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Home My Public Portal AboutForm 460 (June 30, 2012 - Jan 19, 2013) Amendment Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In ink. COVER PAGE CALIFORNIA 460 I FORM Date of election if applicable: (Month, Day, Year) EceivE FEB 2 6 2013 CITY CLERK ITV OF CLAREMON For Official Use Only 3 Statement covers period 06/30/2012 from SEE INSTRUCTIONS ON REVERSE 01/19/13 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [;ZJ Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall . (Also Complete Part 5) o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) of Page 03/05/2013 2. Type of Statement: o o o Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) [;ZJ Amendment (Explain below) Discover oversight in reporting one itemized monetary contribution o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 while reviewing records. 3. Committee Information Treasurer(s) I.D. NUMBER 1314123 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re-elect Larry Schroeder for City Council 2013 STREET ADDRESS (NO P.O. BOX) 619 N Indian Hill Blvd CITY Claremont ZIP CODE 91711 AREA CODE/PHONE 909-702-2033 STATE CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS NAME OF TREASURER Larry Schroeder MAILING ADDRESS 619 N Indian Hill Blvd CITY STATE Claremont CA NAME OF ASSISTANT TREASURER. IF ANY ZIP CODE 91711 AREA CODE/PHONE 90-702-2033 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 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. Executed on 02/26/2013 Date Executed on 02/26/2013 Date Executed on Date Executed on Date By By By By Signature of Controlling Officeholder. Cendidate. State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure p,:,ponent FPPC Fonn 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California from 06/30/2012 CALIFORNIA 460 FORM SCHEDULE E Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-elect Larry Schroeder for City Council 2013 through 01/19/13 page~ of~ 1.0. NUMBER 1314123 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ovf' campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' pas postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings PRT print ads \/liES information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT LMD Print and Mail Printing of contribution envelopes 10722 Arrow Route, Suite 804 LIT 180.00 Rancho Cucamonga, CA 91730 LMD Print and Mail Printing of contribution envelopes 10722 Arrow Route, Suite 804 LIT 180.00 Rancho Cucamonga, CA 91730 Claremont Courier Cost of insert ad in Courier Newspaper 1420 N Claremont Blvd, Suite 205B PRT 240.00 Claremont, CA 91711 · Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 600.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Un itemized payments made this period of under $1 00 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 4,500.96 230.91 .00 4,731.87 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CaNT.) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 06/30/2012 01/19/13 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re-elect Larry Schroeder for City Council 2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. eM> 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) VaT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) through page~ of~ I.D. NUMBER 1314123 NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) LMD Print and Mail Design and print letters, postcard, donation 10722 Arrow Route, Suite 804 LIT envelopes for handout and mailings. Website 2,327.88 Rancho Cucamonga, CA 91730 development. Political Date Inc. Mailing and walking lists. P.O. Box 59570 LIT 350.00 Norwalk, CA 90652 Postmaster Postage for bulk mailing. 1555 E Holt Blvd POS 644.52 Ontario, CA 91761 , LMD Print and Mail Address mailing, presort, and deliver to post office. 10722 Arrow Route, Suite 804 LIT 578.56 Rancho Cucamonga, CA 91730 SUBTOTAL $ 3,900.96 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)