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Home My Public Portal AboutForm 460 (Feb 15 - June 30, 2009) SEE INSTRUCTIONS ON REVERSE through 06/30/09 3/3/09 Date Stamp ECEIVE JUl 3 1 2009 CITY CLERK TV OF CLAREMON CALIFORNIA 460 I 2001/02 FORM COVER PAGE Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print~(Q) ~ W Statement covers period from 02/15/09 Date of election if applicable: (Month, Day, Year) Page of 13 For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. D Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) D Ballot Measure Committee o Primarily Formed o Controlled o Sponsored (Also Compfete Part 6) 2. Type of Statement: D Preelection Statement iii Semi-annual Statement D Termination Statement D Amendment (Explain below) D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement - Attach Form 495 D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee iii Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1272663 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Corey Calaycay CITY Claremont STATE ZIP CODE CA 91711 AREA CODE/PHONE (909) 593-5913 NAME OF TREASURER Robert W. Bowcock MAILING ADDRESS 1021 Belleville Court CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE (909) 621-1266 STREET ADDRESS (NO P.O. BOX) 1555 West Baseline Road MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAil ADDRESS OPTIONAL: FAX / E-MAil ADDRESS (909) 621-1196 / bbowcock@irmwater.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the kn certify under penalty of pe~ury under the laws of the State of California that the fore mg is true a d Executed on 07/29/09 By Date Executed on 07/29/09 By Date Executed on By Date Executed on By FPPC Form 460 (June/01) Date PC Toll-Free Helpline: 866/ASK.FPPC State of California ontained herein and in the attached schedules is true and complete. I 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, City of Claremont RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1555 West Baseline Road; Claremont, California 91711 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 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 P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o 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 iii 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 o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE from through Statement covers period CALIFORNIA 460 FORM 2/15/09 6/30/09 3 of 13 Page 1.0. NUMBER Contributions Received 1272663 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 of. 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 of. 4 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 2,246.00 0.00 2,246.00 0.00 2,246.00 Column B CALENDAR YEAR TOTAL TO DATE $ 6,803.99 0.00 6,803.99 0.00 6,803.99 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 of. 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 of. 9 of. 10 $ 10,486.54 0.00 10,486.54 0.00 0.00 10,486.54 $ 19,291.27 0.00 19,291.27 0.00 0.00 19,291.27 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 ................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA, Line 8 above 16. ENDING CASH BALANCE .,........ Add Lines 12 of. 13'" 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. $ $ $ $ 7,746.45 3,495.00 79.90 1 0,486.54 834.81 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). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Par12 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 of. Line 9 in Column Babove $ 0.00 0.00 "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. 2/15/09 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay SCHEDULE A from Statement covers period through 6/30/09 4 13 Page 1.0. NUMBER of AMOUNT RECEIVED THIS PERIOD $150.00 $250.00 $250.00 $250.00 900.00 I 900.00 2,595.00 3,495.00 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 1272663 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 2-25-09 K1IND oeOM OOTH OPTY OSCC K1IND OCOM OOTH OPTY OSCC K1IND OCOM OOTH OPTY OSCC K1IND OCOM OOTH OPTY OSCC K1IND OCOM OOTH OPTY OSCC Stephen Jones 25 Grey Owl Irvine, California 92603 3-18-09 Patricia Bowcock 1021 Belleville Court Claremont, California 91711 3-18-09 Robert W. Bowcock 1021 Belleville Court Claremont, California 91711 3-25-09 James Dorst 4142 Via Pad ova Claremont, California 91711 Consultant Curt Pringle & Associates Consultant IRM, LLC Consultant IRM, LLC Retired $150.00 $250.00 $250.00 $250.00 SUBTOTAL $ 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 SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee 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. SCHEDULE B - PART 1 from Statement covers period 2/15/09 SEE INSTRUCTIONS ON REVERSE NAME OF FILER through Committee to Elect Corey Calaycay 6/30/09 CALIFORNIA 460 FORM 5 of 13 Page 1.0. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE. AlSO ENTER 1.0. NUMBER) 1272663 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) a (b) OUTSTANDING AMOUNT BALANCE EC S BEGINNING THIS R EIVED THI PERIOD (e) (d) AMOUNT PAID OUTSTANDING BALANCE AT OR FORGIVEN CLOSE OF THIS THIS PERIOD" o PAID o FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE CALENDAR YEAR o PAID $ o FORGIVEN to IND 0 COM OOTH 0 PTY 0 SCC DATE DUE CALENDAR YEAR o PAID o FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ Schedule B Summary 1. Loans received this period .... .......... ........ ..................... .......................................... ......... ................ ...... $ (Total Column (b) plus unitemized loans less than $100.) 0.00 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.) 0.00 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. 0.00 (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 _% RATE _% RATE _% RATE $ (Enter (e) on Schedule E, Line 3) f ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION" DATE INCURRED PER ELECTION .. DATE INCURRED PER ELECTION" "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: 8661ASK-FPPC Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 2/15/09 CALIFORNIA 460 FORM SCHEDULE C SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 6/30/09 6 13 Page_ of_ 1.0. NUMBER Committee to Elect Corey Calaycay 1272663 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) AMOUNT! FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) OIND DOOM OOTH OPTY OSCC OIND o COM OOTH OPTY OSCC OIND o COM OOTH OPTY OSCC OIND o COM OOTH OPTY OSCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of$100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... $ 2. Amount received this period - unitemized nonmonetary contributions ofless 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 $ 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 of Expenditures Supporting/Opposing Other Candidates, Measures and Committees from 2/15/09 CALIFORNIA 460 FORM SCHEDULE D Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 6/30/09 page~ of~ 1.0. NUMBER Committee to Elect Corey Calaycay 1272663 o Support o Oppose 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 SUBTOTAL $ AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE o Support o Oppose o Support o Oppose Schedule 0 Summary 1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.) .............................................. $ 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enteron the Summary Page.) .............. TOTAL $ 0.00 0.00 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULEE from 2/15/09 CALIFORNIA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 6/30/09 page~ of~ 1.0. NUMBER Committee to Elect Corey Calaycay 1272663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. o..P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTE contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations FEr' petition circulating lEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PI-O phone banks 1RC candidate travel, lodging, and meals FND fundraising events POl polling and survey research TRS staff/spouse travel. lodging. and meals NJ 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet. e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 10. NUMBER) CODE OR DESCRIPTION OF PAYMENT Claremont Courier CK# 1147 $ 560.00 1420 N. Claremont Blvd., Suite 205B PAT CK# 1153 $2,000.00 Claremont, California 91711 CK# 1154 $ 280.00 Jon A. Hart 1046 Pomello Drive FND CK# 1152 Claremont, California 91711 Vista Printing CK# 1148 $3,500.00 1164 Monte Vista Avenue PAT CK# 1150 $ 867.24 Upland, California 91786 AMOUNT PAID $2,840.00 $118.60 $4,367.24 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7,325.84 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Un itemized payments made this period of under $100 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amountfrom Schedule B, 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 $ 10,345.84 140.70 0.00 10,486.54 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) from 2/15/09 6/30/09 CALIFORNIA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0vP campaign paraphernalia/misc. tvIlR 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 PI-<<) phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals 1\0 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 WEB information technology costs (internet, e-mail) through page~ of~ 1.0. NUMBER 1272663 NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Charles Seward 112 Harvard Avenue PRT $2,820.00 Claremont, California 91711 City of Claremont 207 Harvard Avenue CMP $200.00 Claremont, California 91711 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,020.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) from 2/15/09 6/30/09 CALIFORNIA 460 FORM 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 through 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. (}.,.p campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTE contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries cve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PI-O phone banks lRC candidate travel, lodging, and meals FND fund raising events POL polling and survey research lRS 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 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) (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 , 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 unitemized 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) from 2/15/09 CALIFORNIA 460 FORM SCHEDULE G 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 NAME OF AGENT OR INDEPENDENT CONTRACTOR through 6/30109 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. eM' campaign paraphernalia/misc. WBR 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 filinglballot fees PH) phone banks lRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals NJ 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 LrT 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 Attach additional information on appropriately labeled continuation sheets. , 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. TOTAL * $ 0.00 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. Statement covers period 2/15/09 from SEE INSTRUCTIONS ON REVERSE NAME OF FILER 6/30/09 through Committee to Elect Corey Calaycay SCHEDULE H CALIFORNIA 460 FORM 12 Page LD.NUMBER of 13 OUTST~DING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED 1272663 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) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (e) REPAYMENT OR FORGIVENESS THIS PERIOD" (b) AMOUNT LOANED THIS PERIOD (I) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO DATE o PAID CALENDAR YEAR _% RATE o FORGIVEN CALENDAR YEAR DATE DUE o PAID $ o FORGIVEN _% RATE DATE INCURRED DATE DUE '"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 $ $ $ $ (Enter (e) on Schedule I, Line 3) 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 unitemized 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.) 0.00 0.00 (May be a negaUve number) PER ELECTION" DATE INCURRED PER ELECTION" 0.00 '"If Required FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK.FPPC I . Schedule I Type or print in ink SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. 2/15/09 FORM from through 6/30/09 13 of~ SEE INSTRUCTIONS ON REVERSE Page_ NAME OF FILER 1.0. NUMBER Committee to Elect Corey Calaycay 1272663 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) INCREASE TO CASH 5-6-09 Time Warner Cable Refund $79.90 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00 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