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Home My Public Portal AboutForm 460 (July 1, 2012 - Jan 24, 2013) Recipient Committee Campaign Statement Cover Page . (Government Code Sections 84200-84216.5) Type or print in ink. COVER PAGE Ec~t"'E I' CALlFORNI..\. 460 , 20.o1i'0::: FORPI~ from 7-1-13 Statement covers period SEE INSTRUCTIONS ON REVERSE 1-24-13 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. iii Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Parl5) o Ballot Measure Committee o Primarily Formed o Controlled o Sponsored (Also Complete Parl6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate/ Officeholder Committee (Also Complete Parl7) Date of election if applicable: (Month, Day, Year) JAN 2 ~ 2013 CITY CLERK ITY OF ClAREMON', For Official Use Only 1 of 14 Page 3-5-13 2. Type of Statement: IKI Preelection Statement o Semi-annual Statement o Termination Statement o Amendment (Explain below) o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 3. Committee Information LD. NUMBER 1272663 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Corey Calaycay 2013 STREET ADDRESS (NO P.O. BOX) 1555 West Baseline Road CITY Claremont STATE ZIP CODE CA 91711 AREA CODE/PHONE (909) 593-5913 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 Robert W. Bowcock MAILING ADDRESS 405 North Indian Hill Boulevard CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE (909) 621-1266 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAil ADDRESS erein and in the attached schedules is true and complete. 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best y kno d e the information con certify under penalty of perjury under the laws of the State of California that the foregoing i true and cor ct By By By By FPPC Fonn 460 (June/Oil FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Signature of Controlling Officeholder, Candidate, State Measure Proponent Type or print in ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Corey Calaycay OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Claremont RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1555 West Baseline Road; Claremont, CA 91711 Related Committees Not Included in this Statement: Listanycommittees 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? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE. PART 2 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION o SUPPORT o 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 officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD IKII SUPPORT Corey Calaycay City Council o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 01 SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK.FPPC State of California Campaign Disclosure Statement Summary Page SEE\INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE from through Statement covers period CA.UFORNI4 460 FORM 7-1-13 1-24-13 3 of 14 Page 1.0. NUMBER Contributions Received 1272663 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 4,546.00 $ 4,546.00 0.00 0.00 4,546.00 $ 4,546.00 0.00 4,546.00 $ 4,546.00 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received ...................................................... Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ........ ......... .......................... .................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................AddLines 8 + 9 + 10 $ 100.00 0.00 100.00 0.00 0.00 100.00 $ 100.00 0.00 100.00 0.00 0.00 100.00 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) ----1----1_ $ ----1----1_ $ ----1----1_ $ ----1----1_ $ ----1----1_ $ ----1----1_ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ...... .......... ..... ....... ......... ........ ...... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments.. ......... ......... ...... ........... ............. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 0.00 4,546.00 0.00 100 4,446.00 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, 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 8 above $ 0.00 0.00 $ $ 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 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). .Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 SCHEDULE A CALlFORNI~ 460 FORM from 7-1-13 through 1-24-13 4 of 14 Page 1.0. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * 1272663 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12-9-12 Brent Abrenica ~IND OCOM 1862 Andrea Drive OOTH Palmdale, CA 93551 OPTY OSCC 12-9-12 Beth Amheiser K1IND OCOM 1002 Pomello Drive OOTH Claremont, CA 91711 OPTY oscc 12-9-12 Mario & Robin Gottuso K1IND OCOM 1400 Niagara Avenue OOTH Claremont, CA 91711 OPTY OSCC 12-9-12 Theodore & Linda Kovach K1IND OCOM 916 Glenville Drive OOTH Claremont, CA 91711 OPTY oscc 12-9-12 Rodrigo & lona Miranda K1IND OCOM 1070 Pomello Drive OOTH Claremont, CA 91711 OPTY oscc Lockheed Martin 100.00 100.00 100.00 Coachella Valley Water District 100.00 100.00 100.00 Real Estate by Robin 200.00 200.00 200.00 Retired 250.00 250.00 250.00 Rodefx 200.00 200.00 200.00 SUBTOTAL $ 850.00 \jf:~~:~\~;,i{~;':~~S' ~_:;~~12'~~t;~?:'~1'1 Schedule A Summary 1. Amount received this period - contributions of $1 00 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized 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 $ 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee 1,200.00 3,346.00 4,546.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Committee to Elect Corey Calaycay 2013 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 12-9-12 IKlIND OCOM OOTH OPTY OSCC IK]IND OCOM OOTH OPTY OSCC OiND OCOM OOTH OPTY OSCC OiND OCOM OOTH OPTY OSCC OiND OCOM OOTH OPTY OSCC Kathryn Nasiali 220 Ferris Street Claremont, California 91711 12-9-12 Adrian Vargas 7250 Lion Street Rancho Cucamonga, CA 91730 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired Vargas Produce SUBTOTAL $ SCHEDULE A (CONT.) from Statement covers period 7-1-13 CALIFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD 250.00 100.00 1-24-13 5 of 14 Page I.D. NUMBER '1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 250.00 250.00 100.00 100.00 350.00 ,:j~~::j..?~~:::~1;,:~?~,tf'~?~~3 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a (b) OUTSTANDING AMOUNT BALANCE BEGINNING THIS RECEIVED THIS PERI D PERIOD Ie) AMOUNT PAID OR FORGIVEN THIS PERIOD * o PAID $ o FORGIVEN to IND 0 eOM 0 OTH 0 PTY 0 see $ $ $ o PAID $ $ o FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 SCC $ o PAID $ o FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 SCC $ SUBTOTALS $ $ Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) from Statement covers period 7-1-13 through 1-24-13 SCHEDULE B - PART 1 CAUFORNI"\ 460 FORM Page 6 I.D. NUMBER of 14 0.00 0.00 0.00 1272663 ( ) OUTSTANDING BALANCE AT CLOSE OF THIS ERIOD $ DATE DUE DATE DUE DATE DUE $ (May be a negative number) t Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee e INTEREST PAID THIS PERIOD _'\7, RATE $, ORIGINAL AMOUNT OF LOAN 9 CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR $, $; PER ELECTION" $, DATE INCURRED CALENDAR YEAR _0/6. $, $, RATE PER ELECTION .. $; DATE INCURRED CALENDAR YEAR _0/6, $, $; RATE PER ELECTION" $, $, $ (Enter (e) on Schedule E, Line 3) $, DATE INCURRED * Amounts forgiven or paid by another party also must be reported on Schedule A. .. If required. . FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES NAME OF BUSINESS) OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of $1 00 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 $ SCHEDULE C Statement covers period CALlFORNI:.\ 460 FORM from 7-1-13 through 1-24-13 Page I.D. NUMBER 7 f 14 0_. 1272663 AMOUNTI FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) 0.00 0.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule 0 Summary 1. Contributions and independent expenditures made this period of$1 00 or more. (Include all Schedule 0 subtotals.) .............................................. $ 2. Unitemized contributions and independent expenditures made this period of under $1 00 ...................................................................................... $ Schedule 0 Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE o Support o Oppose o Support o Oppose o Support o Oppose Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE D Statement covers periOd CAUFORNiA FORM 460 from 7-1-13 through 1-24-13 8 Page _ 1.0. NUMBER 11272663 TYPE OF PAYMENT 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure DESCRIPTION (IF REQUIRED) I CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) AMOUNT THIS PERIOD SUBTOTAL $ 0.00 0.00 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enteron the Summary Page.) .............. TOTAL $ - FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER Committee to Elect Corey Calaycay 2013 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE o Support o Oppose o Support o Oppose o Support o Oppose o Support o Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure SUBTOTAL $ T from Statement covers period 7-1-13 CALiFORNI.~ 460 FORM through AMOUNT THIS PERIOD 1-24-13 9 14 Page_ of_. I.D. NUMBER 1272663 I CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC from 7-1-13 CA.LiFORN!A. 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 through 1-24-13 10 Page of 14 I.D. NUMBER Committee to Elect Corey Calaycay 2013 1272663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a,p 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 A-iO phone banks mc candidate travel, lodging, and meals FND fundraising events POL polling and survey research ms staff/spouse travel, lodging, and meals INO 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 UT campaign literature and mailings PRT print ads \/VEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Claremont FIL Filing Fee $50.00 California Secretary of State FIL Committee Fee $50.00 · Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $100.00 Schedule E Summary 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotals,) .................................................................................................. $ 2. Unitemized payments made this period of under $1 00 .. .......... ... ..... ....... ..... .... ......... ..... ..... .............. ..... ...................... .... ........ ...... ....... ...... ....... ..... $ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, 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 $ 0.00 100.00 0.00 100.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. C.A.L1FORN!A 460 FORM from Statement covers period 7-1-13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 1-24-13 page~ of 14 Committee to Elect Corey Calaycay 2013 I.D. NUMBER 1272663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O\/P campaign parapher,nalia/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 INO 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 \.I\EB information technology costs (internet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD I .' .' '\ \ \ --.-, " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ $ $ $ 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 $ 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 un itemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 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 $ 0.00 0.00 0.00 May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) CALlFORN!~ 460 FORM SCHEDULE G Type or print in ink. Amounts may be rounded to whole dollars. from Statement covers period 7-1-13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 NAME OF AGENT OR INDEPENDENT CONTRACTOR through 1-24-13 Page~ of~ 1.0. NUMBER 1272663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. avP 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 FEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks me candidate travel, lodging, and meals FND fundraising events POL polling and survey research ms staff/spouse travel, lodging, and meals INO 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 I (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL * $ 0.00 , 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. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule H Loans Made to Others* Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 2013 FULL NAME. STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (0) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD $ *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ from Statement covers period 7-1-13 through (e) REPAYMENT OR FORGIVENESS THIS PERIOD" (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD o PAID $ $ o FORGIVEN $; DATE DUE o PAID $; o FORGIVEN $; DATE DUE $ $ Schedule H Summary 1. Loans made this period .................................................................................................................................................. $ (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans ........................................................................................................................................... $ (Total Column (c) plus un itemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) 1-24-13 (e) INTEREST RECEIVED _o/~ RATE SCHEDULE H CALJFORNIA 460 FORM Page 13 I.D. NUMBER of 14 1272663 (I) ORIGINAL AMOUNTOF LOAN (g) CUMULATIVE LOANS TO DATE I CALENDAR YEAR $; $; PER ELECTION" $; $; DATE INCURRED CALENDAR YEAR _0/6. $; $; RATE PER ELECTION" $; $; DATE INCURRED $ (Enter (e) on Schedule I. Line 3) (May be a negatIve number) 0.00 ""If Required . i 0.00 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 7-1-13 1-24-13 CALlFORI'I1 ~ 460 FORM SCHEDULE I from 14 14 Page ___ of_ I.D. NUMBER , Committee to Elect Corey Calaycay 2013 1272663 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period. .......................................................................................................... $ 2. Unitemized increases to cash under $100 this period. .............................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ................:.......................................................................................................... TOTAL $ 0.00 0.00 0.00 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC