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HomeMy WebLinkAbout460 - 09/25/2022 thru 10/22/2022_ Redacted (MC)Recipient Committee Date Stam COVER PAGE p Campaign Statement RECEIVED - Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 09/25/2022 through 10/22/2022 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 O Recall Q Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM Cao 4 Arcadia City Council 2022 STREET ADDRESS (NO P.O. BOX) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 144303V CITY STATE ZIP CODE AREA CODEIPHONE Norwalk CA 90650 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date of election if applicable: OCT 2 6 2022 Page 1 of _ (Month, Day, Year) For Official Use Only 11/08/2022 CITY OF ARCADIA CITY CLERK 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 OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true d 2 L4 — Z a •Z Z Executed on By I ! L Date urer & Executed on r 7 22 By Date t or Responsible Officer of Sponsor Executed on By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (B66/275-3772) www.fooc.ca.aov Recipient Committee Campaign Statement Cover Page — Part 2 5. 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 RESIDENTIAL/BUSINESS 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 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 www.netrile.com COVER PAGE - PART 2 Page 2 of 12 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I 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 (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 SUMMARYPAGE Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. _ from 09/25/2022 M 46 through 10/22/2022 Page 3 of 12 I.D. NUMBER 1443037 Calendar Year Summary for Candidates Contributions Received ToColumn ROD CAC,olumY'EBAR (FROMArrACHED SCHEDULES) TOTALTODATE Running In Both the State Prima and g Primary General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 3,600.00 $ 90,493.00 7/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule a, Line 3 0.00 25, 000.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 3, 600.00 $ 113, 493.00 20. Contributions ......................... Received $ $ 4. Nonmonetary Contributions .............................."".. Schedule C, Line 3 2,204.21 2,204.21 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 5,804.21 $ 117,697.21 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 16, 762.30 $ 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 $ 16, 762.30 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment .......................................... ScheduleC, Line 3 2,204.21 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 18,966.51 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ _ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ _ www.neffile.com 104,300.78 0.00 104,300.78 0.00 2,204.21 106,504.99 23,604.52 To calculate Column B, add 3 r 600 . o0 amounts in Column A to the corresponding amounts 0.00 from Column B of your last 16,762.30 report. Some amounts in Column A may be negative 10, 442.22 figures that should be subtracted from previous period amounts. If this is the first report being filed 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 000.00 IExpenditure 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A SCHEDULE A MonetaryContributions Received Amounts may be rounded statement covers period to dollars. CALIFORNIA• whole ' from 09/25/2022 • through 10/22/2022 Page 4 of 12 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 COMMITfEE,ALSO ENTER I.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) FMFL Assets Management, Inc. ❑IND 10/01/2022 500.00 500.00 G2022 $500.00 ❑COM Arcacia, CA 91007 ❑x OTH ❑ PTY ❑ SCC 10/01/2022 Shiun Tin Ker MIND Physician 200.00 200.00 G2022 $200.00 ❑COM Self Employed Monterey Park, CA 91754 ❑ OTH ❑ PTY ❑ SCC 10/12/2022 Dino Clarizio MIND Physician 2,500.00 2,500.00 G2022 $2,500.00 ❑COM Self Employed Arcadia, CA 91007 ❑ OTH ❑ PTY ❑ SCC 10/13/2022 Terence P. Tan MIND Owner 250.00 250.00 G2022 $250.00 ❑COM Kinsen Filter Arcadia, CA 91007 Received through irate iediary: ❑ OTH eFundraisin Connecti -is ❑ PTY 2831 G Street Ste. 12C Sacramento, CA 95814 ❑ .SCiCi ❑RIND 10/19/2022 Selina Luong Retired 100.00 100.00 G2022 $100.00 Arcadia, CA 91006 ❑Com None Received through intemediary: ❑OTH eFundraising Connecti -s ❑ PTY 2831 G Street Ste. 120 Sacramento, CA 95814 ❑ SCC SUBTOTAL$ 3,550.00 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.netfile.com 3,550.00 50.00 3,600.00 "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 SCHEDULEB-PART1 Schedule B — Part 1 Amounts may be rounded Statement covers periodFPage__I__ - Loans Received to whole dollars. , 'fromSEE 09/25/2022, INSTRUCTIONS ON REVERSE through 10/22/2022 pf 12 NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , {a, (b) OUTSTANDING AMOUNT (c) gMOUNTPAID (d) OUTSTANDING (e) INTEREST f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED,ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF 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 CALENDAR YEAR Rosemead, CA 91770 Golden Heart Medical Corporation $ n nn $in,nnn_no n nn % $ 10.000.00 $ 0.00 PERELECTION** ❑ FORGIVEN RATE $ 10,000.00 $ 0.00 $ 0_00 $ n_nn 12/16/2C21 $ DATE DUE DATE INCURRED t X❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Michael Cao Doctor ❑ PAID CALENDARYEAR Golden Heart Medical Arcadia, CA 91006 Corporation $ n nn $ i5,non_no n_nn% $ is,nnn_nn $ is,nnn_nn ❑ FORGIVEN RATE PER ELECTION"* $ 15,000.00 $ 0.00 $ n on $ n on 06/13/2022 $G2022 i5,000.o DATE DUE DATE INCURRED t© IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR PER ELECTION ❑ FORGIVEN RATE $ $ $ $ $ DATE DUE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC I 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.) 0.00 0.00 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ 0.00 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. www.netfile.com (Enter (e) on Schedule E, Une3) 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 C Cf'14Fni U F r amounts may oe rounueu Nonmonetary Contributions Received to whole dollars, Statement covers period p CALIFORNIA . 1 from 09/25/2022 FORM through 10/22/2022 Page 6 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cao 4 Arcadia City Council 2022 1443037 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF NAME OF BUSINESS) (JAN 1 -DEC 37 ) 0/17/2022 Arcadia Firefighters Association AFFA ❑IND Printing & Mailing 2,204.21 2,204.21 PAC (ID# 1424408) x❑COM Covina, CA 91722 ❑OTH ❑ PTY IN -KIND DONATION []SCC ❑IND ❑ COM ❑ OTH ❑ PTY [:]SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2, 204.21 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.) ...................... TOTAL $ www.netfile.com 2,204.21 0.00 2,204.21 *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 E 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 09/25/2022 through 10/22/2022 I I Page 7 of 12 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1443037 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Ford Printing & Mailing Inc. Irwindale, CA 91706 Ford Printing & Mailing Inc. Irwindale, CA 91706 AMOUNT PAID 2,387.13 165.38 eFundraising Connections CMP Credit Card Processing Fee 2.55 Sacramento, CA 95814 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,555.06 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................-_....................... $ 16, 762.30 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)................. _....... $ 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ....... TOTAL $ 16, 762.30 CODE OR DESCRIPTION OF PAYMENT LIT LIT FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfile.com 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 09/25/2022 through 10/22/2022 SCHEDULE E Page 8 of 12 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 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 wFB 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 Gould & Orellana. LLC PRO 300.00 Norwalk, CA 90650 California Bank & Trust CMP Credit Card Payment 90.00 Los Angeles, CA 90071 Ford Printing & Mailing Inc. LIT 2,387.13 Irwindale, CA 91706 Ford Printing & Mailing Inc. LIT 2,387.13 Irwindale, CA 91706 Ford Printing & Mailing Inc. LIT 2,222.90 Irwindale, CA 91706 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7,387.16 www.netrile.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 09/25/2022 through 10/22/2022 SCHEDULE E Page 9 of 12 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 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 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 POS INV # 7-907-98504 22.00 Fedex Pasadena, CA 91109 Tempo Printing & Graphic LIT 485.00 Walnut, CA 91789 US News Express PRT 1,200.00 San Dimas, CA 91773 eFundraising Connections CMP Credit Card Processing Fee 11.55 Sacramento, CA 95814 Tempo Printing & Graphic LIT 322.47 Walnut, CA 91789 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,041.02 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 09/25/2022 through 10/22/2022 SCHEDULE E (CONT.) Page 10 of 12 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 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 candidatelsponsor 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) Ford Printing & Mailing Inc. Irwindale, CA 91706 Ford Printing & Mailing Inc. Irwindale, CA 91706 eFundraising Connections Sacramento, CA 95814 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LIT 2,387.13 LIT 2,387.13 CMP Credit Card Processing Fee 4.80 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,779.06 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 09/25/2022 through 10/22/2022 Page 11 of 12 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 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 FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals 14D 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. NAMEAND 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 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 POS AMOUNT PAID 862.13 POS 862.13 POS 862.13 POS 1 1 697. * 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* $ 3,284.29 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G (Continuation Sheet) Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cao 4 Arcadia City Council 2022 NAME OF AGENT OR INDEPENDENT CONTRACTOR Ford Printing & Mailing Inc. Amounts may be rounded to whole dollars. Statement covers pe from 09/25/2022 through 10/22/2022 SCHEDULE G Page 12 of 12 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 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) * 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID U.S. Postmaster Los Angeles, CA 90001 POS 862.13 U.S. Postmaster Los Angeles, CA 90001 PCs 862.13 Attach additional information on appropriately labeled continuation sheets. * 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.netfile.com TOTAL* $ 1,724.26 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov