HomeMy WebLinkAboutJianguo Jason Wang Nomination Papers.pdfOfficial Date Stamp
AUG 12 PIN 3_ �0
Y MANAGEROS OFFICE
t lTv OFeDIA 110ND 13A
CITY OF DIAMOND BAR
OFFICE OF THE CITY CLERK
DATE/TIME RECEIPT FOR
CANDIDATE PAPER SUBMITTAL
IVi fv�,�ti�
Candidate Name
City Clerk Signature
California Secretary of State
BALLOT DESIGNATION WORKSHEET
November 8, 2022, General Election (Elections Code §§ 8168, 13107, 13107.3, 13107.5; California Code of Regulations § 20711)
This entire form must be completed, or it will not be accepted and you will not be entitled to a ballot designation. DO NOT LEAVE ANY RESPONSE
SPACES BLANK. If information requested is not applicable, please write "N/A" in the space provided, otherwise the information MUST be provided. UPON
FILING, THIS WORKSHEET WILL BE A PUBLIC DOCUMENT.
Candidate Name: ( b4maim e � Q r � r � t Gender (optional, for translation use on
Email:
1
Candidate
Information
Attorney
Information
1 Home Address:
Business Address:
Phone Number(s)
Business:
Attorney Name (or other pers�
2 Address:
Phone Number(s)
Business:
authorized to act on
Home/Mobile:
You may select as your ballot designation one of the following designations:
Fax:
c
l,]
(a) Your current principal profession(s), vocation(s), or occupation(s) [maximum total of three words, separated by a slash ("/")].
(b) The full title of the public office you currently occupy and to which you were elected.
(c) "Appointed [full title of public office]" if you currently serve by appointment in an elective public office and are seeking election to the same office or
to some other office.
(d) "Incumbent" if you were elected (or, if you are a Superior Court Judge, you are a candidate for the same office that you hold) to your current
public office and seek election to the same office. NOTE: A candidate for the office of Representative in Congress, Member of the State Board
of Equalization, State Senator, or Member of the Assembly shall not choose the word "incumbent" as a designation to appear on the
ballot.
(e) "Appointed Incumbent" if you were appointed to your current elective public office and seek election to the same office.
Proposed Ballot Designation(s): Q �� &&,l
Proposed
Ballot 3 Alternate Ballot Designation(s) 1: P ,/t I1�1+~jl�m
Designation(s)
Alternate Ballot Designation(s) 2:
In the spaces provided on the next page(s):
(a) Describe why you believe you are entitled to use the proposed ballot designation.
(b) If your proposed ballot designation contains one or more slashes (7') separating words in your ballot designation for separate principal profession(s),
vocation(s), or occupation(s) (collectively known as "PVOs"), complete a justification section for each separate PVO.
(c) Attach any documents or exhibits that you believe support your proposed ballot designation.
(d) If using the title of an elective office, attach a copy of your certificate of election or appointment.
(e) Any supporting documents will not be returned to you. Do not submit originals.
It is your responsibility to justify your proposed ballot designation and to provide all requested details.
If your proposed ballot designation includes the word "volunteer," indicate the title of your volunteer position and the name of the entity for which you volunteer
aInng with a brief description of the type of volunteer work you do and the approximate amount of time involved. You may only use the ballot designation
"community volunteer" if you volunteer fora 501(c)(3) charitable, educational, or religious organization, a governmental agency or an educational institution.
You may not use "community volunteer" together with another designation.
Rev 1112021
California Secretary of State
(- BALLOT DESIGNATION WORKSHEET
:F November 8, 2022, General Election (Elections Code §§ 8168, 13107, 13107.3, 13107.5; California Code of Regulations § 20711) Page 2
If your proposed ballot designation contains one or more slashes ("/") separating multiple principal profession(s), vocation(s), or occupations) (collectively
known as TVOs"), complete a justification section for each separate PVO.
Justification
for use of
Proposed
Ballot
Designation(s)
If you are
proposing
alternate ballot
designations,
please provide
justification for
use of those on
Page 3.
Justification for use of 1st PVO:
Current or most recent job title:
Start/End Dates:
Employer Name or Business:
Person who can verify this information:
Name:
Phone Number(s):
Email:
Justification for use of 2nd PVO:
1
g
COW/ � I
Current or most recent job title:
j i1%%i
rbt-h �' ��1 "1� _
�1; Gi Start/End Dates: - �Di
_
Employer Name or Business: AW2
2,
Person who can verify this information:
bYJ
Phone Number(s):
/K 0ZName:
�6a Email:
Justification for us of 3'd PVO:
Current or most recent job title:
Start/End Dates:
Employer Name or Business:
Person who can verify this information:
Name:
Phone Number(s):
Email:
Before signing below, answerlinitial the following questions. Does your proposed ballot designation:
)
) 4
) 6
) 8
) 1)
2)
1
X
f your current elected office?
on -judicial candidates: Use only the word "Incumbent" for
Uthe an elective office to which appointed? you were
Use more than three total words for your principal professions, vocations, or occupations?
Suggest an evaluation of you, such as outstanding, leading, expert, virtuous, or eminent?
Refer to a status (Veteran, Activist, Founder, Scholar), rather than a profession, vocation, or occupations?
Abbreviate the word "retired?
N
Place the word "retired" after the words it modifies? Example: Accountant, retired
Use a word or prefix (except "retired")such as "former" or "ex" to refer to a former profession, vocation, or occupation?
Use the word "retired" along with a current profession, vocation, or occupation? Example: Retired Firefighter/Teacher
Use the name of a political party or political body?
Refer to a racial, religious, or ethnic group?
Refer to any activity prohibited by law?
If the answer to any of
questions is
❑Yes o Initial
❑YesJNo InitialNo Initial..)Y
❑Yes�No Initial
❑Yes�,,No Initial,
❑Yes No Initial
❑Yes No Initial
❑Yes Q No Initial
❑Yesi�No
❑Yes R No
❑Yes q No
your proposed ballot designation is likely to be rejected.
For your reference, attached are Elections Code sections 13107, 13107.3, and 13107.5, and California Code of Regulations (CCR), title 2, section 20711. You also may wish
to consult CCR, title 2, sections, 20712-20719 (found at www.sos.ca.00v).
Rev 11/2021
y,
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CANDIDATE STATEMENT FORM - NONPARTISAN OFFICES
READ INFORMATION ON BACK OF FORM BEFORE SUBMITTING STATEMENT
STATEMENT OFJ iagt Ja3M
(CANDIDATE FOR:
COU4101( M1006 a V1' r1a 5
ELECTION DATE: November 8, 2022
AGE: C�
OCCUPATION:
[BEGIN STATEMENT HERE (1 COLUMN)]
INSTRUCTIONS:
Please type your statement in the first column
using upper- and lower-case letters. If you would
like a two (2) column statement, then please use
two forms. The statement text will be typeset
using font style Times New Roman, size 11 point
or a comparable size and style determined by
system requirements. However, the statement
can be submitted using any standard font and will
later be formatted to fit system requirements.
See reverse side for information and guidelines
including formatting restrictions.
The second column is for additional space for
the candidate statement of a single Candidate
who would like a two (2) column statement (within
the word limit, if word limits apply) or the second
column space will be populated with the next
candidate statement by another Candidate in the
Official Sample Ballot Booklet. The format and
style of the candidate statement are in a column
width (newspaper) style and the estimated cost of
the candidate statement is derived from per
column use.
NOTE: Spanish may be longer than the English
version, so the statement may continue over into
the second column for an estimated cost of two
(2) columns. For more information, please contact
the Election Planning Section at
electionplanning@rrcc.lacounty.gov.
Column 1 Column 2 CSF 12/21
CANDIDATE STATEMENT INFORMATION AND GUIDELINES
(Elections Code Sections 13307, 13308, 13311 and 13313)
GENERAL INFORMATION:
riling of a statement
is optional and applies to
local nonpartisan
offices.
FILING PERIOD: Statement
must be filed no later
than the close of business
hours on the last
day of the candidate nomination period.
WITHDRAWAL: A candidate statement cannot be changed or revised once it is filed. A candidate statement may be withdrawn by 5 P.M. of the next
business day after the last day to file the statement.
CONTENTS: Statement may include candidate's age and occupation and a 200 words description of the candidate's education and qualifications. Some
jurisdictions increase the word limit to 400 words.
FORMAT/VYORD COUNT: Please refer to the Candidate Handbook (Section 1 Chapter 3) for detailed information regarding format and word
counting guidelines.
RESTRICTIONS: The candidate statement shall not include the parry affiliation of the candidate nor reference any membership or activity in political
organizations. Please refer to the Candidate Handbook (Section 1 Chapter 3) for more information.
PUBLIC EXAMINATION PERIOD: Candidate statements shall be confidential until the close of the nomination period. Once the nomination period closes,
the statements are open to public examination for a ten (10) calendar day period. During the examination period, candidate listings, candidate statements,
candidate names and ballot designations (or occupation) on ballot shall be open to public examination. Any person may file a write of mandate or an injunction to
challenge and possibly amend any or all of the material/data (E.C. 13313). If the filing period is extended for a particular office, the examination period for that
office shall be adjusted. A fee may be charged to any candidate/person obtaining a copy of the material.,
CANDIDATES FILING IN SHARED DISTRICTS: Your candidate statement must be filed with the county elections official in each county where you wish to
have your statement printed (e.g., if you wish to have your statement printed in both Los Angeles and Ventura Counties, then you must submit one
(1) copy of your statement and the appropriate fee to each county where you intend to have your statement appear in the Official Sample Ballot Booklet).
The elections official will not forward your candidate statement or estimated shared cost to neighboring counties.
ESTIMATED COST
The estimate is just an approximation of the actual cost that varies from one election to another election and may be significantly more or less than the
estimate, depending on number of voter registration, the length and/or format of the statement submitted, and printing cost. Accordingly, the elections official is
not bound by the estimate and may, on a pro rata basis, bill the candidate for additional actual expense to or refund any excess paid depending on the final
actual cost. In the event of underpayment, the elections official may require the candidate pay to the balance of the cost incurred. In the event of overpayment,
the elections official shall prorate the excess amount among the candidates and refund the excess amount paid.
Pursuant to California law, the local agency has authorized a 0 200
0 In advance by all candidates
District will bill candidate after the election
The estimated cost of your English statement is $Fnn
400 word maximum, and requires that the estimated cost be paid:
0 District will pay for all candidate statements
7
The estimated cost of your English & Spanish statement is $1,200
NOTE: Cost is estimated on a per column basis and may double, triple, or quadruple depending on your language selections) and/or statement formatting.
1 have read and understood the provisions contained on this form and in the Candidate Handbook and Resource Guide, and
request that my statement as shown on the reverse side be printed as indicated:
Please mark (x) ne box: English English & Spanish 0
Phone Numbers
Umature of Candidate
aytime
DO NOT PRINT THIS STATEMENT IN THE EVENT
There is no opposition to this contest on the ballot.
No other candidate for this contest files a statement.
Initials Initials
OFFICE USE ONLY
Verified filing of Declaration of Candidacy
and/or Nomination Papers
Date Election Official
Revised on 1/5/2022 (CSI 01/22)
Project No.
Candidate No.
Total No. of Words:
Total No. of
Enhanced Words:
By Elections Official
Deputy:
My wife and I are the parents of two DBHS students. Kids proudly grow up in
DB and graduated from MapleHill and Chaparral. We have lived in District 3
for over 10 years.
Originally from Shandong, China and came to USA 23 years ago, I earned a M.S.
from Michigan State University and have worked as a computer engineer
focusing on one homeland security area for over 20 years.
I am actively serving our local community as volunteer:
DBHS CAPA board member, assisting parents, students and school
Founder of DB neighborhood online groups with around 1000
members. The groups aim for neighborhood security awareness,
assisting neighbors in finding solutions for issues raised from daily lives,
supporting neighborhood local business.
I am running for the council member -neighborhood security is my first
priority. First month in office, I will start the investigation on recent crimes in
my district and propose measures for better neighborhood security. I will
work for lower crime rate, lower tax and targeting traffic congestion and
reliability. I will come to you, listen to your voice and address your needs.
Serving you for a better and safer community is my true passion and honor.
oEAra c.
Reglstrar-Reeotder/County Cierk
LU5 ANGELES COUNTY
REGISTRAR-RECORDER/COUNTY CLERK.
TRANSLITERATION FORM
I, J /�} ua fJ/4/ f
W ', andidate for nomination to the
I
agree as indicated below:
CHEC ONE:
will accept the transliteration of my name provided
x
County Registrar-Recorder/County Clerk in Armenian,
Cambodian / Khmer, Chinese, Farsi, Gujarati,
Korean, Mongolian, Russian, Telugu, and Thai.
OR
office of
by
the Los Angeles
Bengali,
,
Hindi
Burmese,
Japanese,
I am submitting an attach a transliterations) for the language(s�tovr
1 will accept the transliteration of my name provided by the Los Angeles County
�,. Registrar-Recorder/County Clerk for any language not submitted.
Languages
Armenian:
Bengali:
Burmese:
Name Transliteration
Cambodian/Khmer: _
Chinese: .�
Farsi:
Gujarati:
Hindi:
GENDER:
ah Female
Languages
Japanese:
Korean:
Mongolian:
Russian:
Telugu:
Thai:
Name Transliteration
I am aware of the deadline to submit transliterations and review period. I understand
that I may request changes to transliterations during the review period and that
transliterations are co sidered final upon expiration of the deadline. I further understand
that thpre will not be pi extension of the review period. R
2�0 �?/
ure
Z
Candidate Filing #:
TRN 01/2022
Please type or print in ink.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
12)AM0h 1� ✓ ��'S Ic
Division, Board, Department, District, if applicable
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Your Position
► If filing far multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. JUISdICtion Of Office (Check at least one box)
❑ State
❑ Multi -County
3. Type of Statement (Check at least one box) ;
3
❑ Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is � I through
December 31. 2021.
❑ Assuming Office: Date assumed �—1
My
Candidate: Date of Election 1Z
Position:
Date Initial Filing. Received
Filing Official Use Only
❑JudgeRetired JudgePro Tam Judgeor Court Commissioner
,
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left —��
(Check one circle.)
❑ The period covered is January 1, 2021, through the date o
g f
leavinoffce.
-or-
❑ The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) ►Total number of pages including this cover page: '�
Schedules attached
'q Schedule A-1 -Investments —schedule attached
Schedule A-2 -Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
❑Nonereportable interests on any schedule
5. Verification 4� z� $ 9 3 = �n2il titMAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
Schedule C Income, Loans, &Business Positions —schedule attached
❑ -
❑ Schedule D -Income —Gifts —schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
I have
used
all reasonable
diligence in
preparing this statement.
I have reviewed
this
statement and to
herein
and
in any attached
schedules
is true and complete.
I
acknowledge
this
is a
public document.
I certify under penalty of perjury under the laws of the State of California that the foregoipg is true and co
Date Signed 0 611�e4 /`� '�'4!�
Signature
CODE
knowledge the information contained
your hlmg omcial.)
FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov • 866-2753772 • www.fppc.ca.gov
Page - 5
Required to be given to candidate
Optional to be signed and returned
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesty, and fair play which every candidate for
public office in the State of California has a moral obligation to observe and uphold in order that,
after vigorously contested but fairly conducted campaigns, our citizens may exercise their
constitutional right to a free and untrammeled choice and the will of the people may be fully and
clearly expressed on the issues.
THEREFORE:
(1) 1 SHALL CONDUCT my campaign openly and publicly, discussing the issues as I
see them, presenting my record and policies with sincerity and frankness, and criticizing without
fear or favor the record and policies of my opponents or political parties that merit this criticism.
(2) 1 SHALL NOT USE OR PERMIT the use of character defamation, whispering
campaigns, libel, slander, or scurrilous attacks on any candidate or his or her personal or family life.
(3) 1 SHALL NOT USE OR PERMIT any appeal to negative prejudice based on a
candidate's actual or perceived race, religious creed, color, national origin, ancestry, physical
disability, mental disability, medical condition, marital status, age, sexual orientation, sex, including
gender identity, or any other characteristic set forth in Section 12940 of the Government Code, or
association with another person who has any of the actual or perceived characteristics set forth in
Section 12940 of the Government Code.
(4) 1 SHALL NOT USE OR PERMIT any dishonest or unethical practice that tends to
corrupt or undermine our American system of free elections, or that hampers or prevents the full
and free expression of the will of the voters including acts intended to hinder or prevent any eligible
person from registering to vote, enrolling to vote, or voting.
(5) 1 SHALL NOT coerce election help or campaign contributions for myself or for any
other candidate from my employees.
(6) 1 SHALL IMMEDIATELY AND PUBLICLY REPUDIATE support deriving from any
individual or group that resorts, on behalf of my candidacy or in opposition to that of my opponent,
to the methods and tactics that I condemn. I shall accept responsibility to take firm action against
any subordinate who violates any provision of this code or the laws governing elections.
(7) 1 SHALL DEFEND AND UPHOLD the right of every qualified American voter to full
and equal participation in the electoral process.
I, the undersigned, candidate for election to public office in the State of California or treasurer
or chairperson of a committee making any independent expenditures, hereby voluntarily endorse,
subscribe to, and solemnly pledge myself to conduct my campaign in accordance with the above
principles and practices. , A
l Date
J IA-NbU � J/b6N
Printed
Date
Forms_NominationDocuments\Code of Fair Practices
2008 /Revised 2006 MCADirect
► NAME OF
Iiw!' 9 I
IER,4L D
�4
NESS ENTITY
J
RIPTION OFT IS
SCHEDULE Awl
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
INESS
FAIR MARKET VALUE
$2,000 - $10,000 1
10,001 - $100,000
$100,001 - $1,000,000 Over $1,000,000
�TURE OF INVESTMENT
Stock ❑ Other
(Describe)
Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
DESCRIPTION OF THIS,BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000 $10,001 - $100,000
Y$1001001 - $1,000,000 Over $1,000,000
� URE OF INVESTMENT
Stock F7 Other
(Describe)
Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_I I21 ��21
ACQUIRED DISPOSED
► NAME OF BUSINE S
GENERAL
DESCRIP
)�6 I rl
OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000
100,001 - $1,000,000
�TURE OF INVESTMENT
Stock ❑ Other
$10,001 - $100,000
Over $1,000,000
escn e
Partnership ❑Income Received
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
GENERAL DESCRIP ION OF
$2,000 - $10,000$10,001 - $100,000
$1001001 - $1,000,000 Over $1,000,000
URE OF INVESTMENT
Stock Other
(Describe)
Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSI ESS ENTITY
ti
.c
GENERAL DESCRIPTIO O
FAIR MARKET VALUE
*$2,000 - $10,000
$1005001 - $1,000,000
$10,001 - $100,000
Over $1,000,000
NATURE OF INVESTMENT
Stock � Other
(Describe)
Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
) )21 t )21
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000 � $10,001 - $100,000
$100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
Stack [:] Other
escn e
Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
) )21 ) )21
ACQUIRED DISPOSED
FPPC Form 700 - Schedule A-1 (2021/2022)
advice@fppc.ca.gov • 866-275$772 • www.fppc.ca.gov
Page - 7