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Home My WebLink About460 - 07/01/2022 thru 09/24/2022_ Redacted (MC)Recipient Committee Date Stamp COVERPAGE Campaign Statement RECEIVED • • Cove -Paige CITY OF ARCADIA (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2022 through 09/24/2022 1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 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 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to under penalty of perjury under the laws of the State of California that the foregoing is I t Executed on211Q}! l:l,0 By Date Executed on By Date Executed on Date Date of election if applicable: (Month, Day, Year) SEP 2 s 2022 Page 1 of 22 For Official Use Only 11/08/2022 CITY MANAGER 2. Type of Statement: ❑x 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 STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY David Gould MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 OPTIONAL: FAX / E-MAIL ADDRESS By Signature of Controlling Officeholder, Candidate, State Measure Proponent schedules is true and complete. I certify Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.foac.ca.aov COVER PAGE - PART 2 Recipient Committee Campaign Statement . CALIFORNIA 460 Cover Page — Part 2 FORM Page 2 of 22 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Michael Cao OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT City Council Member Arcadia District 5 ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. Rosemead CA 91770 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. COMMITTEENAME I.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ 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) 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary. Page to whole dollars. Statement covers period from 07/01/2022 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page 3 of 22 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 Contributions Received 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 ........................... Add Lines 3 + 4 $ Column A TOTALTHIS PERIOD (FROMATTACHEDSCHEDULES) 0.00 41,495.00 0.00 Column B Calendar Year Summary for Candidates CALENDAR YEAR RunningIn Both the State Primary and TOTALTO DATE • 7 General Elections $ 86,693.00 111 through 6130 7/1 to Date 25,000.00 $ 111,893.00 0.00 41,495.00 $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 36, 142.24 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 $ 36, 142.24 9. Accrued Expenses (Unpaid Bills) ............................... Schedule Line 3 -5, 239.00 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 30r9O3.24 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 18, 251.76 13.Cash Receipts ................................................... Column A, Line 3above 41,495.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15.Cash Payments .................................................. Column A, Line 8above 36,142.24 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 23, 60 4.52 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add tine 2 + Line 9 in Column B above $ www.netfile.com 0.00 0.00 25,000.00 111,893.0n $ 87,538.48 0.00 $ 87,538.48 0.00 0.00 $ 87,538.48 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). 20. Contributions Received $ $ - 21. Expenditures Made $ $ - Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to voluntaryExpenditure Limit) Date of Election Total to Date (mm/dd/yy) I I $ I J 1 $_ *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.fppc.ca.gov Scchedulp A SCHEDULE A Monetary Contributions Received Amounts may ue rounded Statement covers period �/ to dollars. CALIFORNIA whole ' from 07/01/2022FORM through 09/24/2022 Page 4 of 22 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/11/2022 Calvin Gong MIND Real Estates 2,000.00 2,000.00 G2022 $2,000.00 ❑ COM Pinnacle Real Estate Grou Temple City, CA 91780 ❑OTH Received through inte ediary: eFundraisin Connecti .s ❑ PTY ❑ SCC Sacramento, CA 95814 07/14/2022 Michael A Cacciotti MIND Mayor 100.00 100.00 G2022 $100.00 ❑ COM City of South Pasadena South Pasadena, CA 91030 ❑ OTH ❑ PTY ❑ SCC 07/14/2022 Edward Chen MIND Government Affairs 250.00 250.00 G2022 $250.00 ❑COM Athens Services San Gabriel, CA 91775 ❑ OTH Received through intermediary- eFundraising Connectie. s ❑ PTY Sacramento, CA �IbU14 ❑SCC 07/14/2022 Paul Yu Chen MIND CPA 2,000.00 2,000.00 G2022 $2,000.06 ❑ COM Chen & Fan Accountancy Arcadia, CA 91007 ❑ OTH ❑ PTY Sunn Zhen Chen ❑ SCC 07114 2022 MIND Retired 300.00 300.00 G2022 $300.00 ❑ COM None West Covina, CA 1 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 4,650.00 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 $ www.netrile.com 41.000.00 495.00 41,495.00 *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) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. z 5. trom - through 09/24/2022 Page 57of22 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,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) Stephen Dai X❑IND OF BUSINESS) 07/14/2022 Computer IT 300.00 300.00-G2022 $300.00 ❑COM Trader Joe Rosemead, CA 91770 ❑ OTH ❑ PTY ❑SCC 07/14/2022 E X P LLC(Lin Rex) ❑IND 1,500.00 1,500.00 G2022 $1,500.06 Pasadena, CA 91101 ❑COM K] OTH ❑ PTY ❑ SCC x❑IND 07/14/2022 Jun Feng Business Owner 3,000.00 3,000.00 G2022 $3,000.00 ❑COM Self Employed Pasadena, CA 91107 ❑ OTH ❑ PTY ❑ SCC ❑IND 07/14/2022 Hollywood American Chinese Global Film 300.00 300.00 G2022 $300.06 Com an ❑ COM Arcadia, CA 91007[K]OTH ❑ PTY ❑ SCC 07,14 20 2 Nelson L Huang X❑IND Retired 4,000.00 4,000.00 IG2022,4, Beverly Hills, CA 90212 ❑COM None ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 9,100.00 *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 (Jan12016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIAA60 from 07/01/2022 FORM through 09/24/2022 Page 6 of 22 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND DE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMnTEE,ALSO I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Fengnian Jiang OF BUSINESS) 07/14/2022 x❑IND Retired 300.00 300.00 G2022 $300.00 ❑COM None Diamond Bar, CA 91765 ❑ OTH ❑ PTY ❑SCC 07/14/2022 Lianlian Lin x❑IND Retired 250.00 250.00 G2022 $250.00 ❑ COM None Rowland Heights, CA 91748 ❑QTH ❑ PTY ❑ SCC 07/14/2022 Lin Liu FK]IND Retired 300.00 0,00 G2022 $0.00 ❑COM None Newport Beach, CA 92657 ❑ OTH [] PTY ❑ SCC 07/14/2022 Louis Matzo Art Residences Inc. ❑IND 2,500.00 2,500-00 G2022 $2,500.06 Yorba Linda, CA 92886 ❑COM x❑ OTH ❑ PTY ❑ SCC Katrina Laibing Lu X❑IND Retired 200.00 2DC.00 G2022 $206.00 Arcadia, CA 91007 ❑COM None ❑ OTH ❑ PTY ❑ SCC *Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY—Political Party SCC — Small Contributor Committee www.netriile.com SUBTOTAL$ 3,550.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER Cao 4 Arcadia City Council 2022 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SCHEDULE A (CONT.) Statement covers period from 07/01/2022 through 09/24/2022 Page 7 AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 1443037 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) of 22 PER ELECTION TO DATE (IF REQUIRED) 07/14/2022 Mary Lan Ma x❑IND Business Owner 1,500.00 1,500.00 G2022 $1,500.00 ❑COM Self Employed Arcadia, CA 91007 ❑ OTH ❑ PTY ❑SCC 07/14/2022 Sean Danq for Council 2018 (ID# 1409067) ❑IND 800.00 800.00 G2022 $800.00 Rosemead, CA 91770 X❑COM ❑ OTH ❑ PTY ❑ SCC 07/14/2022 Jose Shalabi x❑IND Business Owner 2,000.00 2,000.00 G2022 $2,000.00 ❑COM Self Employed Arcadia, CA 91006 ❑ OTH ❑ PTY ❑ SCC 07/14/2022 James W. Tsai x❑IND Dentist 500.00 500.00 G2022 $500.06 ❑COM Self Employed Yorba Linda, CA 92886 ❑ OTH ❑ PTY ❑ SCC 07/14/2022 Bec Lei Un x❑IND Retired 1,0 0.00 G. 22 $1,000. Pasadena, CA 91101 ❑COM None ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5, 800.00 *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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers Period — to to whole dollars. CALIFORNIA ' from 07/O1/2022 • through 09/24/2022 Page 8 of 22 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE DE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR i CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSOD.N , OCCUPATION AND EMPLOYER CODE RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) US Power Investments Inc. OF BUSINESS) ❑IND 07/14/2022 4,000.00 4,000.00 G2022 $4,000.00 San Mateo, CA 94404 ❑ COM K] OTH ❑ PTY ❑ SCC 07/14/2022 Sen Lin Wan x❑INp Retired 300.00 300.00 G2022 $300.00 ❑ COM None Montclair, CA 91763 ❑ OTH ❑ PTY ❑ SCC 07/14/2022 Shone Wang x❑IND Retired 1,000.00 1,000.00 G2022 $1,000.00 ❑COM None Arcadia, CA 91006 ❑ OTH ❑ PTY ❑ SCC 07/14/2022 Sophie H Y Wang X❑IND Retired 2,000.00 2,000.00 G2022 $2,000.03 San Gabriel, CA 91776 El COM None ❑ OTH ❑ PTY ❑ SCC 07 1 Victor S. Wang x❑IND etire 4,000.00 41,ODC.00 G2022 4,000.00 ❑COM None asa ena, ❑ OTH ❑ PTY [—]SCC SUBTOTAL$ 11, 300.00 *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 www.netrile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period � e RN � to whole dollars. 460 from 07/01/2022FORM' through 09/24/2022 Page 9 of 22 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IFCOMMITTEE, ALSO ENTERI.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/14/2022 Henry Xie x❑IND Business Owner 300.00 300.00 G2022 $300.00 ❑COM Self Employed Rosemead, CA 91770 ❑ OTH ❑ PTY ❑SCC 07/27/2022 Jessica Hsieh ❑IND Bookkeeper 1,000.00 1,000.00 G2022 $1,000.06 ❑COM Tai Eng Discount Co. Inc. Arcadia, CA 91007 ❑ OTH ❑ PTY ❑ SCC 07/27/2022 Judith A. Saxberq X❑IND Retired 100.00 100.00 G2022 $100.00 ❑COM None Arcadia, CA 91006 ❑ OTH ❑ PTY ❑ SCC 07/29/2022 Hong Kong Denim Design Inc. ❑IND 2,000.00 2,000.00 G2022 $2,000.06 South El Monte, CA 91733 [-ICOM E] OTH ❑ PTY ❑ SCC X❑IND 1 Ling Liu Retire -JU0.00 0.00 G Newport Beach, CA 92657 ❑COM None ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 3,100.00 '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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA from 07/01/2022 FORM through 09/24/2022 Page 10 of 22 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE FULL NAMESTREET 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) Banker 2,000.00 2,000.00 G2022 $2,000.06 08/24/2022 Huijun He X❑IND ❑COM FCCC, Inc Walnut, CA 91789 ❑ OTH ❑ PTY ❑SCC 09/12/2022 Andrew Yoon %❑IND Physician 500.00 750.00 G2022 $750.00 ❑COM MemorialCare Medical Grou La Habra, CA 90631 ❑OTH Received through intermediary: ❑ PTY eFundraising Connecti ns ❑ SCC Sacramento, CA 95819 09/16/2022 Dzung Pham x❑IND Retired 1,000.00 1,000.00 G2022 $1,000.00 ❑ COM None Arcadia, CA 91006 ❑OTH Received through ete mediary: eFundraising Connections ❑ PTY Sacramento, CA EISCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 3,500.00 "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 www.netrile.com SCHEDULE R-PART 1 Schedule B — Part 1 Amounts may be rounded Statement covers period - Loans Received to whole dollars. a I • ' from 07/01/2022 . - SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page 11 of 22 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 OUTSTANDING (b) AMOUNT (e) AMOUNT PAID d OUTSTANDING (e) INTEREST f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAMEOFBUSINESS) PERI D PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE Michael Can (Golden Heart Medical Corporation) Medical Doctor ❑ PAID CALENDAR YEAR Rosemead, CA 91770 Golden Heart Medical Corporation $ no $ in-non-nn n_nn% $ 10,000.00 $ 0.00 ❑ FORGIVEN RATE PERELECTION" $ 10,000.00 $ 0.00 $ n_nn $ n_on 12/16/2021 $ DATE DUE DATE INCURRED t® IND El COM [:1 OTH [_1 PTY ❑ SCC Michael Cao Doctor ❑ PAID CALENDAR YEAR Golden Heart Medical Arcadia, CA 91006 Corporation $ n nn $ is,nnn nn n_nn% $ 15,000.00 $ i5,nnn_no ❑ FORGIVEN RATE PER ELECTION** $ 15,000.00 $ 0.00 $ n_nn $ n nn 06/13/2022 $G2022 15,000.0( DATE DUE DATE INCURRED to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR PER ELECTION"* ❑ FORGIVEN RATE $ $ $ $ $ ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC tEl I DATEDUE DATE INCURRED SUBTOTALS $ 0.00$ 0.00$ 25,000.00$ 0.00 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. www.netfile.com 0.00 0.00 0.00 (May be a negative number) (Enter (a) 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 Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppe.ca.gov Schedule E Pa menu Made Amounts may be rounded y to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 Statement covers period from 07/01/2022 through 09/24/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 12 of 22 I.D. NUMBER 1443037 ClvP campaign paraphernalialmisc. 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 M 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) Ken Fong Sierra Madre, CA 91024 Gould & Orellana. LLC Norwalk, CA 90650 EDI Media Inc. West Covina, CA 91791 CODE OR DESCRIPTION OF PAYMENT CMP * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ 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 $ www.netfile.com AMOUNT PAID 475.00 1,588.00 2,363.00 36,142.24 0.00 0.00 36,142.24 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule E ,(Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULE E (CONT.) Page 13 of 22 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. 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 PEF 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) EDI Media Inc. TEL 1,588.00 West Covina, CA 91791 EDI Media Inc. TEL 1,588.00 West Covina, CA 91191 EDI Media Inc. TEL 1,588.00 West Covina, CA 91791 EDI Media Inc. TEL 1,588.00 West Covina, CA 91791 EDI Media Inc. TEL 1,588.00 West Covina, CA 91791 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7,940.00 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. rStatement covers period I from 07/01/2022 SCHEDULE E (CONT. Page 14 of 22 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. through 09/24/2022 CW 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 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID TEL 1,588.00 EDI Media Inc. West Covina, CA 91791 eFundraising Connections CMP Credit Card Processing Fee 90.30 Sacramento, CA 95814 Vivian Romero CNS 1,500.00 on e e o, MIJO Entertainment CMP 825.00 Santa Fe Spings, CA 90670 eFundraising Connections CMP Credit Card Processing Fee 11.55 Sacramento, CA 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,014.85 www.neffile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov 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 07/01/2022 through 09/24/2022 SCHEDULE E (CONT. Page 15 of 22 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 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 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) US News Express PRT 1,200.00 San Dimas, CA 91773 eFundraising Connections CMP Credit Card Processing Fee 9.52 Sacramento, CA 95814 eFundraisinq Connections CMP Credit Card Processing Fee 14.28 Sacramento, CA 95814 Ford Printin & Mail' Inc. LIT 410.68 Irwindale, CA 91706 Vivian Romero CNS 1,500.00 Montebello, CA * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,134.48 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov 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 07/01/2022 through 09/24/2022 SCHEDULE E Page 16 of 22 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 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 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CMP Deposited Item Returned Fee California Bank & Trust 12.00 Los Angeles, CA 90071 Gould & Orellana. LLC PRO 300.00 Norwalk, CA 90650 Ford Printing & Mailing Inc. LIT 165.38 Irwindale, CA 91706 Vivian Romero CNS 2,250.00 Montebello, CA 90640 US News Express PRT 1,200.00 San Dimas, CA 91773 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,927.38 www.neffile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULE E Page 17 of 22 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 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 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Sharon Whipperman LIT 600.00 Temple City, CA 91780 Vivian Romero CNS 2,250.00 Montebello, CA 90640 EDI Media Inc. PRT 1,588.00 West Covina, CA 91791 Ford Printing & Mailing Inc. LIT 165.38 Irwindale, CA 9170 Gould & Orellana. LLC PRO 300.00 0 Norwalk, CA 90650 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,903.38 www.netfile.com FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT. (Continuation Sheet) Amounts may be rounded Statement covers period • .my a Payments Made towholedollars. from 07/01/2022 SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page 18 of 22 NAME OF FILER I.D. NUMBER Cac 4 Arcadia City Council 2022 1 1443037 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. 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 PEr 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) World Journal LA, LLC. PRT 2,000.00 Monterey Park, CA 91754 Chinese News USA, Inc. PRT 800.00 E1 Monte, CA 91731 Ford Printing & Mailing Inc. LIT 2,387.13 Irwindale, CA 91706 Huaren One Media Inc. PRT 800.00 San Gabriel, CA 91776 California Bank & Trust CMP Credit Card Payment 90.00 Los Angeles, CA 90071 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6,077.13 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov 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 07/01/2022 through 09/24/2022 SCHEDULE E Page 19 of 22 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 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 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) eFundraisinq Connections CMP Credit Card Processing Fee 22.80 Sacramento, CA 95814 Ford Printing & Mailing Inc. LIT 126.79 Irwindale, CA 91706 Ford Printinq & Mailinq Inc. LIT 2,387.13 Irwindale, CA 91706 US News Express PRT 1,200.00 San Dimas, CA 91773 eFundraisinq Connections CMP Credit Card Processing Fee 45.30 Sacramento, CA 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,782.02 www.netfile.com FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866127"772) www.fppc.ca.gov SCHEDULE F 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 07/01/2022 through 09/24/2022 E Page 20 of 22 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 paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WfG 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 (intemet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING ( AMOUNTINCURRED (c) 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 EDI Media Inc. TEL 1,588.00 0.00 1,588.00 0.0c West Covina, CA 91791 EDI Media Inc. TEL 1,588.00 0.00 1,588.00 0.00 West Covina, CA 91791 EDI Media Inc. TEL 1,588.00 0.00 1,588.00 0.00 West Covina, CA 91791 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 4, 764.00$ 0. 00 $ 4, 764.00$ 0.00 summarized on Schedule D. 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 $ 0.00 5,239.00 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 $ -5, 239.00 May be a negative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule F SCHEDULE F(CONT) (Continuation Sheet) Amounts may be rounded Statement covers period • - 91 to whole dollars. ' Accrued Expenses (Unpaid Bills) from 07/01/2022 • " through 09/24/2022 page 21 of 22 NAME OF FILER I.D. NUMBER Cac 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. CIVP 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 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Ken Fonq Sierra Madre, CA 91024 CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNTIN CURRED THIS PERIOD 0.00 (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) 475.00 ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD a.0C CMP 475.00 SUBTOTALS $ 475.00$ www.netfile.com 0.00$ 475.00 $ 0.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 NAME OF AGENT OR INDEPENDENT CONTRACTOR Ford Printing & Mailing Inc. Statement covers period from 07/01/2022 through 09/24/2022 Page— 22 of 22 I.D. NUMBER 1443037 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHIP 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 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 (internet, 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) U.S. Postmaster Los Angeles, CA 90001 U.S. Postmaster Los Angeles, CA 90001 Attach additional information on appropriately labeled continuation sheets. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pos 1 862.13 POS 1 1 862.13 * 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. www.netrile.com TOTAL* $ 1,724.26 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov