HomeMy Public PortalAboutForm 460 (Feb 17 - May 20, 2013)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200.84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Statement covers period
from 02!17/2013
through
05/20/2013
1. Type of Recipient Committee: all cemmltren -compbm Paro +, 7, ~, ana 4.
m Officeholder, Candidate Controlled Committee ^ Primarity Formed Ballot Measure
Q State Candidate EleCion Committee Committee
Q Recall Q Controlled
talm ComArero Parts) ~ Sponsored
tam camperoPartsl
^ General Purpose Committee
Q Sponsored ^ Pdmadly Formed Candidate/
Q Small Contdbutor Committee Officeholder Committee
Q Polificel PartylCenhal Committee fA/sa compbro Pert ~)
3. Committee Information I ~.D. NUMBER
Re-elect Lany Schroeder for City Council 2013
STREET ADDRESS (N0 P.O. BOX)
619 N Indian Hill Bivd
CITY STATE ZIP CODE AREA CODE/PHONE
Claremont CA 91711 909-702-2033
MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
CITY ~ STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have usetl all reasonable dirlgence in preparing antl reviewing this statement and to the best of my knowledge the information wnfained herein end in the attached schedules Is true and complete. I certify
under penalty o/perjury under the laws of the State of Califomla that the foregoing is tme and coned.
Ex«uled on 0 5/2 01201 3
Dmr
~~~ on 05/20/2013
Executetl
By
ay
Data Smmp
CEIi/E
Date of election N applicable:
MAY 2 0 2013 PagsFor Official Uee Onty7
(Month, Day, Year)
03/05/2013 CITY CLERK
^ OFCLAREMON
2. Type of Statement:
^ Preelection Statement ^ Quarterly Smtement
^ Semi-annual Statement ^ Special Odd-Year Report
® Terminator Statement ^ Supplemental Preelec0on
(Also file a Form 410 Termination) Smtemenl-Attach Form 495
^ Amendment (EXplain below)
Treasurers)
NAME OF TREASURER
Larry Schroeder
MALLING ADDRESS
619 N Indian Hill Blved
CITY STATE ZIP CODE AREA CODE/PHONE
Claremont CA 91711 909-702-2033
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
E%ecuted on Dn ey SlpneGUeafCarboAVpORCehoHar,Ceibtlam,SCam Measu2 PmporeM
FPPC Fomn 488 (January108)
FPPC Toll-Free Xelpllne: BBBIASKfPPC (8881778-9772)
smm ar caurornta
6y 91p,mGVecrCaNOEYp ORwehdtlerCmtlitlata,9mm MeawePrzporcM
Type or print In Ink. COVER PAGE-PART2
Recipient Committee ..
Campaign Statement . • ' • ~
Cover Page -Part 2
Page 2 of 7
5. Officeholder or Candidate Controlled Committee 5. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Larry Schroeder
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Member of the City Council -City of Claremont
RESIDENTIAUBUSINESSRDDRESS (NO. AND STREET) CITY STATE ZIP
619 N Indian Hill Blvd Claremont CA 91711
Related Committees Not Included in this Statement: l.rst any committees
not included Jn tlrls statement that are conerolled by you or are pdmaAty /ormed to receive
contr/butlons w make erpenditures on Dehalf of your candidacy.
ID. NumueH
NAME OF TREASURER ICONiROLLEO COMMITTEE?
^ YES ^ NO
COMMITTEE ADDRESS
(NO
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
NUMBER
^ YES ^ NO
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
BALLOT NO.OR LETTER IlURISDICTION I ^ SUPPORT
^ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
DISIRIGI NU. IY ANY
7. Primarily Formed Candidate/Officeholder Committee LJst names of
oRfcehalder(s) or cantlldate(s) /or whkh tins committee Is prlmadly /ormed.
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 i/ necessary
FPPC Form ~801Januaryl05)
FPPC Toll-Free Helpllne: BBBIASK~FPPC 1888/275-1772)
State of DelHOmle
Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE
Amounts may be rounded 9tetement coven period a -
SummaryPage to whoa aoilara. ~ ~ ~
from 02/17/2013 • -
SEE INSTRUCTIONS ON REVERSE through 05/20/2013 Page 3 of 7
NAME OF FILER I.D. NUMBER
Re-elect Larry Schroeder for City Council 2013 1314123
ColumnA ColumnB Calendar Year Summary for Candidates
Contributions Received ToT^r^~~
ROaATTAClffOSR1EMAEa c"'~N0""''r"a
TOTAITODAiE Runnin In Both the State Prima and
9 ry
~
)
General Elections
1. Monetary Contributions .................................. ......... scneaweq,una3 S 4,799.00 g 5,553.00
000
00)
5
(
~ .00
1/1 through 6130 7/f to Dffie
2. Loans Received ............................................. ......... scnedwe e, une 3 .
,
3 SUBTOTAL CASH CONTRIBUTIONS ao'dunes 1+z $ (201.00) $ 5,553.00 20. Contributions
. ............ ............. Received 8 S
4 Nonmonetary Contributions u'ne 3
Schedub c .00 .00
. ........................... .........
, 21 Expenditures
5 TOTALCONTRIBUTIONSRECEIVED ........... ................gddLines3+4 5 (201.00) $ 5,553.00 Made S S
.
Expenditures Made
6. Payments Made .......................................... ............. scnedwe E, L;ne4
7. Loans Made ................................................ ............. scnadure 11, une 3
8. SUBTOTALCASHPAYMENTS ................... ................. AddL6ies6+~
9. Accrued Expenses (Unpaid Bills) .............. ................. schedweF Une3
10. Nonmonetary Adjustment .......................... ................ schedule c, une 3
11. TOTAL EXPENDITURES MADE .................. ..............add ones a +s + ro
g 3,202.36
.00
g 3,202.36
.00
.00
g 6,746.19
.00
g 6,746.19
.00
.00
g 3,202.36 g 6,746.19
Current Cash Statement
72. Beginning Cash Balance ....................... PreNOUSSummeryPage,unels
t3. Cash Receipts ................................................... Column q,u'ne3above
14. Miscellaneous Increases to Cash ........................... scnedufe 1, u~a 4
15. Cash Payments .................................................. ColumnAUneaebove
16. FJ4DWG CASH BALANCE .......... add Lines 12 + 13 * 14, then subtract Ling 15
1/this is a temlinadon statement, Line 16 must be zero.
$ 3,403.36
(201.00)
.00
3,202.36
$ .00
17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part z $ .00
Cash Equivalents and Outstanding Debts
16. Cash Equivalents ........................................ see instructions on reverse $
19. Outstanding Debts ......................... qdd u'nez+L;ne gin cdumne above 5
.00
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 shouts be
subtracted from previous
period amounts. d this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made•
(n6uEpctto VoNnhry EapsMMpe Llmsi
Date of Election Total to Date
(mMdd/yy)
_J-J $
Amounts in this seGion may be different Rom amounts
reported In Column B.
FPPC Form 460 (January105)
FPPC Toll-Free Helpline: 866IASKfPPC (8661275.3772)
Schedule A Type or print In Ink. SCHEDULE A
Moneta Contributions Received nm°""" may °° r°°"°°°
ry to whole douaro Statement covers period ~ .
~
.
from 02/17/2013 • '
~ -
05120/2013 7
4
SEE INSTRUCTIONS ON REVERSE
through
page
°}
NAME OF FILER I.D. NUMBER
Re-elect Lany Schroeder for City Council 2013 1314123
~~ FULL NAME, STREET ADDRESS AND LP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDNIDUAL, ENTER
OCCUPATION AND EMPLOYER AMOUNT
RECEIVED THIS CUMULATIVE TO DATE
CALENDAR YEAR PER ELECTION
TO DATE
RECENED l1FCOMNRTEE,a.soErrrEnl.n.NUMBER) CODE * QF rE~F-ELPI°vE°,ENrERNAME PERIOD (JAN. t -DEC. 31) (IF REQUIRED)
OFBISINE65)
MIND
02/20/2013 Thomas C. Brayton ^coM Attorney at Law 150.00 150.00
544 Wet 10th Street ^oTH
Claremont, CA 91711 ^ PTY
^scc
m~
03/10/2013 Larry Schroeder ^coM None 4,500.00 4,500.00
619 N Indian Hilt Blvd ^OTH
Claremont, CA 91711 ^PT~'
^scc
^IND
^COM
^OTH
^ PTY
^SCC
^IND
^COM
^ OTH
^ PTY
^SCC
^ MD
^COM
^ OTH
^ PTY
^SCC
SUBTOTALS 4650.00
Schedule A Summary
Amount received this period -itemized monetary contributions. 4,650.00
(Include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 149.00
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
4,799.00
'Conbibutor Cotles
IND-Individual
COM - Recip lent Committee
(other than PTY or SCC)
OTH -Other (e.g., business entlty)
PTY -Political Party
SCC -Smell Conhibutor Committee
FPPC Form 460 (Januaryl06)
FPPC To14Free Helpllne: 3661ASK-FPPC (3661276-3772)
SCHEDULER-PART1
.rr.. ... r..... ...... _.
Schedule B -Part 1 Amounts mey be rounded
Statement covers perlod
a _
Loans Received to whole dollars. 02/17/2013 . ' • ,
from .
05/20/2013 7
5
SEE INSTRUCTIONS ON REVERSE through page
of
NAME OF FILER I.D. NUMBER
Re-elect Larry Schroeder for City Council 2013 1314123
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING Inl
AMOUM lal
AMOUNT PAID OUTS ANDING ~
INTEREST
ORIGINAL 91
CUMULATNE
OF LENDER OCCUPATION AND EMPLOYER
QF SEISFJ9PloYEO,ENTER BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN BALANCE AT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
9FCOMMIRFE,ALSO ENTEn LD.IWIS®ER) NAA1E Of WSwESS7 PERIOD 71iIS PERIOD' PERIOD LOAN TO DATE
Larry Schroeder None ®PA1D CALENDAR YEAR
619 N Indian Hill Blvd s 500.00 f .00 0 % f 500.00 f 500.00
Claremont, CA 91711 ®FORGNEN MTE PER ELECTON"
f 5,000.00 f .00 f 4,500.00 f 00 a
t® IND ^ COM ^ OTH ^ P7Y ^SCC DATE DUE DATE INCURRED
PAID CALENDAR YEAR
S f % S f
FORGNEN _
RA*E PER ELECTION"
S S S S S
t^ IND ^ COM ^ OTH ^ PTY ^SCC DATE WE DATE INCURRED
PAID CALENDAR YEAR
3 S % S S
FORGNEN -
RATE PER ELECTION"
S S S S S
tl] IND ^ COM ^ OTH ^ PTY ^SCC DATE DUE DATE INCURRED
SUBTOTALS S .00 S 5,000.00 $ .00 S .00
Schedule B Summary
1. Loans received this period .................................................................................................................... $ .00
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $ 5,000.00
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Netchan ethis eriod. SubtractLine2fromLinel. ................................................ NET $ (5,000.00)
9 P ( )"°"""""' (May UeanepaWanumoar)
Enter the net here and on the Summary Page, Column A, Line 2.
`Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required.
Itmarlal on
StlMdSa E, L'xn 3)
tContrtbutor Codes
IND-Individual
COM - Redpient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY-Political Party
SCC - Small Conidbutar Committee
FPPC Form 460 (Januaryl05)
FPPC Toll-Free HeIpllne: 866/ASK-FPPC (866/275J772)
Schedule E type or print In Ink. Statement covers perlod
Amounts may be rounded • - I ~ '
Payments Made to whole dollare. 02/17/2013 • -
from
through 05/20/2013 Page 6 of 7
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Re-elect Larry Schroeder for City Counci12013 1314123
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
CrvP campaign paraphernalia/misc. tvER member communications RAD radio airtime and production costs
(~1S campaign consultants MiG meetings and appearances RFD returned centributions
CTB contribution (explain nonmonetery)' OFC office expenses SAL campaign workers' salaries
CVC dvic donations PEI' petition Grculating TEL t.v. or cable airtime and production casts
FIL candidate filing/ballot tees PFIO phone banks TRC candidate travel, lodging, and meals
Ft~D fundraising events POL polling and survey research TRS stafgspouse travel, lodging, and meals
W independent expenditure supportinglopposing 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
Lff campaign literature antl mailings PRT print ads 1NEB information technology costs (intemet, a-maiq
NAME AND ADDRESS OF PAYEE
pF wMMmss. rasoo+n=ltlD.Nta'eErzl CODE OR
LMD Print and Mail
10722 Arrow Route, Suite 804 PRT
Rancho Cucamonga, CA 91730
DESCRIPTION OF PAVMEM I AMOUNT PAID
Printing insert for March Courier Newspaper
Case Moreno
101 N Indian Hill Blvd
Claremont, CA 91711
Election Night Celebration
460.00
450.00
Claremont Heritage I Donation to 501 (c) 3 to close campaign account
840 N Indian Hill Blvd 1,000.00
Claremont, CA 91711
Payments that are contributions or independent expenditures must also be summarized an Schedule D. SUBTOTALS 1,910.00
Schedule E Summary
1. Itemized a menu made this eriod. Include all Schedule E subtotals. $ 3,144.81
P Y P ( ) ..............................................................................................................
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 57.55
P P ( ()) ...............................................................................
3. Total interest aid this eriod on loans. Enter amount from Schedule B, Part 1, Column e . $ .00
4. Total a ments made this eriod. Add Lines 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. TOTAL $ 3,202.36
P Y P ( rY 9 ) .............................
FPPC Form 460 (Januaryl06)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275J772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 0 211 7/20 1 3
SCHEDULEE(CONT)
SEE INSTRUCTIONS ON REVERSE through 05/20/2013 .page 7 of 7
NAME OF FILER I.D. NUMBER
Re-elect Larry Schroeder for City Council 2013 1314123
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
GJP campaign paraphemalialmisc. MSR member communications RAD radio aidime and production costs
CNS campaign censuttants MTG meetings aM appearances RFD returned contributions
CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries
CVC civic donations PEr petition arwlafing TEL t.v. or cable airtime and production costs
FlL candidate filingNafiot fees PF10 Dhone banks 7RC candidate travel, lodging, and meals
FND fundraising events POL polling end survey research TRS staff/spouse travel, lodging, and meals
W intlependent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRD professional services (legal, accounting) VOT voter regisVatian
Lfr campaign literature and mailings PRT pdnt ads wEB Information technology costs (internal, a-maA)
NAME AND ADDRESS OF PAYEE ~
(IF COMMnTEE. AL50 ENTER I.O. NIlMBFR) CODE OR DESCRIPTIONOF PAVMENr AMOUNT PAID
Claremont Senior Foundation
660 N Mountain Avenue
Claremont, CA 91711 Donation to 501 (c) 3 to close campaign account.
1,234.81
'Paymentsthatare contributions or Independent expenditures moat also be summarized on Schedule D. SUBTOTALS 1,234.81
FPPC Form 460 (January105)
FPPC Toll-Free Helpline: 8661ASK-FPPC (86612753772)