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Home My Public Portal AboutForm 460 (Feb 21 - June 30, 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 2-21-13 through 6-30-13 1. Type of Recipient Committee: All commineea-complete Para f, 2, a, ana 4. ® Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure Q State Cantlitlate Election Committee Committee Q Recall (~ Controlled (aso compete carts) 0 Sponsored (Alm CompNfe Part 6) ^ General Purpose Committee ~ Sponsored ^ Primadty Formed Candidate/ l~Small ContributorCommittee Officeholder Committee Political PartylCentral Committee (Also Complete Part 7J 3. Committee Information I.D..^NUMBER Committee to Elect Corey Calaycay 2013 STREET ADDRESS (NO P.O. BO%) 1555 West Baseline Road CITV STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 (909) 593-5913 MAILING ADDRESS (IF DIFFERENTI N0. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS NAME OF TREASURER Robert W. Bowcock MAILING ADDRESS 405 North Indian Hill Boulevard CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 (909) 621-1266 NAME OF ASSISTANT TREASURER, IF ANV CITY STATE 21P CODE AREA CO DEIPHONE OPTIONAL: FA% / E-MAIL ADDRESS 4. Verification I have usetl all reasonable tliligence in preparing antl revievring this statement antl to :rue and complete. I certify untler penalty of perjury under the laws of the State of California that the foregoing is tl Executed on 7-16-13 Dale Executetl on 7-17-13 Dale Executed on Date By By By `V p PAGE JUL 1 7 2013 Page 1 of 6 Date of election if applicable: (Month, Day, Vear) ~ For official Use only CITY CLERK 3-5-13 C TY OF CLAREMON 2. Type of Statement: ^ Preelection Statement ^ Quarterly Statement ^ Semi-annual Statement ^ Special Odd-Vear Report ® Termination Statement ^ Supplemental Preelection (Also file a Fonn 410 Termination) Statement -Attach Form 495 ^ Amendment (Explain below) Treasurer(s) Executed on gy Date Signature ofCaaraling Otficehdtler. CarMiaate, State Measure Proponent FPPC Forth 460 (January/OS) ' FPPC Toll-Free Halpline: 866/ASK-FPPC (866/275-a772) state of California Recipient Committee Campaign Statement Cover Page -Part 2 Page 2 of 6 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Corey Calaycay OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Claremont RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1555 West Baseline Road Claremont, CA 91711 Related Committees Not Included in this Statement: I.isr any committees not included in this statement that are controlled by you or are primarily /ormed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS (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 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER JURISDICTION ^ SUPPORT ^ OPPOSE Identity the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANV 7. Primarily Formed Candidate/Officeholder Committee List names or officeholder(s) or candidate(s) for which this committee is primarily /ormed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT Corey Calaycay Clty COUfICiI ^ 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 Fonn 460 (January/O6) FPPC Toll-Fre¢ Helpline: 866/ASK-FPPC (86fi1276-3772) Stale of California Campaign Disclosure Statement Summary Page Type or print in Ink. Amounts may be rounded Statement covers period to whole dollars. from 2-21-13 through 6-30-13 page 3 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Elect Carey Calaycay 2013 1272663 Contributions Received To ~°lumn oo Colu mn B Calendar Year Summary for Candidates o in Both the State Prima Runnin and (FROMATTACHEDSCHEDU~ES) TOTPLTODATE g ry General Elections 1. Monetary CDntrlbUtlDnS ....................................... .... Scnedule A. Line 3 0.00 $ $ 6,293.00 0 00 O DD 1/t through 6/30 7/1 to Date 2. Loans Received .................................................. .... scnedule e. Line s . . 3 SUBTOTAL CASH CONTRIBUTIONS . .. . ..... AedLines t +2 . $ 0.00 $ 6,293.00 20. Contributions . .._._.. ._ . . . Received $ $ 4. Nonmonetary Contributions ................................ .... scnedule c Lines 0.00 0.00 , 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED ................ ........... Add Liners+q $ 0.00 $ 6,293.00 Made $ ~ $ Expenditures Made 6. Payments Made .......................................... ............. scnedule E. Llne 4 $ 3,318.37 7. Loan6 Made ................................................ ............. Scnedule H. Linea 0.00 8. SUBTOTALCASHPAYMENTS ................... ............_... Add Liner6+~ $ 3,318.37 9. Accrued Expenses (Unpaid Bills) .............. ................. scnedule a une 3 0.00 10. Nonmonetary Adjustment .......................... ................ scnedule c. Line 3 0.00 11. TOTAL EXPENDITURES MADE .................. ..............AddLinesa+s+to $ 3,318.37 g 6,293.00 0.00 g 6,293.00 0.00 $ 0.00 6,293.00 Current Cash Statement 12. Beginning Cash Balance ....................... PrevloussummaryPage.unels $ 3,318.37 13. Cash R0001 is Column A, Line3above 0'00 p ................................................... 14. Miscellaneous Increases to Cash ........................... Scnedule l,Line4 0.00 15. Cash Payments .................................................. column A, Line&above 3,318.37 16. ENDING CASH BALANCE .......... Add Lines 72 + 13 +74, then subtract Line 15 $ 0.00 1/ this is a termination statement. Line 76 must be zem. 17. LOAN GUARANTEES RECEIVED ........................... scnedwe s, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Eq UlValenis ........................................ See insfmctions on reverse $ 19. OUtStdnding Debts ......................... Add Line 2+Line9in Column6above $ 0.00 0.00 To calculate Column B, add amounts in Column A to the correspontling amounts from Column B of your last report. Some amounts in Column A may be negative fgures that shoultl be subtracted from previous period amounts. If this is the first report being filed for this calentlar year. only carry over the amounts from Lines 2. 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` IM euCle<t to Voluntary Expentllture Llmlt) Date of Election Total to Date (mm/dd/yy) 'Amounts in this section may be different from amounts reported in Column 8. FPPC Form 460 (January105) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275.3772) Schedule E Type or print in Ink. Statement covers period Pa menu Made Amounts may be rounded y to whole dollars. 2-21-13 from SEE INSTRUCTIONS ON REVERSE through 6-30-13 page 4 of 6 NAME OF FILER ~ 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 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 tlonations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing ballot fees PFiO phone banks TRC candidate travel, lodging, and meals FND funtlraising events POL polling and survey research TRS stafflspouse travel, lotlging, antl meals h1D independent expenditure supporting/opposing others (explain)' POS postage, delivery antl messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LR campaign literature and mailings PRT print ads WEB information technology costs (internet, a-mail) NAME AND ADDRESS OF PAYEE iiFCOamirree. n~so eNTeRro.NUNaeR7 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID United States Post Office Postage POS 1,024.74 Shoes That Fit CVC Donation 100.00 Claremont Little League CVC Donation 280.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,404.74 Schedule E Summary 1. Itemized a menu made this eriod. Include all Schedule E subtotals. 3,318.37 P Y p ( ) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 0.00 3. Total interest aid this eriod on loans. Enter amount from Schedule B, Part 1, Column e . 0.00 P P ( ()) ...............................................................................$ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 3,318.37 FPPC Form 460 (January106) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule E SCHEDULEE(CONT) (Continuation Sheet) Am Type or print in Ink. enntsmayberennded Statement covers period •- ~ ~ Payments Made to whole dollars. rrom 2.21_13 ~ ~ - 6-30-13 6 5 SEE INSTRUCTIONS ON REVERSE through of Pa e g NAME OF FILER 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. CtvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants tviTG meetings and appearances RFD returned contributions CTB contdbution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations Pt7 petition circulating TEL t.v. or cable aidime and production costs FIL candidate fling ballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse [ravel, lotlging, antl meals PD intlepentlent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSP transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VO7 voter registration LfT campaign literature and mailings PRT print ads VvEB information technology costs (internet, a-mail) NAME AND ADDRESS OF PAYEE QF COMMITTEE. AL50 ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Claremont CVC Banner Program $800.00 Claremont Community Foundation CVC Donation $100.00 Claremont Heritage CVC Donation $250.00 Linda Kovach OFC Ink Cartridge $289.51 Claremont Education Foundation CVC Donation $100.00 *Payments thatare contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL$ 1,539.51 FPPC Form 460 (Januaryl05) FPPC Toll-Free Helpline:866/ASK-FPPC (8 6 612 7 537 7 2) Schedule E SCFIEDULEE(CONT.) Type or print in ink. (Continuation Sheet) Amounts may be rounded Statementcovers period ~. I to whole dollars. 2_21_18 ~ - ~ ' Payments Made tram through 6-30-13 Pa e 6 of 6 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER 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. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contdbution (explain nonmonetary)' OFC offce expenses SAL campaign workers' salaries CVC civic donations FE"r petition circulating lEl t.v. or cable airtime and production costs FIL candidate fling/ballot tees F'HO phone banks 7RC candidate travel, lodging, and meals FIm fundraising events F'OL polling and survey research TRS staff/spouse travel, lotlging, and meals PD intlepentlent expentliture supporting/opposing others (explain)' POS postage, tlelivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LfT campaign literature and mailings PRT print ads WEB information technology costs (internal a-mail) NAME AND ADDRESS OF PAYEE QF COMMITTEE, AL50 ENTER Le. NUMBEm CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Friends of Claremont Library CVC Donation $100.00 Claremont Unifed School District CVC Donation $244.12 Webb Schools CVC Donation $30.00 'Payments thatare contributions or independentexpenditures must also be summarized on Schedule D. SUBTOTALS 374.12 FPPC Form 460 (January/O8) FPPC Toll-Free Helpline: 866IASK-FPPC (8 6 612 7 53 77 2)