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Home My Public Portal AboutForm 460 (Dec 5 - Jan 17, 2009) Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) Type or print In Ink. COVER PAGE Date Stamp CALIFORNIA 460 : ORM RECEIV Statement cover. period 12/05/2008 Date of election If applicable: (Month, Day, Year) Page 1 of 6 For Offlclll Use Only from see INSTRUCTIONS ON REVERSE 01/1712009 through 1. Type of Recipient Committee: All Committees - Complete PI" 1. 2, 3, Ind 4. !;ZI OffIceholder, Candidate Controlled Commlltee 0 Primarily Formed Ballot Measure o Stlte Candidate Election Committee Committee o Recall 0 Controlled (AiIo ComIlIete Pert 5) 0 Sponsored (AiIo Comp/etI Pert 8) o Generel Purpose Commlltee o Sponsored o Sma" Contrlbutor Committee o Political PartylCentrll Committee o Primarily Formed Candldatel Ofllceholder Committee (AiIo Comp/ele Pert 7) JAN 2 1 200 CITY CLER CITY OF CLARE ONT 03/03/2009 2. Type of Statement: !;zI Preelection Statement o Seml-annual Statement o Termlnltion Statement (Also file I Form 410 Termination) o Amendment (Explain below) o Quarterly Slatement o Special Odd.Year Report o Supplemental Preelection Statement. Altach Form 495 3. Committee Information 1.0. NUMBER 1314123 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Larry Schroeder STREET ADDRESS (NO P.O. BOX) 619 N Indian Hili Bvld CITY STATE ZIP CODE Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 909-544-0506 CITY AREA CODE/PHONE STATE ZIP CODE OPTIONAL: FAX / E.MAlL ADDRESS Treasurer(s) NAME OF TREASURER Larry Schroeder MAILING ADDRESS 619 N Indian Hili Blvd CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE 909-544-0506 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E.MAlL ADDRESS 4. Verification I have uled III relsonable diligence In preplrlng and reviewing this stltement and to the best of my knowledge the Information contained herein Ind In the attached Ichedules II true and complete. I certify under penalty of pe~ury under the laws of the Slate of California thlt the foregoing 18 true and correct. ..'2______ ~~-- ;--- /'- ~ ~ ~~nlbMeOrT~Tre- s~~~.!ltIIlI MeIlUl'l ;:ponentorRlljlOI1llb1eOftloerofSporllOr executed on 01-20-2009 By 0IIle Executed on 01-20-2009 By 0IIle Executed on By S~nIIure ofCon1rolllng 0ftI0eh0Ider. CII'ldldIle, Sllle MHlUre Proponent 0IIle Executed on By Dale SIgneIure orControlllngOtllceholder. C<<1dlcfete, Stele MHlUre prcponent FPPC Fonn 480 (JlnuarylOll FPPC TolI.F.... HelplIne: SIIIASK-FPPC (8811271-3772) Stllte of Callfomll lYpe or prlnt In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 6. OffIceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Larry Schroeder OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Member of the City Council - City of Claremont RESIDENTIAlJBUSINESS ADDRESS (NO. AND STREET) CITY 619 N Indian Hili Blvd Claremont STAiE ZIP CA 91711 Related Committee. Not Included In this Statement: Uat .ny eommltte.. not Included In thla atatement 'hat .'" con'rolled by you or.re prlm.rlly fonned to receive eontrfbutlona or make .ltpendffurea on beh.If of your c.ndldacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DVES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEEAOORESS CITY STAiE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO STREET ADDRESS (NO P.O. BOX) COMMITTEEAOORESS CITY STAiE ZIP COOE AREA CODE/PHONE COVER PAGE - PART 2 6. Primarily Formed Ballot Mealure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION o SUPPORT o OPPOSE Id.ntlfy the controlling offlc.hold.r, c.ndld.te, or .tate mellure propon.nt, If .ny. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I "'BmICT NO. · "'" 7. Primarily Formed Candidate/Officeholder Committee Llat nam.. of offlc.holder(a) or c.ndld"e(a) for whleh ,hla commltt.. la prlm.rlly fonned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Att.ch continuation ahllr. " n.e....ry FPPC Fonn 480 (JlnulrylOlJ FPPC Toll-F.... HelpHne: BlIIASK.fPPC l81li271-31721 State of Clllfornll Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Larry Schroeder Type or print In Ink. Amounts may be rounded to whole dolla,.. SUMMARY PAGE from through Statement cover. period 12/05/2008 CALIFORNIA 460 For~M 01/17/2009 Page 3 of 6 1.0. NUMBER 1314123 Contributions Received ColumnA Column B Calendar Vear Summary for Candidates TOTAl. THIS PeIllOO CALENDAA VIAR Running In Both the State Primary and (FROMATTACHEO ICHl!DUU!8) TOTAl. TO ll.t.TE 955.00 955.00 General Election. $ 3,500.00 3500.00 1/1 through 6/30 711 to Dele 4,455.00 S 4,455.00 20. Contributions 0.00 0.00 Received $ $ 4,455.00 21. Expenditures 4,455.00 $ Made $ $ 1. Monetary Contributions ........................................... Schedule A, Un. 3 $ 2. Loans Received ...................................................... Schedule S, Lin.3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Un.. 1 +2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lin.. 3 +4 $ Expenditures Made 6. Payments Made ....................................................... Schedul, E, Lln.4 $ 7. Loans Made ............................................................. Schedul' H, Un. 3 8. SUBTOTAL CASH PAYMENTS .................................... Add UnN 6 + 7 $ 9. Accrued Exp.ns.s (Unpaid BlIIs) ...............................Sch.duI.F; Lin'3 10. Nonmonetary Adjustment .......................................... Schedul. C, Lln.3 11. TOTAL EXPENDITURES MADE ................................AddLine. B + 9 + 10 $ 4,015.35 S 0.00 4,015.35 $ 0.00 0.00 4,015.35 $ 4,015.35 0.00 4,015.35 0.00 0.00 4,015.35 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditure. Made" (If Subject to VolunWy IllIpendlt.... Umltl Date of Election (mm/ddlyy) Total to Date ---1---1_ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Pig'. Line 1t1 S 13. Cash R.ceipts ................................................... ColumnA. Lln.3 Ibove 14. Miscellaneous Increa.., to Cash ........................... Schedul. I, Lin,4 15. Cash Payments .................................................. ColumnA, Lin' Blbove 16. ENDING CASH BALANCE.......... Add Lin" 12 + 13 + 14. th.n .ublrlCl Lin, 16 $ If this Is . termination statement. Line 16 must be zero. 4,455.00 0.00 4,015.35 439.65 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 .hould be subtracted from previous period amounts. If this Is the llrat report being IIled for this calendar year, only carry over the amounts from Linea 2, 7, and 9 (If any). 17. LOAN GUARANTEES RECEIVED ........................... Schedul. S, P,rl2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equival.nts........................................ See'nstnJction. on rev.". $ 19. Outstanding Debts ......................... AddLlne2+Un.9inCoIumnB.bov. $ 0.00 3500.00 ---1---1_ $ "Amounts In this section may be different from amounts reported In Column B. FPPC Form 460 (JanuaryIOS) FPPC TolI.Free Helpline: 868/ASK.fPPC (886/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Larry Schroeder Type or print In Ink. Amountll m.y be rounded to whole doll..... SCHEDULE A St.t.ment cover. period 12/05/2008 CALlFOf'{NIA 460 FOI,{M from through 01/17/2009 Plge~Of 6 1.0. NUMBER 1314123 DATE RECEIVED PER EL.ECTION TO DATE (IF REQUIRED) FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE tlr IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPL.OYER (IF SEI.F.eMPLOYEO, ENTER NAME OF BUIllN&8a) AMOUNT RECEIVED THIS PERIOD CUMUL.ATIVETODATE CALENDAR YEAR (JAN. 1 . DEC. 31) 1/11/2009 1/11/2009 1/11/2009 1/13/2009 ABM Construction and Investment, Inc. 2058 Mills Ave Claremont. CA 91711 OINO o COM ~OTH OPTY osee ~INO oeOM OOTH OPTY osee ~INO o COM OOTH OPTY osee IiZlINO oeOM OOTH OPTY osee OINO o COM OOTH OPTY osee 250.000 250.00 250.00 Engineer Sun Mlcrosystems, Inc. 200.00 200.00 200.00 Ned Freed 545 Baughman Ave Claremont, CA 91711 Ben Schroeder 7127 Maplewood Street La Verne, CA 91750 Sally Alexander 1665 N Mills Ave Claremont, CA 91711 Sales Manager Porache of Downtown LA 250.00 250.00 250.00 Retired 100.00 100.00 100.00 SUBTOTAL $ Schedule A Summary 1. Amount received this period -Itemized monetary contributions. (Include all Schedule A subtotals.) ,................,......,......."".".........""...."....."........"""........"""......."" $ 2. Amount received this period - unltemized monetary 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 $ .Contrlbutor Codes INO -lndlvldU81 eOM - R.clplent Committee (other thin PTY or See) OTH - Other (e.g.. business entity) PTY - PollUe.1 P.rty see - Small Contributor Committee 800.00 155.00 955.00 FPPC Form 460 (J.nu.rylO&) FPPC TolI-Frea Helpline: 8881ASK-FPPC (S88127&-3772) Schedule B - Part 1 Loans Received 'TYpe or print In Ink. Amounta may be rounded to whole dolll,.. SCHEDULE B - PART 1 CALIFORNIA 460 f OF~M from Statement cover. period 12/05/2008 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Larry Schroeder through 01/17/2009 Plge 5 I.D. NUMBER of 6 1314123 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER OF COMMrrree. ALIlO ENTERI.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF eELF-eMPLOVED, EN'IP NAME OF BUSINESS) . OUT ANDING AMOUNT BEG~~~HIS RECEIVED THIS PERIOD (e) AMOUNT PAID OR FORGIVEN THIS PERIOD · o PAID $ o FORGIVEN 0.00 CALENDAR YEAR 500.00 $ 0.00 PER ELECTION" 500.00 DATE INCURRED CALENDAR YEAR S 3,000.0 $ 3,000.00 PER ELECTION" S 3,500.00 DATE INCURRED CALENDAR YEAR $ PER ELECTION" Larry Schroederr 619 N Indian Hili Blvd Claremont, CA 91711 Retired $ 500.00 ~II RAT! 0.00 500 tli2J INO $ o COM 0 OTH OPTY o scc DATE DUE Larry Schroeder Retired o PAlO 619 N Indian Hili Blvd $ $ 3,000.00 Claremont, CA 91711 o FORGIVEN 0.00 3,000 tli2J IND o COM 0 OTH OPTY o SCC DATE DUE o PAID $ o FORGIVEN ~II RAT! _II RAT! to IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter (I) on Sd1edt.ilI E. U1lI3) Schedule B Summary 1. Loans received this pertod .................................................................................................................... $ (Total Column (b) plus un Itemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (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. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. 3,500.00 0.00 tContrlbutor Code. INO -Individual COM - Recipient Committee (other than PTY or sec) OTH - Other (e.g., bUlln... enllly) Pry - Political Party see - SmaH Contributor Committee 3,500.00 (MIY bo. "'11I1vI numbll) .Amounts forgiven or paid by another party allO must be reported on Schedule A. .. If required. FPPC Form 480 (Jlnu.ry/05) FPPC Toll-Fret Helpllnt: 8861ASK-FPPC (8861276-3772) from 12/05/2008 CALIFORNIA 460 FOHM SCHEDULEE Schedule E Payments Made Type or print In Ink. Amount. may be rounded to whole dollara. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Larry Schroeder through 01/17/2009 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. O"fl campaign paraphemalla/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearancas RFD retumed contributions CTB contribution (explain nonmonetary)" OFC offlca expenses SAL campaign workers' salaries CVC civic donations PET petition circulating lEL t.v. or cable airtime and producllon costa F1L candidate f1Unglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralslng events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) Independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candldale/sponsor LEG Iegll defense PRO professlonll services (Iegll, accounting) VOT voter registration LIT campaign literature and mailings PAT print ads WEB Information technology costs (Intemet, e-mail) NAME AND ADDRESS OF PAVEE CODE OR DESCRIPTION OF F'AVMENT AMOUNT PAID (IF COMMITTEE, ALSO I!NTI!IlI,C. NUMIlEIl) LMD Print & Mail, Inc. 10722 Arrow Route, Suite 804 LIT 2,562,28 Rancho Cucamonga, CA 91730 Postmaster 10950 Arrow Route POS 856.70 Ranch Cucamonga, CA 91729 Albuquerque Sign Print CMP 500.00 6010 Signal Ave Albuquerque, NM 87113 ft 'Iymanta that ara contributIons or Independent expenditures must also be summarlzad on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemlzed payments made this period of under $100 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amountfrom Schedule e, 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 $ 3,918.98 96.37 0.00 4,015.35 FPPC Form 480 (Janu.ryI06) FPPC Toll-Free Helpline: 888/ASK-FPPC (888/276-3772)