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N. -lo N.iO N.iO N •-I N T rl N O� N N O� N N O� U 0�4NwQ wQ N0Q OWHQU wU HU HNU O oa HY oa oa oa a Ni-EiY Wi-EiY NMY N.�N N N N N 4 •4 E N O -S •-1 0$ rl 0$ •4 0� w O w N w ul w ill w O O U '1 .Ni 0 C0 0 .Ni Z o .Ni Z 0 UO' .Ni Z W .Ni f M J H Date Stamp Statement of OrganizationCALIFORNIA ' Recipient Committee • - i Statement Type ❑ Initial ® Amendment ® Termination — See Part 5 For Official Use Only O Not yet qualified or Q Date qualification threshold met Date qualification threshold met Date of termination 09 / 15 / 2022 1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers (if applicable) 1314292 NAME OF COMMITTEE NAME OF TREASURER Steven Ly for Rosemead 2022 Steven Ly STREET ADDRESS (NO PO. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Rosemead CA 91770 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the for in i ue and correct. 15 SEP 2022 Executed on By DATE TREASURER OR ASSISTANT TREASURER 15 SEP 2022 Executed on By DATE SIGN U OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Steven Ly for Rosemead 2022 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION I AREA CODE/PHONE BANK ACCOUNT NUMBER Chase Bank 626/2915816 ADDRESS CITY STATE ZIP CODE 9647 E Las Tunas Dr Temple City CA 91780 4. Type of Committee Complete the applicable sections. Page 2 I.D. NUMBER 1314292 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable. • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) FLECTION CHECK ONE • Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORTOPPOSE Nonpartisan Partisan (list political party below) Steven Ly City Council, City of Rosemead 2022 E 11 Nonpartisan Partisan (list political party below) • Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORTOPPOSE SUPPORT El OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON RFVFRSF COMMITTEE NAME Steven Ly for Rosemead 2022 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR I.D. NUMBER 1314292 STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE ETiii•7/L� ]r1I717!1 {�7141�iIiOf �(4:a ❑ / Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Date Stamp COVER PAGE CALIFORNIA Campaign Statement ORM R ' • 0 Cover Page Statement covers period from 1 JUL 2022 SEE INSTRUCTIONS ON REVERSE I through 15 SEP 2022 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. W] Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Pert 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1314292 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Steven Ly for Rosemead 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Rosemead CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if applicable: Page 1 of 5 (Month, Day, Year) For Official Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Steven Ly MAILINGADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 the best of my knowledge certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on �5�), ?Q'J�-Z By Date L Executed on By Date Signature of Conlrollinq Offcehc information contained herein and in the attached schedules is true and complete. I or or Executed on By Dale Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Dale Signature of Controlling Officeholder, Candidate, 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Steven Ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) City Council, City of Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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 I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.U. BUX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER DNTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 5 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 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 Amounts may be rounded SUMMARY PAGE to whole dollars. Summary Page Statement covers period I CALIFORNIA from 1 JUL 2022 • - I ' Expenditures Made 6. Payments Made................................................................ through 15 SEP 2022 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1257.51 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 NAME OF FILER 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE....................................Add I.D. NUMBER Steven Ly for Rosemead 2022 1314292 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 0 0 0 0 20. Contributions 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 0 0 0 0 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3+4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 1257.51 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1257.51 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE....................................Add Lines s+9+10 $ 1257.51 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1287.51 13. Cash Receipts........................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line s above 1287.51 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 $ 1347.51 0 $ 1347.51 0 0 $ 1347.51 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). 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 (Jan/2016)) FPPC Advice: advice @fp pc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers period Supporting/Opposing Other to Whole dollars. 1 JUL 2022 CALIFORNIA . - ' from Candidates, Measures and Committees through 15 SEP 2022 Page 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Steven Ly for Rosemead 2022 1314292 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) Z Monetary 09/13/2022 San Diegans for Tax Fairness supporting Jordan Contribution 1257.51 1257.51 1257.51 Marks ❑ Nonmonetary 374 N Coast Hwy 101, Suite 2, Encinitas, 92024 Contribution ❑ Independent ® Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1257.51 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.) . 1257.51 ............ $ 0 TOTAL.. $ 1257.51 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Steven Ly for Rosemead 2022 Amounts may be rounded to whole dollars. Statement covers period from 1 JUL 2022 through 15 SEP 2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E :ALI NIA 46 FORR M 0 v I.D. NUMBER 1314292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) San Diegans for Tax Fairness supporting Jordan Marks CTB 1257.51 374 N Coast Hwy 101, Suite 2, Encinitas, 92024 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1257.51 Schedule E Summary 1257.51 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 30 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 $ 1297.51 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Date Stamp COVER PAGE RNIA CALIF Campaign Statement FORM R ' • 0 Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 1 JAN 2022 through 30 JUN 2022 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. [Z] Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Pert 5) O Sponsored (Also Complete Pan 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1314292 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Steven Ly for Rosemead 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Rosemead CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if applicable: Page 1 of 4 (Month, Day, Year) For Official Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Late Filing Due to Deployment Treasurer(s) NAME OF TREASURER Steven Ly MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 the best of my knowledge t information contained herein 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 and Executed on 1 Ste` " �2 By Date of Treasurer or Assistant Treasurer ` Executed on `� � By Date Signature of Controlling Ifrceholder, Candidate. State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Dale Signature of Controlling Officeholder, Candidate, 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Steven Ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 4 6. Primarilv 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 (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page Statement covers period from 1 JAN 2022 SUMMARY PAGE Expenditures Made 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 6. Payments Made................................................................ 30 JUN 2022 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE Schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS ....................................... through g $ 90 NAME OF FILER Schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... I.D. NUMBER Steven Ly for Rosemead 2022 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+1Q $ 90 1314292 Column A Column B Calendar Year Summary for Candidates Contributions Received I OIAL I HIS PERIOD CALENDAR YEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 0 0 0 0 20. Contributions 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 0 0 0 0 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ $ Expenditures Made 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 6. Payments Made................................................................ Schedule e, Line 4 $ 90 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS ....................................... Add Lines 6+7 $ 90 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+1Q $ 90 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1377.51 13. Cash Receipts........................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above 90 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 1287.51 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 $ 0 0 $ 0 0 0 $ 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). 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Steven Ly for Rosemead 2022 Amounts may be rounded to whole dollars. Statement covers period from 1 JAN 2022 through 30 JUN 2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 4 of 4 I,D. NUMBER 1314292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 0 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 90 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 $ 90 FPPC Form 460 ()an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE Recipient Committee Date Stamp CALIFORNIA Campaign Statement _ ' Cover Page Statement covers period Date of election if applicable: Page 1 of 4 from 1 JUL 2021 (Month, Day, Year) For Official Use Only SEE INSTRUCTIONS ON REVERSE through 31 DEC 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 Committee O Recall O Controlled (Also Complete Pert 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1314292 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Steven Ly for Rosemead 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of certify under penalty of perjury under the laws of the State of California that the foregoing is Executed on 12 SEP 2022 Date Executed on 12 SEP 2022 Dale Executed on Date Executed on Date By By 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Z Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Late Filing Due to Deployment Treasurer(s) NAME OF TREASURER Steven Ly MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS knowledge the information contained herein and in the attached schedules is true and complete. or Assistant or By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Steven Ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) City Council, City of Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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 I.D. NUMBER NAME OF TREASURERI 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 AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 4 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 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 Amounts may be rounded to whole dollars. Summary Page Statement covers period from 1 JUL 2021 SUMMARY PAGE Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 31 DEC 2021 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines6+� $ 338.02 through Schedule F Line 3 NAME OF FILER 10. Nonmonetary Adjustment......................................................... Schedule C, Line s 0 11. TOTAL EXPENDITURES MADE....................................Add I.D. NUMBER Steven Ly for Rosemead 2022 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 1314292 18. Cash Equivalents ................................................ See instructions on reverse Column A 0 Column B Calendar Year Summary for Candidates Contributions Received TOTAL T HIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 0 1/1 through 6/30 7/1 to Date 0 0 2. Loans Received................................................................ Schedule B, Line 3 0 0 20. Contributions 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 0 0 0 0 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 338.02 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines6+� $ 338.02 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line s 0 11. TOTAL EXPENDITURES MADE....................................Add Lines e+9+1p $ 338.02 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1715.53 13. Cash Receipts........................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash .................................. Schedule 1. Line 4 0 15. Cash Payments......................................................... Column A, Line s above 338.02 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 1377.51 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 $ 1937.31 0 $ 1937.31 0 0 $ 1937.31 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). 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Steven Ly for Rosemead 2022 Amounts may be rounded to whole dollars. Statement covers period from 1 JUL 2021 through 31 DEC 2021 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULEE Page 4 of 4 I.D. NUMBER 1314292 CMP campaign paraphernalia/mist. 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) NAMEAND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) TG1 Fridays Rosemead MTGI Campaign Meeting, 5 individuals Rosemead, CA 91770 " 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.) .................... $126.00 SUBTOTAL $ 126.00 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 126.00 .................... $ 212.02 0.00 ....... TOTAL $ 338.02 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ReciRecipient Committee COVERPAGE p. pate stamp , Campaign Statement RECEIWD • 1 Cover Page CITY OFROSEMM Statement covers period from 1 JAN 2021 SEE INSTRUCTIONS ON REVERSE I through 30 JUN 2021 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. (� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pert 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) D. 3. Committee Information I: -NUMBER Steven Ly for Rosemead 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 2. Type of Statement: SEP .02 2021 CITY CLERK'S OFFICE BY: Page 1 of 6 For Official Use Only ❑ Preelection Statement ❑ Quarterly Statement Z Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Steven Ly MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know) d e the information contained herein 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 and 02 AR Executed on By Date Treasurer or Assistant Treasurer Executed on � ?.•'>ZA By Date Signature of Contr, fficeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Dale Signature of Controlling Officeholder, Candidate, Stale 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Steven Ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Rosemead CA 91770 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlledby you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. NAME NAME OF TREASURER COMMITTEE I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 6 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 (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page Statement covers period from 1 JAN 2021 SUMMARY PAGE Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 through 30 JUN 2021 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE 7. Loans Made....................................................................... Schedule H, Line 3 0 0 9 $ NAME OF FILER $ 1599.29 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 0 I.D. NUMBER Steven Ly for Rosemead 2022 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 6+9+10 1314292 1599.29 $ 1599.29 Column ColuDmn B Calendar Year Summary for Candidates Contributions Received $ TOTAL RAOD (FROM ATTACHED SCHEDULES) To calculate Column B, TOTAL TO DATE Running in Both the State Primary and 0 add amounts in Column 0 General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 0 15. Cash Payments......................................................... Column A, Line 6 above 1599.29 of your last report. Some 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ schedule B, Line 3 1715.53 be negative figures that should be subtracted from 0 0 20. Contributions 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 0 0 21. Expenditures only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 0 0 0 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3 + 4 $ $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 1599.29 $ 1599.29 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1599.29 $ 1599.29 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 6+9+10 $ 1599.29 $ 1599.29 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 3314.82 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above 0 add amounts in Column 0 Ato the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 amounts from Column B 15. Cash Payments......................................................... Column A, Line 6 above 1599.29 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 1715.53 be negative figures that should be subtracted from if this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ schedule B, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any)' 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 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 (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D bummary or tx enanures Amounts may ne rounaea Statement covers period to whole dollars. Supporting/Opposing Other � • ' Candidates, Measures and Committees 1 JAN 2021 from . - through 30 JUN 2021 4 6 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Steven Ly for Rosemead 2022 1314292 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) m Monetary 10 JUN 2021 Friends of Ron DeSantis Contribution $500 $500 ❑ Nonmonetary Contribution ❑ Independent m Support ❑ Oppose Expenditure m Monetary 16 FEB 2021 California Republican Party Contribution $175 ❑ Nonmonetary Contribution ❑ Independent m Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 675 K _H Fi �s Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 675 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 675 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Steven Ly for Rosemead 2022 Amounts may be rounded to whole dollars. Statement covers from 1 JAN 2021 through 30 JUN 2021 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E ;ALII-#ekRlA 46QI •' Page 5 of 6 I.D. NUMBER 1314292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) California Republican Party CTB FPPC 810163 The Dive Restaurant MTG Campaign Meeting Temple City, CA 4 participants Costco Stores I OFC I Annual Membership $175 $198.52 $120 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 493.52 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.)..... $ 1356.52 $ 242.77 ................................... $ 0 ...................... TOTAL $ 1599.29 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule ESCHEDULE CODE OR DESCRIPTION OF PAYMENT E (CONT.) California Secretary of State Sacramento, CA Amounts may be rounded Statement covers period (Continuation Sheet) MTG to whole dollars. $163 Payments Made CTB from 1 TAN 2021 • - through 30 TUN 2021 Page 6 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Steven Ly for Rosemead 2022 1314292 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID California Secretary of State Sacramento, CA FIL Campaign Committee Filing Fee $200 Del Rae Restaurant Pico Rivera, CA MTG Campaign Meeting 3 Participants $163 Friends of Ron DeSantis Tallahassee, FL CTB $500 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 863 FPPC Form 460 (Jan 2016 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE Recipient Committee • . Date Stamp CALIFORNIA Campaign Statement DECEIVE® FORM 460 Cover Page . - CITY OF ROSEMEAD Statement covers period Date of election if applicable: JAN 1 9 REC'D Page 1 g of from 1JUL2020 (Month,Day,Year) For Official Use Only CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 31DEC2020 BY: 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: El Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee Z Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER Treasurer(s) 1314292 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Ly for Rosemead 2022 Steven Ly • MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE • CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification 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 under the laws of the State of California that the foregoing is true and State Measure Proponent or Responsible Officer of Sponsor Executed on By Date 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.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 Page 2 of 8 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven Ly OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council,City of Rosemead 111 OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. CA 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. COMMITTEE NAME 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) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE 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 Amounts may be rounded SUMMARY PAGE to whole dollars. Summary Page Statement covers period CALIFORNIA 460 from 1JUL2020 FORM 31DEC2020 Page 3 of 8 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0.00 $ 0.00 2. Loans Received Schedule 8,Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0.00 $ 0.00 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 2151.11 $ 5460.08 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 2151.11 $ 5460.08 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 2151.11 $ 5460.08 ._/_/ $ Current Cash Statement II $ 12. Beginning Cash Balance 'Previous Summary Page,Line 16 $ 5465.93 To calculate Column B, 13.Cash Receipts Column A,Line 3 above 0.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 _ amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 2151.11 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 3314.82 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts farom Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0.00 y) 19. Outstanding Debts Add Line 2+Line 9 in Column 8 above $ 0.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D Amounts maybe rounded SCHEDULE D Summary of Expenditures Statement covers period to whole dollars. CALIFORNIA 460 Supporting/Opposing Other 1 JUL 2020 ' FORM Candidates, Measures and Committees from through 31 DEC 2020 Page 4 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) m Monetary 3SEP2020 David Mejia for Alhambra City Council Contribution $1000.00 $1000.00 FPPC 1383719 D Nonmonetary Contribution o Independent jJ Support ❑ Oppose Expenditure ® Monetary 150CT2020 Ivette Sanchez for EMUSD 2020 Contribution $250.00 $250.00 FPPC 1428474 ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure O Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent m Support ❑ Oppose Expenditure SUBTOTAL $ 1250.00 33vA . . Schedule D Summary 1250.00 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 $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL.. $ 1250.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 Payments Made from 1 JAN 2020 FORM through 30 JUN 2020 — Page 5 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1413292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) David Mejia for Alhambra City Council CTB 1000.00 FPPC1383719 Del Rae Restaurant MTG Meeting with Consultant $195.00 Pico Rivera,CA Ivette Sanchez for EMUSD CTB 250.00 FPPC 1428474 *Payments that are contributions or independent expendituresmust also be summarized on Schedule D. SUBTOTAL$ 1445.00 Schedule E Summary 1945.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under$100 $ 206.11 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 $ 2151.11 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule ESCHEDULE E(CONT.) Amounts maybe rounded Statement covers period (Continuation Sheet) to whole dollars. CALIFORNIA 460 Payments Made from1 JUL 2020 FORM SEE INSTRUCTIONS ON REVERSE through 31 DEC 2020 Page 6 of 6 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Republican Party of San Diego County CTB $500.00 FPPC 741949 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 500.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Date Stamp COVER PAGE Cam ai n Statement CALIFORNIA 460 p g RECEIVED FORM Cover Page CITY OFROSEMEAD Statement covers period Date of election if applicable: Page 1 of 8 from 1 JAN 2020 (Month,Day,Year) DEC 1. 2020 For Official Use Only CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 30 JUN 2020 BY: 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑? Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee 0 Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee . O Sponsored ❑ Primarily Formed Candidate/ - O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) --- 3. Committee Information I.D.NUMBER Treasurer(s) 1314292 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Ly for Rosemead 2022 Steven Ly MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowle••e the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing is true Measure Proponent or Responsible Officer of Sponsor Executed on By Date 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.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 8 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven Ly OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council,City of Rosemead ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 8838 E Valley Blvd 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. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 111 YES ❑ NO 111 SUPPORT COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE 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 Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period CALIFORNIA 460 Summary Page 1 JAN 2020 FORM from SEE INSTRUCTIONS ON REVERSE through 30 JUN 2020 Page 3 of 8 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0.00 $ 0.00 2. Loans Received Schedule B,Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0.00 $ 0.00 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 3308.97 $ 3308.97 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 3308.97 $ 3308.97 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 3308.97 $ 3308.97 _t____/ Current Cash Statement -__/ i $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 8741.53 To calculate Column B, 13. Cash Receipts Column A,Line 3 above 0.00 add amounts in Column 33.37 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 3308.97 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 5465.93 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 0 any). 18. Cash Equivalents See instructions on reverse $ 0.0 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 Supporting/Opposing Other 1 JAN 2020 FORM Candidates, Measures and Committees from through 30 JUN 2020 Page 4 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) WI Monetary 24JAN2020 Sylvia Rubio for State Assembly 2020 Contribution $750.00 $750.00 Sacramento,CA 95841 ❑ Nonmonetary FPPC 1423097 Contribution ❑ Independent IZ Support ❑ Oppose Expenditure ▪ Monetary 30JAN2020 Sylvia Rubio for State Assembly 2020 Contribution Sponsor for Fundraiser $918.19 $918.19 Sacramento,CA 95841 0 Nonmonetary FPPC 1423097 Contribution 0 Independent Support ❑ Oppose Expenditure o Monetary 18JAN2020 Paul Duran for Garvey School Board 2020 Contribution $150.00 $150.00 Rosemead,CA 91770 ❑ Nonmonetary FPPC 1424603 Contribution ❑ Independent ® Support 0 Oppose Expenditure SUBTOTAL $ 1818.19 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 2908.19 2. Unitemized contributions and independent expenditures made this period of under$100 $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL.. $ 2908.19 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D(CONT.) Summa of Expenditures to whole dollars. Statement covers period �/ p CALIFORNIA 460 Supporting/Opposing Other from 1JAN2020 FORM Candidates, Measures and Committees through 30JUN2020 Page 5 of NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR CUMULATIVE TO DATE PER ELECTION DESCRIPTION AMOUNT THIS 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) m Monetary 17FEB2020 David Mejia for Alhambra City Council Contribution $100.00 $100.00 FPPC 1383719 ❑ Nonmonetary Contribution ❑ Independent Support 0 Oppose Expenditure ® Monetary 10MAR2020 Indochinese American Political Action Contribution $990.00 990.00 Committee ❑ Nonmonetary FPPC 990150 Contribution ❑ Independent m Support 0 Oppose Expenditure ❑ Monetary Contribution O Nonmonetary Contribution ❑ Independent 0 Support 0 Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support 0 Oppose Expenditure SUBTOTAL $ $1090.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts maybe rounded SCHEDULE E Schedule E Statement covers period to whole dollars. CALIFORNIA 460 Payments Made 1 JAN 2020 FORM from through 30 JUN 2020 Page 6 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1413292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Sylvia Rubio for State Assembly 2020 CTB $750.00 FPPC 1423097 Paul Duran for Garvey School Board 2020 CTB $150.00 FPPC 1424603 Lucille's Barbecue-Corporate FND Sylvia Rubio Fundraiser 680.00 Long Beach,CA 90808 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1580.00 Schedule E Summary 3044.75 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under$100 $2264.22 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 $ 3308.97 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E(CONT.) (Continuation Sheet) to whole dollars. Statement covers period CALIFORNIA 460 1 JAN2020 FORM Payments Made from SEE INSTRUCTIONS ON REVERSE through 30TUN2020 Page 7 of 8 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID • Courtyard by Marriott Hacienda Heights FND Sylvia Rubio Fundraiser $254.75 Hacienda Heights,CA 91745 Costco Wholesale OFC $120.00 Seattle,WA David Mejia for Alhambra City Council CTB $100.00 Indochinese American Political Action Committee CTB $990.00 FPPC 990150 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1464.75 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers period CALIFORNIA 460 from 1JAN2020 FORM through 30JUN2020 Page 8 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF DESCRIPTION OF RECEIPT RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period. $ 0.00 2. Unitemized increases to cash of under$100 this period. $ 33.37 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 33.37 Summary Page, Line 14.) TOTAL $ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) • www.fppc.ca.gov Recipient mmittee Date Stam VER PAGE p Campaign Statement CALIFORNIA 460 RECEIVED FORM Cover Page CITY OF ROSEMEAD IfStatement covers period Date of election if applicable: Page ( of from 1 JUL 2019 (Month,Day,Year) JAN 2:8.�iEC'� For Official Use Only CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 31 DEC 2019 BY: 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ▪ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee 121 Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I. NUMBER Treasurer(s) 1314292 = COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Ly for Rosemead 2022 Steven Ly MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification 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 under the laws of the State of California that the foregoing is true and correct. .— - 'fTreasurerorAssistantTreasurer 2/ Titi 20 Executed on By Date Signature of Controlling• eholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date '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) COVER PAGE-PART 2 Recipient Committee CALIFORNIA • Campaign Statement FORM 460 Cover Page — Part 2 L/ Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven Ly OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council, City of Rosemead ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 8838 E Valley Blvd 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. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page 1 JUL 2019 CALIFORNIA 460 FORM• from /� SEE INSTRUCTIONS ON REVERSE through 31 DEC 2019 Page 3 of_ ` NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 • Column A Column B Calendar Year Summary for Candidates ContributionsReceived TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 0.00 22999 99 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 0.00 22999.99 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 0.00 $ 22999.99 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 6416.58 $ 14972.91 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 6416.58 14972.91 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 6416.58 $ 14972.91 _ /_ / $ Current Cash Statement -i-i $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 15158.11 To calculate Column B, 13. Cash Receipts Column A,Line 3 above - 0.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above 6416.58 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 8741.53 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If •- -- this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts - from Lines 2,7,and 9(if any). 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016) • FPPC Advice:advice@fppc.ca.gov(866/275-3772) • www.fppc.ca.gov • CHEDULE E Amounts may be rounded p CALIFORNIA 460 Schedule E to whole dollars. Statement covers eriod Payments Made 1 JUL 2019 FORM from [� SEE INSTRUCTIONS ON REVERSE through 31 DEC 2019 Page / of Li NAME OF FILER I.D.NUMBER • Steven Ly for Rosemead 2022 1314292 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alaska Airlines Campaign meeting with consultants TRC 343.60 HotelTonight Campaign meeting with consultants TRC . 277.00 Omar Hernandez Consulting services *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 5620.60 2. Unitemized payments made this period of under$100 $ 795.98 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 $ 8556.33 FPPC Form 460(Jan/2016) • FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE Recipient Committee Date Stamp Campaign Statement ciettliOns CALIFORNIA 460 FORM Cover Page Statement covers period Date of election if applicable: A Page 1 10 of from 1 JAN 2019 (Month,Day,Year) Ali For Official Use Only entor i:'ii'r'fl: SEE INSTRUCTIONS ON REVERSE through 30 JUN 2019 , i- : 1. Type of Recipient Committee: All committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: O Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee 2 Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information Li) NUMBER Treasurer(s) 1314292 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Ly for Rosemead 2022 Steven Ly MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification 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 under the laws of the State of California that the foregoing is true State Measure Proponent or Responsible Officer of Sponsor Executed on By Date 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.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 Page 2 of 10 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven Ly OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council, City of Rosemead ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 8838 E Valley Blvd 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. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT E OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA 460 1 JAN 2019 FORM from through 30 JUN 2019 Page 3 of 10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 Contributions ReceivedCALENDAR To olumn AoD ColumnEB Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 22999 99 22999 99 General Elections 1. Monetary Contributions Schedule A,Linea $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 22999.99 22999.99 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ _ $ 4. Nonmonetary Contributions Schedule C.Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 22999.99 $ 22999.99 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 8556.33 $ 8556.33 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 8556.33 8556.33 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C.Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+ 10 $ 8556.33 $ 8556.33 / I $ Current Cash Statement / $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 714.45 To calculate Column B, 13. Cash Receipts Column A,Line 3 above 22999.99 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule),Line4 amounts from Column B reported in Column B. 15. Cash Payments Column A.Line 8 above 8556.33 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+ 13+14,then subtract Line 15 $ 15158.11 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Parte $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 0.00 any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/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 whole dollars. Statement covers period CALIFORNIA from 1 JAN 2019 FORM 460 through 30 JUN 2019 Page 4 of 10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I .NUMBER Steven Ly for Rosemead 2022 1314292 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) Athens Services ❑IND 3/29/19 P.O. Box 60009 0 COM 5000.00 5000.00 City of Industry, CA 91715 0 OTH ❑PTY ❑SCC Andrew Wong ®IND Boardmember, Pomona 3/29/19 El OTH ❑PTY ❑SCC APC Advisers Inc ❑IND 3/29/19 2333 Routh Dr ❑COM 499.99 499.99 Rowland Heights, CA 91748 ®OTH ❑PTY ❑SCC The Gateway LP ❑IND 3/29/19 1969 Saleroso ❑COM 1000.00 1000.00 Rowland Heights, CA 91745 LI OTH ❑PTY ❑SCC Republic Services ❑IND 3/29/19 18500 Allied Way ❑COM 1500.00 1500.00 Phoenix,AZ 85054 OTH ❑PTY ❑SCC SUBTOTAL$ 9499.00 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 22999.99 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100 $ 0.00 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 22999.99 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 SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 1 JAN 2019 FORM 460 through 30 JUN 2019 Page 5 of 10 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 DATE FULL NAME,STREET 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) Michael Vuong ®IND Commissioner, City of 3/15/19 ❑OTH ❑PTY ❑SCC Thomas Wong ®IND Boardmember, SGV 3/15/19 ❑OTH ❑PTY ❑SCC John Tang ®IND Commissioner, City of 3/15/19 ❑OTH ❑PTY ❑SCC Ky L Do V IND Dentist, Self-Employed 3/15/19 ❑OTH ❑PTY ❑SCC SLA Architects Inc ❑IND 3/15/19 140 W Valley Blvd,215 ❑coM 500.00 500.00 San Gabriel, CA 91776 ®OTH ❑PTY ❑SCC SUBTOTAL$ 1350.00 *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) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 1 JAN 2019 FORM 460 through 30 JUN 2019 Page 6 of 10 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED F 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) Binh Dinh Chinese Friendship Association ❑IND 3/15/19 7516 Emerson PI ❑COM 500.00 500.00 Rosemead, CA 91770 OTH ❑PTY ❑SCC Pan Construction Inc ❑IND 3/15/19 8228 Whittier Blvd ❑COM 1000.00 1000.00 Pico Rivera, CA 90660 WI OTH ❑PTY ❑SCC Fairfield Inn and Suites Rosemead ❑IND 3/15/19 705 San Gabriel Blvd ❑CoM 2500.00 2500.00 Rosemead, CA 91770 V OTH ❑PTY ❑SCC LYL Communication Inc ❑IND 3/4/19 9645 Telstar Ave, E ❑COM 500.00 500.00 El Monte, CA 91731 ®OTH ❑PTY ❑SCC Hawaii Supermarket Inc ❑IND 3/4/19 120 E Valley Blvd ❑coM 2500.00 2500.00 San Gabriel, CA 91770 ®OTH ❑PTY ❑SCC SUBTOTAL$ 7000.00 *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) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 1 JAN 2019 FORM 460 through 30 JUN 2019 Page 7 of 10 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 DATE FULL NAME,STREET 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) Ray Jan 12 IND Executive Director, 3/1/19 ❑❑PTH Commerce ❑SCC San Garvey Investments Inc ❑IND 3/1/19 227 W Valley Blvd, 308 ❑COM 5000.00 5000.00 San Gabriel, CA 91776 OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 5150.00 `Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(Jan/2016) SCC—Small Contributor Committee FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D SummaryExpenditures of Ex ditAmounts may be rounded SCHEDULE D pto whole dollars. Supporting/Opposing Other 1 JAN 2019 FORM Statement covers period CALIFORNIA 460 Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 30 JUN 2019 page 8 of 10 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 NAME OF CANDIDATE,OFFICE.AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNT THIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) Ling Ling Chang for State Senate 2020 ® Monetary 5/13/19 FPPC 1407243 Contribution 4700.00 4700.00 4700.00 ❑ Nonmonetary Contribution ❑ Independent El Support 0 Oppose Expenditure ❑ Monetary Contribution O Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution O Nonmonetary Contribution ❑ Independent 0 Support 0 Oppose Expenditure SUBTOTAL $ 4700.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 4700.00 2. Unitemized contributions and independent expenditures made this period of under$100 $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL.. $ 4700.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Amounts may be rounded 46� Schedule E Statement covers period —T Made to whole dollars. CALIFORNIA Paymentsfrom 1 JAN 2019 FORM through Page JUN 2019 Page 9 of SEE INSTRUCTIONS ON REVERSE 10 NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Ling Ling Chang for State Senate 2020 Supporting Campaign of Ling Ling Chang FPPC 1407243 CTB $4700.00 Lucille's Bar-B-Que Catering Fundraising Food Costs Signal Hill, CA 90755 FND 1157.00 Global Urban Strategies Inc Retainer for graphic design support Alhambra, CA 91803 CNS 1000.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6857.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 7807.00 2. Unitemized payments made this period of under$100 $ 749.33 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 $ 8556.33 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E(CONT.) (Continuation Sheet) to whole dollars. Statement covers period CALIFORNIA 460 Payments Made from 1 JAN 2019 FORM through 30 JUN 2019 1010 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Secretary of State California FPPC Fees Sacramento, CA 95814 400.00 All Souls Catholic School Donation, Annual Golf Tournament Alhambra, CA 91801 CVC 250.00 38 Degrees Restaurant Campaign meeting and strategies discussion. Three people Alhambra, CA 91801 MTG 150.00 Chinese American Elected Officials Membership to organization Alhambra, CA 91801 CVC 150.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 950.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov - COVER PAGE Recipient Committee Date Stamp • Campaign Statement CALIFORNIA 460 RECEIVED FORM Cover Page CITY OF ROSEMEAD I[' Page of / Statement covers period Date of election if applicable: JAN pp , 1 JUL 2019 (Month,Day,Year) ;C1EC For Official Use Only from CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 31 DEC 2019 _ BY: 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: gi Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee g Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee.Information I.D.NUMBER Treasurer(s) 1314292 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Steven Ly for Rosemead 2022 Steven Ly • MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE - AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification 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 under the laws of the State of California that the foregoing is true and "2-t 7kst, Z0 2A.) Executed on . By TlDate • Date Signature of Controlling• eholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date 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) COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page L of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven Ly OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council, City of Rosemead El OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 8838 E Valley Blvd 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. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES 0 N COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT - ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT El OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. - Statement covers period CALIFORNIA 460 from 1 JUL 2019 FORM L • SEE INSTRUCTIONS ON REVERSE through 31 DEC 2019 Page 3 of / NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 Column PERIODA /Column B Calendar Year Summary for Candidates TOTAL Contributions Received (FROM ATTACHED SCHEDULES). TOTAL TO DATE Running in Both the State Primary and 0.00 22999 99 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 0.00 22999.99 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ _ 0.00 $ 22999.99 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 6416.58 $ 14972.91 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 6416.58 14972.91 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 6416.58 $ 14972.91 _/_/ $ Current Cash Statement J-_/ $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 15158.11 To calculate Column B, 13.Cash Receipts Column A,Line 3 above 0.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above 6416.58 of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 8741.53 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(ifany). 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016) • FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE E Schedule E Statement covers period to whole dollars. CALIFORNIA 460 Payments Made 1 JUL 2019 FORM from [j SEE INSTRUCTIONS ON REVERSE through 31 DEC 2019 Page / of NAME OF FILER I.D.NUMBER Steven Ly for Rosemead 2022 1314292 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alaska Airlines Campaign meeting with consultants TRC 343.60 HotelTonight Campaign meeting with consultants TRC 277.00 Omar Hernandez Consulting services *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 5620.60 2. Unitemized payments made this period of under$100 $ 795.98 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 $ 8556.33 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov W U) w W W z O U) z O F U a' Z Z W W U) W 2 LU O O) U [,- a. , -a �- N O) a U ( Z5 W O 0 O O f� IL i N O) I I Q � I � U I I I 1 I I i o I I > CA U ; `o `o E r I IL) '6 a) o 2 CD N .Q c L C N O) 0 0� O m m m N c w ca Em a� m 'c in N O O) c U O N C .LO f0 0) O c c`0CL 3 N CL N C +L• v a m 0 Zco c =O o 0 v 0 0 m a N N 'O U N U Nx U Nx V 7 W W W N m 'C L lD N 0 n M C N ro n O � � v otO�o O 60p LL U u a u a a LL a w Q m u V m 0 c 0 v 0 U X W N a W Q d w O U =N E as E ..0 1 Vcn 0 C tm Qf m �,•�a .Q a �dM0 woo I O N m >a m a 0 I I I U: C ❑ of MF .�:,I U ! i C) U v m N E N rn O awl 19 . w W m z 0 w W m z d w Z W LU g O U w W u� U- 0 O w z O m O a O z 0 co LU ❑ w LU co Q O O n Lu M N 0. 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Eoaa) m o o a-) ca sr=m UoE22- E 2-50 m 5 O i Ca > N a) c a w N C; N Q v= N O O U E= C C m -O =O 0 m J Co 7 N m a- U O O O c 0 i� oa" E, E NL 2L a) E o c H m Q m o m n 0 CLE E o w m M M O M 0 "t a) S 10 O m S O O 7 M f.- M co O G G b G C r + J J h J J Oi ¢ L : 0 + Q U J m °° t t a ¢ t V ,O M T ui = w � z 0° N Q W d e Cc CL N Cl) W a '• y y aH t vE ++ d ca m Q U r- Q. Q i>, z W U 4% O Hv O a O W (U -a N O J = TmCH O J n Q Z - C 6 I- M o OW T0)c mm E4 0) m ECO<= -0 U N E °' c °C cEoc? Eoaa) m o o a-) ca sr=m UoE22- E 2-50 m 5 O i Ca > N a) c a w N C; N Q v= N O O U E= C C m -O =O 0 m J Co 7 N m a- U O O O c 0 i� oa" E, E NL 2L a) E o c H m Q m o m n 0 CLE E o w m ti r O 0 0 "t a) S 10 O m S O O CO O p N 4 O O O p C ¢ U O co f- j L ti r a) S 10 J m S 01 C p C ¢ U ¢ b � j L ,O M T � N e J a ¢ t ++ m C U 4% O CD z co m c t N NN C m U c 0 E H m ID V � L U y 3 m U CU w C'1 r M r 4 r 6 CO r r ti r C LL C LL 2 Cr. 0 o O 0 0 0 N N C 0 E i E+ O V. M 0 o � °D � M u N °• CL Ec 3 Uo eo U u CL. u a fl, LL a @1 u v u a V CL a • Lo z O ❑ LU O WOW L ~ W LL n. Lu N • in d) W • N b p M a ❑ < M O CL _ o}Ci >a� L N gW� p N =Q 00 j Uv ` Q. C:) T-: M U Ln N N O O E o lO CD In =y N z0 N N E =w ID C Oa im a E o w r J Fa - 0 z O w0 W K C7 UW W LL d O C, 7 O � a0 v mo E F. w a �c C� o '� `�°o '� m� o46.2M ' t 3 ¢ Z, c v Z c v � a w 0 $ a �a oa y c E °-d X0,5 (D 0.0 Ew ami c a� �� w oa ami E ad 0 E E LL O C C C C N Q 0 0 0 0 •a C C 0 o C C o o N p_ '0 x C C o 0 C C N 0_ 0 0 a Su'� a MU zU SL� S ❑ ❑ MU ❑ z ❑ S ❑ mc.)zU ❑ ❑ ❑ .a 00 O d t❑n O ym ❑� L) w 0 y 0 U) m 0 0 CL 0 <Ww 0 O o ul E ❑ ❑ ❑ :r. V U— Gi .a OJO Co O H t U FO ai 0 � N of amO ❑W O r � t!0 0 N C am z Cu 0 a CL 0 a CL a CL D C L N V= f4 fn U) C .N Wn ( w "W E ❑ ❑ a a.z o z , , u � O � Q z O w z D 0 0 U W J J 00 Eo_ �LL W N Q v~i E O > ¢ ❑ ac 9 OD 3�M WEU) 0) ANCA vWiz 0 o O 0 0 0 N N C 0 E i E+ O V. M 0 o � °D � M u N °• CL Ec 3 Uo eo U u CL. u a fl, LL a @1 u v u a V CL a w LU � W Ln 2 ` U CO 0 •m • Lo 0 a ly NC14 04 z r M - r 0 o rL N is a 'a S m E N N m C01 N(a V) C N0 a E y �, N E C p C NN 0 O a N O °' C O-rnaB 8 O c W � a N 0 c a c m E 0u)0M-5)oE 0) 0 = O OLM A ao0o�c� o m 0 E= c Lo CN a) > O CL ca c c N mn`.->`0•oaw0i u M N a o m m X 0 0 3 CD min >, N Z z 0 E u c- 0 09•-,0 _ U 0 N N La rnm o m+� � F 0 0� E cu ` EN F U 0 E 0 c 0 0 0 N ��L�.�L�m.�Oc O DLJ JUfn LLQ W O LLQLUCLLp:fNn0 N N H H H i 3 cu z N Z L U. Uu 0 rn a u EA U Ny C LOC a a N a)p� C� C 7 E E N8 O) U L m O aci rte+ N U N C d z N cC coE� _ N N M m cc N N C m _ u � CQ C N Z+ Z a E 10 0 m Z am 0 0= D °>' o m m Q CO a c _ V N U m a O O a X m N C Ol N ' Naa00c-cDcm0m m CL _ o ncL cu E E o a n a a aE Uj cuN CL N C m mHLLw=00 �2Oaaaaaa U fn N N O .O U N N c W U) — O N O O E m �+ X a L m N U C `~ O L 7 L_ C J C U o O Q ui m 0 cc 0) C E N a 0 E N r- N O ai m 0 N m O_ U CL 0 d' j, Co CL N(0 E m CL S N N N C) c rn cm N 0 tmN ?i Li CL a 5 w a m ° �' o = 'm p E E N E w 4 CD c d w E a) N t0 N fc -r- c c c o c U C z L N C x N m> 0 N c C> N N G W z ,FO C M c .4 i= m e r di 0 +y+ O w J - O c c o 6 N c o a> c ,rnrn0 y rn F = U_j - 0 m:y c m as a $ w W N Q. CL V c v v> E �D {E�pp �E�pp pCp �C�pp W U U U 3 U w s a 8 .�. ^ Z O di w fn 0 o cnmUoLLoO� U) d vwiz 0 UUUULLLL?-i-j O O N r - 6f} J H 0 m D U) O > O 9 O O m a C*lj O OLM M u O O N M N a 7 Z z CL �w U 10 0 O 3 cu z `o m Z U. Uu w a u EA Efi EA E9 LOC a a C� C 7 E E O z � 0 u � a r Q a o CL _ U Uj cuN m C m W U fn L O O N N E W U) — O N O O E m cri m N LL L U C `~ O W C J C .� 0 C O Q ui m 0 Q E N a 0 E N r- N 1E cu E w N m 0 N m U) W 4D d' j, Co CL N(0 E m CL S N N 0 W iii N 0 4 0 U z Wm �D L LL 0 0-- to w Uz WW 00 �a Q Ow z ¢r W 2 0 Z LL C m m a) fn caU O O N r - 6f} J H 0 m D U) > O O O O m O O O OLM M u O O N M N a 7 CL �w U 10 O 3 cu `o m U. Uu a u EA Efi EA E9 LOC a C� C 7 E E U � u � r Q a o CL _ LL Q C 7 U O cu C� C 7 E E U � � r ..c a o _ Uj cuN m C m � w U fn L O N E W U) — O N O O E m cri m N L U C `~ O W C J .� 0 C O Q ui m 0 Q E N a 0 E N r- N 1E cu E w N C O O_ L D :2N 0 N m U) W 4D E mN -0 Nn E j, Co CL N(0 E m CL S N N iii N c11 4 Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from January 01_2018 throughJune 30, 2018 1. Type of Recipient Committee: All COrlin, ittees—Cornplete Parts 1, 2, 3, and 4. Q Officeholder. Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall Q Conlrotled rA;" a„wrre Pan sl Q Sponsored rneo campefe F.r e; ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Conlribulor Committee Officeholder Committee U Political Pady7Cantral Committee %o c:rrmare axri 3. Committee Information 1314292 Steven Ly for Rosemead 2022 STREET ADDRE55 (Nu R D. 110X) CITY STATE 71P (,ODE AREA CODE!PHONE CA MAIFUNC ADDRESS (IF DIFI ERE NT NO. AND STREET OR P.O. Box CITY STATE ZIP C)DF AREA CODEIPHONH OPTIONAL. FAX/E -MAIL ADDRESS 4. Verification COVER. PAGE Date Stamp RECEIVED . CFTY OF ROSEMEAD Date of election If applicable: a7CI` 00 6U1lH Page __ — of (Month. Day, Year) SEP 6 For onicial Use CRY CLERKS OFFICE 2. Type of Statement: E] Preelection Statement ❑ Quarterly Statement 2 Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) Steven Ly CITY STATE ZIP CODE AREA CUDIDPHONF CA NAME Ur AS91S I ANI I REASURER. lV ANY 1 All IIPJ ADRRESS CITY STATE ZIP CODE AREA CODEMHONF OPTIONAL. I"AX / E-MAIL ADDRESS I have used all reasonable diilgenr_e in preparing and reviewing this .statement and to the hest of my knnvdedge the information contained herein and in the attached schedules Is true and complete certify under penally of perjury under the laws of the State of California that the foregoing is true and Correc a6S 20� 6:earled an By Dale ➢easmer or 41si5a11 ireaanci Executed on Z� Executed en Ewart d on By By sixee.ro .antroningnm n. Im. cl�j TItaH��P.„nor. BY Signa4i�- Ilmg oil. !Y_r la" .Oat t ImnrzeP o."Tient 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Steven Ly OFFICE SOUGHT OR FIELD (INCLUDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE) City Council, City of Rosemead RES(DENTIAVBUSINESS ADDRESS (NO. AND STREET) CITYSTATE ZIP CA Related Committees Not Included in this Statement: List any committees not included m this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. I . NUMBER ❑ YES ❑ NO ADDRESS (NOP❑ BOX( CITY STATE ZIP CODE AREA OODEPHDNE OF TREASURER ❑[.NUMBER ❑ YES ❑ NO TEES CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page —2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BTLLOT MEASURE BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT OPPOSE Identity the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE OR OFFICE sOUGHTOR HP 0 DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnamesof officeholder(s) or candidate(s) for which this committee is primarily forrrrerl NAME OF Of FICEHOLDEP. OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGH r 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(lan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc,ca.gov Campaign Disclosure Statement Summary Page ON REVERSE NAME OF FILER Steven Ly for Rosemead 2022 Contributions Received 1. Monetary Contributions.........._........ _..........._.__........... schedule A. une3 $ 2. Loans Received .... ......... ...... .................__._................... Schedwe e. Lrne3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines l+2 $ 4. Nonmonetary Contributions ..,............. .............. ............. Scheduie C Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ._.._._........ _....,.....__ Add Lines 3+4 $ Amounts may be rounded to whole dollars. Statement covers period from January 01, 2018 through Column A Column B 7,1AL i HIS PERIOD CLEIJDAR'FAR ;rROUATTAcHFD sCHEDJLESI - TOTAL TO DATE 1000.00 $ 1000.00 0.00 0.00 1.000.00 $ 1000.00 0.00 0.00 1000.00 $ 1000.00 Expenditures Made To calculate Column 8, 6. Payments Made .. ................ ......................... ............... ...._ Schedule E,Llne4 $ 211.54 7. Loans Made.... Schedwe rr. Lrne 3 0.00 B. SUBTOTAL CASH PAYMENTS.___ ..............._ ........ ....._.... Add Lrnes e+7 $ 211.54 9, Accrued Expenses (Unpaid Bills)... _._. _....._, _....... _.....,.__ schedule e une3 0.00 10, Nonmonetary Adjustment_. ...,... Scheduie C. Lvre 3 0.00 11, TOTAL EXPENDITURES MADE ..... .... ....... Add Lrnesa+s+lo $ ___ 211,54 Current Cash Statement 12. Beginning Cash Balance .... .... .......... .--- Previous Summary Page. Line 1e $ 13. Cash Receipts ...... .................................................. Column.A. Lme 3 above 14. Miscellaneous Increases to Cash..- ............ ._........... schedule I. Lrne 4 15. Cash Payments .... ................ ........ .._................... ...... colurnnA. Line8are. 16. ENDING CASH BALANCE ...... _...._....Add Lrnes 12+13+ 14, then subtract line 15 $ If this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED. ...... ...... ... ............. Schedule e. Parte $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents....._ ................. .._........ ............ See Instructions onreverse $ 19. Outstanding Debts.._........ _............... Add Line2+Llnesln Coiumneabove $ rZ11501:] 1000.00 0.00 211.54 1036.45 0.00 0.00 0.00 $ _ 211.54 0.00 $ 211.54 0.00 0.00 $ 211.54 June 30 2018 SUMMARY PAGE_ Page 3 of 5 11314292 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections III Through 6,30 Il1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ -__ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` ttt Subject to Voluntary EvpenJlture Llmih Date of Election Total to Date (mm/dd/yy) To calculate Column 8, add amounts in Column A to the corresponding 'Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received Amounts may be rounded SCHEDULE A to whole dollars. statement covers period from January 01. 2018 �- 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 $ 1000.00 0.00 1000.00 'Contributor Cedes 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@fppcca.gov (866/275-3772( www,fppc.ca.gov June 30, 2018 4 5 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Steven Ly for Rosemead 2022 1314292 DATE FULL NAME. STREET ADDRESS.AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER pCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ,I� camvneE ALso ENTER I D. nUM5ERl CODE IIF SELF -PM DYeo. BNIER NAME PERIOD (JAN, I -DEC, 3 1) nF REQUIRED) er eusurssl W] South City Gas 10, Inc. ❑Cpld 1000.00 1000.00 4/9/2018 10602 Imperial Hwy [I OTH Norwalk, CA 90650 ❑ PTY ❑ SCC [I ND ❑ COM [30TH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY El SCC SUBTOTAL$ 1000.00 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 $ 1000.00 0.00 1000.00 'Contributor Cedes 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@fppcca.gov (866/275-3772( www,fppc.ca.gov Schedule E Payments Made ,IF OF FILER Steven Ly for Rosemead 2022 Amounts may be rounded to whole dollars. Statement covers period from January01, 2018 through June 30, 2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. describe the payment SCHEDULE E WEN&W r Page _ 5 5 of _ '.. 10. NUIIII ER 1314292 CMP campaiyn paraphernahalmisc_ MBR member comnxmlcations RAD radio airtime and production costs CNS campaign consullants M rG meelfngs'I"d appearances RFD returned centnhutmns CTB contnbuhon (explain nonmonelary)' OFC office expenses SAL campaign vmrkerssalaries CVC Civic donations PF I petition circulating TEL t v_ or cable airtime and productlon costs FIL candrd3le filing%ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POI. polling and survey research TRS sfafflspouse (revel. lodgingand meals IND independent expenditure suppodingfopposrng others (explamc POS postage_ deln,eryand messenger services TSF transfer between committees of the same eandrdafelsponsor LECA legit defense PRO professional services (Iegal. ar_counGny) VOT voter regniiation LIT campaign literature and mailings PRT print ads WEB Information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE 1 -.omni �rrrnrEv l[ uwesrCODE GR DESCRIPTION OF PA(Fl EPI I AMGUnTPAI) Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).... .............. $ 0.00 2. Unitemized payments made this period of under $100 ..,._................ 211 54 3. Total interest paid this period on loans. (Enter amount from Schedule 8, 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 $ ___-__ 211.54 FPPC Form 460(1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov nn , m 2: ® ; &\ ; l ; ) � l : : % \ ) 3 0000 d9 `5 5:1 - su \ } m! � o( o c) ( n \ - op op � ` 0 ` ;: , " DI( ( }\ o / }/ / �F � j ;\ / / re \,: 0 , 7 ! o \ : /} /: , , \ la A 133 § § \ o. 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N Of CD U OJ O + : Oaa� m w - n U m C N m � a T v N N U o w � C m o UJ a n 0 0 � c C o m 3 c R n O N O n - R R E m R E Q'a�H �cn o E�v m >v R o'er o— R y d 2U C: 4=p)CC m55 M R R a R N N O> N D a Ol w U U U U U w C d U a q > qUmU p O > UUVIi M O co N N J f O H m C/) ^ U oa da 04 =y u) 08 m � vm E� O • c LL U m a LL ry v LL 9 V a LL 0 O O o ° iri o 0 a O r C Z r 0 O Q F LL O O a Co U C C C m N p O O O m N R Ol U� O O � C U U - c) a a_ O F L > H F o U U U g U O wm � O O O ° o U ry m F m M O co N N J f O H m C/) ^ U oa da 04 =y u) 08 m � vm E� O • c LL U m a LL ry v LL 9 V a LL J � N 7 � • L m r V C : O : w in x m c _ O � F O O �w E W 0 � M 0 O 4 a C L U • � w N m w U) N • m N 'T Z - L rn z O J : i0 a o r� a o p Q m O a ° 0 2 O N N O O E m O O M L m H m N m m U O c ° O h E m O O w C d N O 0 E N LLO C O X N � > � i L U lC O y m E o y C o m rn N O J ° m m r a_ N C N N C N ry 0 U W 7 - E O E E O m � E 0 a a ° ` o 0 U N M 4 ° E > a E0 0 o o F o E W M � ¢ 7 w 0 . p N O W r O c 0m co � M 7 z Urnu Om C) co rc O U a ¢ LL ] F> N N N d f.1 u LL O Cf) z N U fns � M O d7 r J 0 O M D N M O O O O O W O O LO ER H3 EPr ^ U oa m LL C LL �Y O a b m a m E a m LL U m ' a m a= LL m m LL I- U a LL M O M u� J H N L C : O : � c m � W L O E W 0 � M - o U1 a C L U l0 U) N N � L O J : a o p Q m N O C E a o L m m a m m U o c ° O E m m ° L A w N O U N N O � > � U lC O y y C N O J ° m m 7 U C N ry 0 7 m E O E E O m m m E U N M 4 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84290.84216.5) Type or print In Ink. Statement covers period from 01/01/2013 SEE INSTRUCTIONS ON REVERSE - I through 01119/2013 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4, Rl Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q Stale Candidate Election Committee Q Primarily Formed O Recall O Controlled (Also Complete Pan S) O Sponsored (Also Comdata Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee 3. Committee Information Steven Ly for Rosemead ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pan 7) I.D. NUMBER 1314292 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E -MAIL ADDRESS Date of election if applicable (Month, Day, Year n/a 2. Type of Statement: ® Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement ❑ Amendment (Explain below) s COVERPAGE Rf Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Phillip T. Thong MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CA NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the best FPPC Form 460(June /01) FPPC Toll - Free Helpline: 666IASK -FPPC Stale of California f uate btann.p JAN 2 2 Eggs I Pag Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 6. Ballot Measure Committee NAME OF BALLOT MEASURE Page 2 of 7 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Steven Ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Rosemead RESIDENTIAUBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP CA 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 I.D. NUMBER NAME OF TREASURER ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 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 DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of ofilceholder(s) or candidates) 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 (June /07) FPPC Toll -Free Helpllne: S66IASK -FPPC State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 01/0112013 Expenditures Made through 01/19/2013 Page 3 of 7 SEE INSTRUCTIONS ON REVERSE $ 3,500.00 $ 3,500.00 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 NAME OF FILER 8. SUBTOTAL CASH PAYMENTS ..... ............................... I.D. NUMBER Steven Ly 3,500.00 $ 3,500.00 22. Cumulative Expenditures Made* (ir subject to voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... 1314292 Contributions Received ColumnA Column B Calendar Year Summary for Candidates Schedule C, Line TOTALTHISPERIOD (FROMATTACREDSCHEDUMS) CALENDARVEAR TOTALTODATE Running In Both the State Primary and 9 y 11. TOTAL EXPENDITURES MADE ...... .......................... Add Lines 8 +9 +10 $ 3,500.00 General Elections 1. Monetary Contributions ............ ............................... Schedule A, Lines 00 499. $ 3, $ 3,499.00 Previous summary Page, Line 16 $ 15,224.27 To calculate Column B, add 111 through 6/30 7/1 to Dale 2. Loans Received ....................... ............................... Schedule B, Line 3 3,499.00 amounts in Column A to the $ 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 3,499.00 $ 3,499.00 20. Contributions 4. Nonmonetary Contributions schedule C, Linea 434. 00 434. 00 Received $ $ ..... ............................... $ 15. Cash Payments ................... ............................... Column A, Line a above 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 3,933.00 $ 3,933.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 3,500.00 $ 3,500.00 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add ones s +7 $ 3,500.00 $ 3,500.00 22. Cumulative Expenditures Made* (ir subject to voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Linea Date of Election Total to Dale 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line (mmidd /yy) 11. TOTAL EXPENDITURES MADE ...... .......................... Add Lines 8 +9 +10 $ 3,500.00 $ 3,500.00 ) $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 15,224.27 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 3,499.00 amounts in Column A to the $ 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last $ 15. Cash Payments ................... ............................... Column A, Line a above 3,500.00 report. Some amounts in Column A may be negative $ 16. ENDING CASH BALANCE .... ...... Add Lines 12 +13 +14, then subtract Llne15 $ 15,223.27 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Pan 2 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if "Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse $ 0.00 y) - 19. Outstanding Debts ......................... Add Line 2+ line 9 in Column B above $ 0.00 FPPC Form 460 (Junet0l) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A Type or print In Ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded ry to dollars. Statement covers period CALIFORNIA whole • ' from 01/01/2013 - through 01119/2013 page 4 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Steven Ly 1314292 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMRTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC, 31) (IF REQUIRED) OFDUSINESS) ° 01/07/2013 Stephen Sham for City Council 2010 ❑IND FPPC 1277255 100.00 100.00 L]OTH ❑ PTY ❑ SCC 01/18/2013 Jean Hall ®IND ❑COM Retired 100.00 100.00 ❑ OTH ❑ PTY © ❑SCC 01/1812013 Amy Wu R IND ❑ COM General Manager, 100.00 100.00 ❑OTH Holiday Inn Rosemead ❑ PTY ❑ SCC k]IND 01/1812013 Cathy Hammond ❑COM TSA Officer 100.00 100.00 ❑OTH ❑ PTY ❑ SCC 01/18/2013 Mark Snedden MIND ❑COM Retired 1,500.00 1,500.00 ❑ 0TH ❑ PTY ❑SCC SUBTOTAL$ 1,900.00 Schedule A Summary 1. Amount received this period — contributions of $100 or more. 3,400.00 (Include all Schedule A subtotals.) $ 2. Amount received this period— unitemized contributions of less than $ 100 .............. ............................... $ 99.00 3. Total monetary contributions received this period. 3,499.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ "Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. •R from 01I01I2013 FORM 01/19/2013 5 7 through page of NAME OF FILER I.D. NUMBER Steven Ly 1314292 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 IIFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) OFBUBINESS) 01/18/2013 Lewis and Company ❑IND COM 1,500.00 1,500.00 2149 E Garvey Ave N, Suite A -11, West Covina, 930TH CA 91791 ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ OOM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,500.00 "Contributor Codes IND - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule C Type or print In ink. crwr rll R o r Nonmonetary Contributions Received t o wh o l ia r s. " to whole dollars. Statement covers period 01/0112013 CALIFORNIA , FOR J • from 01/19/2013 6 7 SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER Steven Ly 1314292 DATE FULL NAME, SAND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR COD OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE TOQUIR (IF REQUIRED) BUSINESS) NAMEOFeuslNESS7 (JAN 1- DEC 31) (JAN1 -DEC 31) 01/10/201 Rosemead Partners PAC E]COM FPPC 1292683 Yardsigns PO Box 602, Rosemead, CA 91770 434.00 434.00 ❑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. SUBTOTAL $ 434.00 Schedule C Summary 1. Amount received this period — nonmonetary contributions of $100 or more. (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 $ 434.00 1 11 434.00 *Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) 0TH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Juno/011) FPPC Toll -Free Helpline: 066/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Steven Ly Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2013 through 01/19/2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 7 of 7 1314292 CIVP 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 PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling/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 candidale /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 OF COMMITTEE, ALSO ENTER L D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Michael Baddour LIT Cost of design R mail piece 3,360.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 3,360.00 2. Unitemized payments made this period of under $100 .......................................................................................:................... ...............I............... $ 140.00 3. Total interest pal d this pe riod on loans. Enter amount from Schedule B, Part 1, Column (e). 0.00 4. Total a ments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. 3,500.00 p Y P ( Summary 9 ) ............................. TOTAL $ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Recipient Committee COVER PAGE Type.or print in ink. - Campaign Statement ---- Dalestamp A Cover Page r (Government Code Sections 84200 - 84216.5) . - • -- - - - -- • Statement covers period Date of election if applicable: _ 15 07/01/2012 (Month, Day, Year) 2..ry ��G'w Pag0 T of from For Official Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/2012 n/a i 1. Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4. 2. T e of State Ty ant: -__ ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement Q Stale Candidate Election Committee O Primarily Formed Semi - annual Statement ❑ Special Odd -Year Report O Recall Q Controlled (Alancaarplara Pans) Sponsored ❑ Termination Statement ❑ Supplemental Preelection (Also complete Pert s) ❑ Amendment (Explain below) Statement - Attach Form 495 ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part]) 3. Committee Information I.D. NUMBER 1314292 Treasure COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER - Steven Ly for Rosemead Phillip T. Thong MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE CA CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.D. DOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best Executed on By Dale SlgnaNreol COnhalling Olacaholtler ,Can Itlale, aisle Measure PropolreM FPPC Farm 460 (JUnele1) FPPC Toll-Pree Hairline: 866IASK•FPPC State of California Recipient Committee Type or print in ink. COVERPAGE -PART2 _- Campaign Statement CALIFORNIA � � � Cover Page — Part 2 FORM Page 2 of 15 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Steven Ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Rosemead RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP CA 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. an NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO BOX) CITY STATE ZIP CODE AREA CODE /PHONE 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 BALLOT NO. OR LETTER JURISDICTION I El SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT lnaamax 4rl9:rleJ: \:Ii4J UIS I RIOT NO, IF ANY 7. Primarily Formed Committee List names of officeholderis) or candidates) 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 (June /01) FPPC Toll -Free Helpllne: 666 /ASK -FPPC State of California Campaign Disclosure Statement Type or print in Ink. Summa to whole d Page Amounts may of lars. rounded Statement covers period g dollars. from 07/01/2012 SEE INSTRUCTIONS ON REVERSE Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (it Subject to Voluntary Expenditure Limit) 6 Payments Made ........................ ............................... Schedule E, Line $ through 12/31/2012 Page 3 of 15 NAME OF FILER B. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines a +7 $ 26,244.31 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line I.B. NUMBER Steven Ly Schedule C, Line 3 from Column B of your last 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +g +10 $ 26,244.31 1314292 Contributions Received subtracted from previous Column ColumnB Calendar Year Summa for Candidates ry for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 'Since January 1, 2001. Amounts in this section may be different from amounts reported In Column B. TOTALTHISPERI00 (FROM ATTACHED SCHEDULEe) CALENDARYEAR TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions ............ ............................... Schedule A,Line 3 $ 24,570.00 $ 28,570.00 General Elections 2. Loans Received ....................... ............................... Schedule e. Line 3 - 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines ? + $ 24,570.00 $ 28,570.00 20. Contributions Received $ $ 4 Nonmonetary Contributions ..... ............................... schedule C, Linea 21, Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 24,570.00 $ 28,570.00 Made $ $ Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (it Subject to Voluntary Expenditure Limit) 6 Payments Made ........................ ............................... Schedule E, Line $ 26,244.31 7 . Loans Made .............................. ............................... Schedule H, Line B. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines a +7 $ 26,244.31 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line _ J J $ 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 from Column B of your last 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +g +10 $ 26,244.31 Column A may be negative figures that should be Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line la $ 16,898.58 13. Cash Receipts .................... ............................... Column A, Line 3above 24,570.00 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 0 15. Cash Payments ................... ............................... Column A, Line a above 26,244.31 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ . 15,224.27 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Pan 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents.., ........... ......................... See instructions on reverse $ 19. Outstanding Debts ......................... Add line 2+ Line a in Column a above $ $ 39,174.91 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (it Subject to Voluntary Expenditure Limit) 39,174.91 $ Dale of Election Total to Dale (mmtdd /yy) $ $ 39,174.91 To calculate Column B, add amounts in Column A to the _ J J $ corresponding amounts - from Column B of your last /J $ report. Some amounts in Column A may be negative figures that should be J y $ 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 'Since January 1, 2001. Amounts in this section may be different from amounts reported In Column B. any). FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received "''r "C ' "" to whole dollars. Statement covers period CALIFORNIA 07/01/2012 . ' 1 from SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 4 of 15 NAME OF FILER LD, NUMBER Steven Ly 1314292 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.O. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF�EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2012 UFC Gyms ❑IND DOOM 1,000.00 1,000.00 1,000.00 8920 Glendon Way, Rosemead, CA 91770 0 PTY ❑SCC 11/27/2012 Bob Huff ❑IND ® COM FPPC 1314495 2,000.00 2,000.00 ❑ PTY 0 scC 11/30/2012 Peichin Lee Chang ®IND DOOM Chief Executive Officer, 100.00 100.00 ❑0TH CGM Devel Inc P ❑ PTY ❑SCC 11/30/2012 Daniel H Deng EIIND Attome , Law Offices of 1,000.00 1,000.00 ooTH Daniel Deng ❑ PTY ❑SCC 12/12/2012 Lori Craven -Doss jdIND Owner, Brown's Jewelry y 00.00 200.00 opTH and Loan ❑ PTY ❑SCC SUBTOTAL$ 4,300.00 Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 24, 500.00 2. Amount received this period— unitemized contributions of less than $ 100 .............. ............................... $ 70.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 24,570.00 "Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpllne: 866/ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) ww___ IVIUIt @L611[y r✓UIILI'loutions Received Amounts may be rounded Statement covers period towholedollars. •' 4 , from 07/01/2012 FORM • through 12/31/2012 Page 5 of 15 NAME OF FILER I.D. NUMBER Steven Ly 1314292 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED OF COMMRTEE, 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) OFBUSINESS) 12/12/2012 Hawaii Super Market, Inc. p ❑IND ❑COM 1,000.00 1,000.00 120 E Valley Blvd, San Gabriel, CA 91776 MOTH ❑ PTY ❑SCC 12112/2012 Linda Bahn MIND ❑COM Admininstator 500.00 500.00 ❑OTH Hawaii Supermarket ❑ PTY ❑ SCC 12/12/2012 Ngan -Tu Quach MIND ❑COM Market Manager 500.00 500.00 ❑OTH Hawaii Supermarket P ❑ PTY ❑ SCC 12/12/2012 Chang Quan Liang MIND Office Manager 500.00 500.00 opTH Hawaii Supermarket ❑ PTY ❑ SCC 12/12/2012 ACKK, Inc ❑IND ❑COM 500.00 500.00 333 W Garvey Ave, Suite B484, Monterey Park, MOTH CA 91754 ❑ PTY ❑ SCC SUBTOTAL$ 3,000.00 "Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) OTH -Other PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALI to whole dollars. 07/0112012 46 0 from 12/31/2012 6 15 through Page of NAME OF FILER I.D.NUMBER STEVEN LY 1314292 I DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFOOMMITTEE,ALSO ENTERLD. NUMBER) CODE IIFSELFEMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) - OF BUSINESS) 12/12/2012 Republic Services Inc and Affiliated Entities ❑IND 500.00 500.00 18500 N Allied Way, Phoenix, AZ 85054 �p H ❑ PTY ❑ SCC 12/18/2012 John E Quintanilla MIND Partner, Golden Rose 200.00 200 opTH Florist ❑ PTY ❑SCC 12/18/2012 Qiao Garden Hotel Investment, Inc ❑IND ❑COM 1,000.00 1,000.00 801 E Valley Blvd, San Gabriel, CA 91776 ®OTH ❑ PTY ❑ SCC 12/19/2012 Indo Chinese American PAC ❑IND MCOM 3,000.00 3,000.00 2444 Saybrook Ave, Los Angeles, CA 90040 ❑OTH ❑ PTY ❑ SCC 12/19/2012 Joseph Gonzales O coM Councilman, City of 100.00 100.00 ❑OTH South El Monte ❑ PTY ❑SCC SUBTOTAL$ 4,800.00 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule (Continuation Sheet) Type or print In ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers pertod towholedollars. CALIFORNIA 4 ' from 07/01/2012 • • through 1213112012 Page 7 of 15 NAME OF FILER I.D.NUMBER STEVEN LY 1314292 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE IIFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) - OFBUSINESS) 12/19/2012 Unity Auto Service, Inc ❑IND ❑COM 200.00 200.00 2139 San Gabriel Blvd, Rosemead, CA 91770 ®OTH ❑ PTY ❑ SCC 12/19/2012 Automec Sales and Service ❑IND ❑COM 100.00 100.00 8685 Garvey Ave, Rosemead, CA 91770 ®OTH ❑ PTY ❑ SCC 12/19/2012 Cynthia Imperial ©IND Nurse 200.00 200.00 ❑COM ❑ OTH El Encanto Hospital P ❑ PTY ❑ SCC 12/19/2012 AIMS Academy ❑IND 500.00 500.00 346 N Lemon Ave, Rosemead, CA 91770 ❑COM ®OTH ❑ PTY ❑ SCC 12/19/2012 Sunshine Studio, Inc ❑IND ❑COM 1,000.00 1,000.00 2275 Huntington Or, San Marino, CA 91108 ©OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,000.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666/ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 4 , from 07101/2012 - through 12/31/2012 8 of 15 1131N42 NAME OF FILER BER STEVEN LY 2 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSO ENTERLD. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFBELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC, 31) (IF REQUIRED) OFBUSINESS) 12119/2012 JCJ Development LLC ❑IND ❑COM 1,000.00 1,000.00 8728 Valley Blvd, Rosemead, CA 91770 ®OTH ❑ PTY ❑SCC 12/19/2012 Minh Development and Management LLC ❑IND 1,000.00 1,000.00 8728 Valley Blvd, Rosemead, CA 91770 ®0TH ❑ PTY ❑ SCC 12/19/2012 Forepolitics, LLC ❑IND 100.00 100.00 ❑COM 5511 E El Parque St, Long Beach, CA 90815 ®OTH ❑ PTY ❑ SCC 12/19/2012 Holiday Inn Express Rosemead ❑IND ❑COM 3,000.00 x,000.00 705 N San Gabriel Blvd, Rosemead, CA 91770 BOTH ❑ PTY ❑ SCC 12/23/2012 LN Auto Center Inc ❑IND 100.00 100.00 ❑COM 7850 E Garvey Ave, Rosemead, CA 91770 ®OTH ❑ PTY ❑SCC SUBTOTAL$ 5,200.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC— Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule (Continuation Sheet) Type or print in Ink. Rfi_ ...a...... n ..._ar r-. -a: _ _ _ n _ _ _ :_ _ _ _. _ _ _ SCHEDULE A (CONT) m W1'ULaly v0iH .. UULIV1175 RCGolvelu Amounts may be rounaea Statementcovers period towhole dollars. CALIFORNIA from 07/01/2012 PoRm • through 12131/2012 Page 9 of 15 NAME OF FILER I.D. NUMBER STEVEN LY 1314292 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSOENTERI.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF- EMPLOYED, ENTER NAME OFRUSINESS) PERIOD (JAN.1 -DEC, 31) (IF REQUIRED) 12/28/2012 Palm Motel Rosemead ❑IND ❑COM 500.00 500.00 8463 Garvey Ave., Rosemead, CA 91770 ®OTH ❑ PTY [ 12/19/2012 Howard Knee ®IND ❑TH Partner, Blank Rome LLP 300.00 300.00 ❑ 0TH ❑ PTY ❑ SCC 12/19/2012 Rosemead Beauty School ❑IND 1,000.00 1,000.00 8525 E Valley Blvd, Rosemead, CA 91770 ❑COM ®OTH ❑ PTY ❑SCC 12/19/2012 John Tang EIIND ❑ Account Executive, 100.00 100.00 TH ❑0TH Im renta P [I PTY Communications ❑ SCC 12/19!2012 Tsung Ching Hsieh ®IND COM ❑TH Unemployed 100.00 100.00 El OTH ❑ PTY ❑ SCC SUBTOTAL 2000 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH —Other PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666 /ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 07/01/2012 • • 0 ' from 12/31/2012 10 15 through Page of NAME OF FILER I.D. NUMBER STEVEN LY 1314292 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE + (IF SELFEMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12123/2012 Fu -Shun Chen ®IND DC O Owner, San Garve y 3,000.00 3,000.00 Investments LLC ❑ PTY ❑ SCC 12/2612012 Denise Ng Consulting Inc ❑IND ❑COM 200.00 200.00 12304 Wardman St., Whittier, CA 90602 ®OTH ❑ PTY © [_]SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 3,200.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH —Other PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule D .+.....:.::�.:7 v: �nrc: ruuur ca type or print in Ina. Statement covers period V V LL Supporting /Opposing Other Amounts may be rounded CALIFOR to whole dollars. Candidates, Measures and Committees from 07/01/2012 FO SEE INSTRUCTIONS ON REVERSE through 12/3112012 1 1 15 Page of NAME OF FILER I.D. NUMBER Steven Ly 1314292 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) Sandra Armenta for Rosemead City Council ® Monetary 12/09/2012 2013 Contribution 1,000.00 1,000.00 ❑ Nonmonetary FPPC ID: 1314288 Contribution © ❑ Independent ® Support ❑ Oppose Expenditure Thomas Wong for SGVMWD 2012 ® Monetary 09/02/2012 Contribution 1,000.00 1,000.00 FPPC ID: 1347919 ❑ Nonmonetary Contribution 0 ❑ Independent ® Support ❑ Oppose Expenditure Dr. Matthew Lin for Assembly 012 Y ❑ Monetary Design and Production of 10/28/2012 10/28/2012 Assembl District 49 ( Assembly ) Contribution on 1,150.00 1,150.00 Contribution ® Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 3,150.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) $ 4,600.00 2. Unitemized contributions and independent expenditures made this period of under $100 ....................................................... ............................... $ 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ 4,600.00 FPPC Form 460 (Junel01) FPPC Toll -Free Helpllne: 866 /ASK -FPPC Schedule D (Continuation Sheet) Type or print In ink. SCHEDUI_F WCDNTI Summary of Expenditures Amounts may be rounded Statement covers period to whole dollars. Supporting /Opposing Other 0710112012 •' ` . - • Candidates, Measures and Committees from through 12/31/2012 Page 12 of 15 NAME OF FILER I.D. NUMBER Steven Ly 1314292 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT D AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE F REQUIRED PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) Dr. Matthew Lin for Assembly 2012 ❑ Monetary Design and Production of 11102/2012 (Assembly District 49) Contribution mailer 1,325.00 1,325.00 Contribution 0 ® Independent ® Support ❑ Oppose Expenditure Dr. Matthew Lin for Assembly 2012 ❑ Monetary Design and Production of 12/14/2012 (Assembly District 49) Contribution mailer 125.00 125.00 Conlribulion © Independent ® Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1,450.00 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK -FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Steven Ly Type or print in Ink. Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1314292 CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v, or cable airtime and production costs FIL candidate riling /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 PRf print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE RFCOMMrFTEE,ALSO EWER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Valencia and Associates 1619 W Garvey Ave North, Suite 104, West Covina, CA 91790 PRO 8,000.00 Rosemead Kiwanis PO Box 832, Rosemead, CA 91770 MTG 109.00 Thong, Yu, Wong & Lee, LLP PRO 1,100.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 9,209.00 Schedule E Summary 1. Payments made this period of $100 or more. (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).).......... nj 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ Statement covers period e _ , from 07/01/2012 •' through 12/31/2012 Page 13 o f 15 21, $ 406.31 0 21,644.31 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON Type or print In ink, Amounts may be rounded to whole dollars. Statement covers period 07/01/2012 through 12/3112012 SCHEDULEE Page 14 o f 15 I.D, NUMBER Steven Ly 1314292 CODES CW campaign paraphernalia /misc. MBR CNS campaign consultants WG CTB contribution (explain nonmonetary)• OFC CVC civic donations PET RL candidate filingthallol fees PHO FND fundraising events POL IND independent expenditure supporting /opposing others (explain)" POS LEG legal defense PRO LIT campaign literature and mailings PRT you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads VVEB describe the payment. radio airtime and production costs returned contributions campaign workers' salaries Lv. or cable airtime and production costs candidate travel, lodging, and meals staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor voter registration informatlon technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Michael Baddour dba Dynamic Grafx LIT 3,950.00 Political Data Inc CMP 2,030.00 PO Box 59570, Norwalk, CA 90652 City of Rosemead 8838 E Valley Blvd, Rosemead, CA 91770 FIL 3,000.00 United States Post Office POS 190.00 Yard Signs 17211 S. Broadway St. Gardena, CA 90248 PRT 659.00 * Payments that are contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL$ 9,829.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpllne: 866 1ASK -FPPC If one of the following codes accurately describes the payment, Schedule E CODE OR DESCRIPTION OF PAYME Type or print In ink. SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded Statement covers period �, Payments Made to whole dollars. 07/01/2012 •- • 1 from SEE INSTRUCTIONS ON REVERSE through 12/3112012 Page 15 of 15 NAME OF FILER STEVEN LY I.D. NUMBER 1314292 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GW campaign paraphernalialmisc. CNS campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonelary)" MTG OFC meetings and appearances office expenses RFD returned contributions SAL campaign workers' salaries CVC civic donations FIL candidate 8ling /ballot fees PET PHO petition circulating banks TEL l.v. or cable airtime and production costs FIND fundraising vents 0 POL phone polling and survey research TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals lodging, IND Independent expenditure supporting /opposing others (explain)' LEG legal defense POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor Lfr campaign literature and mailings PRO PRr professional services (legal, accounting) VOT voter registration print ads VVEB Information technology costs (Internet. e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO EWER I.O. NUMBER) CODE OR DESCRIPTION OF PAYME AMOUNT PAID 888 Seafood Restaurant 8450 Valley Blvd, Rosemead, CA 91770 FND 2,200.00 "Paymentsthatare contributions or independent expenditures mustalso besummarized on Schedule D. SUBTOTAL$ 2,200.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 886 /ASK -FPPC