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Home My Public Portal AboutForm 460 (Oct 1 - Oct 18, 2014)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp RECEIVED Statement covers period Date of election if applicable: OCT 2':: 2014 Page from 10/01/2014 (Month, Day, Year) CITY CLERK through 10/18/2014 11/04/201L C OF CLAREMONT 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee x❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) © Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER :OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners STREET ADDRESS (NO P.O. BOX) 455 Capitol Mall, Suite 600 CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95814 (916)442-7757 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX / E-MAIL ADDRESS (916)442-7759 / fppc@bmhlaw.com STATE ZIP CODE AREA CODE/PHONE 2. Type of Statement: ❑x Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of _a__ For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Thomas W. Hiltachk MAILING ADDRESS 455 Capitol Mall, Suite 600 CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95614 (916)442-7757 NAME OF ASSISTANT TREASURER, IF ANY Ashlee N. Titus MAILING ADDRESS 455 Capitol Mall, Suite 600 CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95814 (916)442-7757 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 contain h rein 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 10/19/2014 Dale Executed on Date Executed on Date Executed on Date www.netfile.com By By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California V Recipient Committee Type or print in ink. Campaign Statement Cover Page — Part 2 COVERPAGE-PART2 Page 2 of 13 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Measure W OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT XJ OPPOSE City of Claremont RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com 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 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. ' Statement covers period from 10/01/2014 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page 3 of 13 NAME OF FILER I.D. NUMBER STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners 1368321 To Contributions Received . Column oD (FROM ATTACHED SCHEDULES) 6. Payments Made ................................:...................... Column B TOTALTO DATE Calendar Year Summary for Candidates g Primary Running in Both the State Prima and 78,632.73 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.00 $ 288, 299.67 10. Nonmonetary Adjustment .......................................... Schedule C, Line 35.98 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule B, Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 0.00$ 286,299.67 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 35.98 162.67 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED.......••..................AddLines3+4 $ 35.98 $ 288,462.34 Made $ $ Expenditures Made 6. Payments Made ................................:...................... Schedule e, Line 4 $ 78,632.73 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 78,632.73 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 29,303.19 10. Nonmonetary Adjustment .......................................... Schedule C, Line 35.98 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 107,971.90 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 116, 812.16 13. Cash Receipts ................................................... Column A, Line 3 above 0.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8 above 78,632.73 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 38,179.43 if this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ www.netfile.com 0.00 47.587.61 $ 250,120.24 0.00 $ 250,120.24 47,587.61 162.67 $ 297,870.52 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule C Type or print in ink. _ ___ _ ___ _ SCHEDULEC Nonmonetary Contributions Received ~„'VtowholedollarsF,UeQ Statement covers period . from 10/01/2014 G1 • SEE INSTRUCTIONS ON REVERSE through 10/18/2014 page 4 of 13 NAME OF FILER LD.NUMBER STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners 1368321 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 -DEC 31) (IF REQUIRED) 0/02/2014 Golden State Water Company ❑IND In-kind 35.98 277,719.01 630 E. Foothill Blvd. ❑COM contribution for San Dimas, CA 91773 postage x❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND. ❑COM ❑ OTH ❑ PT' ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 35.98 = �. Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) $ 35.98 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 0.00 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 $ 35.98 www.netfile.com '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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Type or print in ink. Pa menu Made Amounts may be rounded y to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Statement covers period from 10/01/2014 through 10/18/2014 STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 5 of 13 I.D. NUMBER 1368321 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Randle Communications 925 L Street, Suite 1275 Sacramento, CA 95814 GreenStripe Media, Inc. 424 Old Newport Beach Blvd. Newport Beach, CA 92663 Dan Siwulec Communications Marketing Inc. 15135 Sunset Blvd., Suite 240 Pacific Palisades, CA 90272 CODE OR PRT LIT CNS, OFC, TRS DESCRIPTION OF PAYMENT AMOUNTPAID 18,2B4.42 3,918.00 6,042.22 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 28,244.64 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 78, 632.73 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............ ..... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 78, 632.73 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com Schedule E SCHEDULE E (CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded • Payments Made to whole dollars. from 10/01/2014 • - SEE INSTRUCTIONS ON REVERSE I through 10/18/2014 Page 6 of 13 NAME OF FILER I.D. NUMBER STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners 1368321 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings FRT 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) Dan Siwulec Communications Marketing Inc. LIT 575.00 15135 Sunset Blvd., Suite 240 Pacific Palisades, CA 90272 Dan Siwulec Communications Marketing Inc. POS 4,500.00 15135 Sunset Blvd., Suite 240 Pacific Palisades, CA 90272 SDA Creative Inc. CMP, CNS, OFC, PRT, TRS, WEB 14,288.09 34700 Pacific Coast Highway, Suite 304 Capistrano Beach, CA 92624 Manter Communications CNS 20,000.00 2640 E1 Dorado Tustin, CA 92782 Dan Siwulec Communications Marketing Inc. POS 9,000.00 15135 Sunset Blvd., Suite 240 Pacific Palisades, CA 90272 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 48,363.09 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.neffile.com Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 10/18/2014 STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners SCHEDULE E (CONT.) Page 7 of 13 I.D. NUMBER 1368321 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) - CODE OR DESCRIPTION OF PAYMENT - - AMOUNTPAID - The Walking Man, Inc. B01 E. 6th Street Los Angeles, CA 90021 LIT 2,025.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,025.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.neifile.com Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 10/18/2014 SCHEDULE F Page 8 of 13 I.D. NUMBER STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners I. 1368321 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHIP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 18,284.42$ 32, 639.41$ 18,284.42$ 32,639.41 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 47, 587.61 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 18, 284.42 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)............................................................................... .......................................... ...................... NET $ 29,303.19 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com ( ( (c) ( NAME AND ADDRESS OF CREDITOR CODE OR -OUTSTAA NDING AMOUNT IN NCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Randle Communications CNS, OFC, TRS 18,284.42 0.00 18,284.42 0.00 925 L Street, Suite 1275 Sacramento, CA 95814 Bell, McAndrews & Hiltachk, LLP PRO 0.00 17,039.63 0.00 17,039.63 455 Capitol Mall, Suite 600 Sacramento, CA 95814 SDA Creative Inc. CMP, POS, PRT, TRS, 0.00 15,599.78 0.00 15,599.78 34700 Pacific Coast Highway, Suite 304 WEB Capistrano Beach, CA 92624 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 18,284.42$ 32, 639.41$ 18,284.42$ 32,639.41 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 47, 587.61 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 18, 284.42 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)............................................................................... .......................................... ...................... NET $ 29,303.19 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. . Statement covers period from 10/01/2014 through 10/18/2014 STOP,the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners SCHEDULE F (CONT.) Page 9 of 13 I.D. NUMBER 1368321 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG. meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR CODE OR ( OUTSTAA NDING ( AMOUNT IN NCURRED (c) AMOUNT PAID ( OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Dan Siwulec Communications Marketing Inc. CMP 0.00 4,108.66 0.00 4,108.66 15135 Sunset Blvd., Suite 240 Pacific Palisades, CA 90272 Randle Communications CNS, TRS 0.00 10,839.54 0.00 10,839.54 925 L Street, Suite 1275 Sacramento, CA 95814 SUBTOTALS $ 0.00$ 14,948.20$ 0.00 $ 14,948.20 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfile.com Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This. Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 10/18/2014 STOP the Water Tax - NO on W - sponsored by Golden State Water Company and supported by Claremont Taxpayers and Homeowners NAME OF AGENT OR INDEPENDENT CONTRACTOR Dan Siwulec Communications Marketing Inc. SCHEDULE G Page 10 of 13 I.D. NUMBER 1368321 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Seaside Political Printing & Direct Mail LIT 4,651.16 1220 East 4th Street Long Beach, CA 90802 Service Mailers . LIT 1,576.03 3101 Exposition Place Los Angeles, CA 90018 United States Postal Service POS 4,500.00 15209 W Sunset Blvd. Pacific Palisades, CA 90272 United States Postal Service POS 9,000.00 15209 W Sunset Blvd. Pacific Palisades, CA 90272 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 19, 727.19 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Contractor (on Behalf of This Committee) t0 whole dollars. from 10/01/2014 SEE INSTRUCTIONS ON REVERSE NAME OF FILER STOP the Water Tax NO on W - sponsored by Golden State Water NAME OF AGENT OR INDEPENDENT CONTRACTOR GreenStripe Media, Inc. through 10/18/2014 and supported by Claremont Taxpayers and Homeowners Page 11 of 13 I.D. NUMBER 1368321 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNOP 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Claremont Courier 1420 N. Claremont Blvd. Claremont, CA 91711 PRT 3,918.00 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 3,918.00 " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. STOP the Water Tax - NO on W - sponsored by Golden State Water Company and su NAME OF AGENT OR INDEPENDENT CONTRACTOR SDA Creative Inc. Statement covers period from 10/01/2014 through 10/18/2014 d by Claremont Taxpayers and Homeowners SCHEDULE G Page 12 of 13 I.D. NUMBER 1368321 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PFO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) " Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Southwest Airlines TRS 493.70 2702 Love Field Drive Dallas, TX 75235 The Claremont Courier PRT 1,675.00 1420 N. Claremont Blvd. Claremont, CA 91711 DoubleTree TRS 589.26 555 West Foothill Blvd. Claremont, CA 91711 Facebook, Inc. WEB 1,800.00 1601 S. California Avenue Palo Alto, CA 94306 Attach additional information on appropriately labeled continuation sheets. TOTAL` $ 4,557.96 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) --Schedule G (Continuation Sheet) Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER STOP the Water Tax - NO on W - sponsored by Golden State Water NAME OF AGENT OR INDEPENDENT CONTRACTOR SDA Creative Inc. Type or print in ink. Amounts may be rounded to whole dollars. Statement covers from 10/01/2014 through 10/18/2014 and supported by Claremont Taxpayers and Homeowners SCHEDULE G - Page 13 of 13 I.D. NUMBER 1368321 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAMEAND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Hertz Car Rental TRS 702.55 9000 Airport Blvd. Los Angeles, CA 90045 James Litho CMP 1,788.00 4462 East Airport Drive Ontario, CA 91761 Political Data, Inc. WEB 646.29 12501 Imperial Highway, Suite 200 Norwalk, CA 90650 The Claremont Courier PRT 2,450.00 1420 N. Claremont Blvd. Claremont, CA 91711 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 5,586.84 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)