 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 0.00 34.785.00 SUMMARYPAGE 06/30/2023 Page 3 of 9 I.D. NUMBER 1443037 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received $ $ _ 21. Expenditures Made $ $ _ Expenditure Limit Summary for State Candidates 22. Cumulative .Expenditures Made* (I1Subject 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.faDc.ca.aov SCHEDULE B-PART 1 Schedule B — Part 1 Amounts may be rounded Statement covers period I CALIFORNIA 460 Loans Received to whole dollars. 01/01/2023 FORM from SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 4 of 9 I.D. NUMBER NAME OF FILER Cao 4 Arcadia City Council 2022 1443037 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING (e) INTEREST (f ORIGINAL (9) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER 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 CLOSE OF THIS PERIOD PERIOD LOAN TO DATE Michael Cao (Golden Heart Medical Corporation) Medical Doctor ❑ PAID CALENDARYEAR Rosemead, CA 91770 Golden Heart Medical Corporation $ o-no $ 10,000_00 n_no% $ 10,000.00 $ 2,900.00 ❑ FORGIVEN PER£L£CTION*Y° RATE $ 10,000.00 $ 0.00 $ o_nn $ n_nn 12/16/2021 $G2022 2,400.00 DATE DUE DATE INCURRED t2l IND ❑ COM ❑ OTH 0 PTY ❑ SCC Michael Cao Doctor ❑ PAID CALENDARYEAR Golden Heart Medical Arcadia, CA 91006 Corporation $ n_nn $ 35,onn-on n.nn% $ 15,000.0o $ n_on ❑ FORGIVEN RATE PERELECTION*" $ 15,000.00 $ 0.00 $ n nn $ n nn 06/13/2022 $G2022 15,000.0 DATEDUE DATE INCURRED to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Michael Lao (Golden Heart Medical Corporation) Medical Doctor ❑ PAID CALENDARYEAR Rosemead, CA 91770 Golden Heart Medical Corporation $ 0,00 $ 2,400.00 n nn% $ 2.400_0o $ 2.500.00 ❑ FORGIVEN RATE PERELECTION"" $ 2,400.00 $ 0.00 $ 0.00 $ o nn 11/15/2022 $G2022 2,400.00 DATE DUE t2l IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 0.00$ 0.00$ 27,400.00$ o.00 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.)............................................................... NET $ 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. 2,500.00 0.00 2,500.00 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Parry SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fooc.ca.aov SCHEDULE B-PART 1 (CONT.) Schedule B — Part I (Continuation Sheet) Amounts may be rounded Statement covers period Loans Received to whole dollars. 01/01/2023 from SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 5 of 9 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) (b) OUTSTANDING AMOUNT (c) AMOUNTPAID (d) OUTSTANDING (e INTEREST ( ) ORIGINAL M CUMULATIVE OCCUPATION AND EMPLOYER OF LENDER (IFSELF�MPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Michael Cao (Golden Heart Medical Corporation) Medical Doctor ❑ PAID CALENDARYEAR Rosemead, CA 91770 Golden Heart Medical LOAN Corporation $ n _ 00 $ 4, RRS _ 00 n _ nn % $ 4. 885.00 $ 2 500. 00 ❑ FORGIVEN RATE PERELECTION** $ 4,885.00 $ 0.00 $ n_nn $ 0.0n 12/08/2022 $G2022 2,400.00 DATEDUE DATE INCURRED tR1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Michael Cao Golden Heart Medical Corporation) Medical Doctor I ❑PAID CALENDARYEAR Rosemead, CA 91770 Golden Heart Medical LOAN Corporation $ n on $ 2,500 nn 0 n0% $ 9 OS 0_c0 $ 2.SOn_00 ❑ FORGIVEN PER ELECTION** RATE $ 0.00 $ 2,500.00 $ n_nn $ n_nn 01/05/2023 $G2022 2,400.00 DATE DUE DATE INCURRED tK1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR PER ELECTION ❑ FORGIVEN RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 2,500.00$ 0.00$ 7,385.00$ 0.00 *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 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 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 06/30/2023 Page 6 of 9 I.D. NUMBER 1443037 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 RAID 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) California Bank & Trust Los Angeles, CA 90071 California Bank & Trust Los Angeles, CA 90071 Gould & Orellana. LLC Norwalk, CA 90650 CODE OR DESCRIPTION OF PAYMENT CMP CMP Credit Card Fee PRO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 58.00 1,581.63 150.00 SUBTOTAL$ 1,789-63 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.) ............................. TOTAL $ 2,693.63 0.00 0.00 2,693.63 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fauc.ca.00v Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 06/30/2023 SCHEDULE E Page 7 of 9 I.D. NUMBER 1443037 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants WM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TIEL t.v. or cable airtime and production costs F1L 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 meafs 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Gould & Orellana. LLC PRO 150.00 Norwalk, CA 90650 Demetrius Harris PRO 1099 Tax Prep. 125.00 La Habra, CA 90631 Gould & Orellana. LLC PRO 150.00 Norwalk, CA 90650 Gould & Orellana. LLC PRO 150.00 Norwalk, CA 90650 Gould & Orellana. LLC PRO 150.00 Norwalk, CA 90650 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 725.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E SCHEDULE E (CONT (Continuation Sheet) Amounts may be rounded Statement covers period • . , �•1 Payments Made to whole dollars. from 01/01/2023 • SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 06/30/2023 Page 8 of 9 _ I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gould & Orellana. LLC Norwalk, CA 90650 PRO 150.00 California Bank & Trust Los Angeles, CA 90071 CMP Insufficient Funds Fee 29.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 179.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) SCHEDULEF Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 Statement covers period from 01/01/2023 through 06/30/2023 Page 9 of 9 I.D. NUMBER 1443037 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 WIG 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 RL 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 (intemet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT f OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNTIN CURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD California Bank & Trust Los Angeles, CA 90071 CMP Credit Card Fee 1,581.63 0.00 1,581.63 0.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 1, 581. 63$ 0.00$ 1, 581.63$ 0.00 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.)........................... 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.) ..... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.).................................................................................................... ........... INCURRED TOTALS $ 0.00 ........................ PAID TOTALS $ . 1,581.63 NET -lr581.63 May beanegative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)