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HomeMy Public PortalAboutForm 460 (Jan 1 - June 30, 2007) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: IKI Type or print in Ink. from Statement covers period For Official Use Only through Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (AJsoComp/etePa/15) All Committees - Compklte Parts 1, 2, 3, and 4. D Ballot Measure Committee o Primarily Formed o Controlled o Sponsored (Also Complete Par/G) D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Ellen Taylor for City Countil STREET ADDRESS (NO P.O. BOX) 1016 Emory Drive CITY Claremont STATE CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE CITY STATE OPTIONAL: FAX / E-MAIL ADDRESS D Primarily Formed Candidatel Officeholder Committee (A/so Complete Pat17) 1.0. NUMBER ZIP CODE 91711 AREA CODE/PHONE 909-626-1801 1/1/07 Date of election if applicable: (Month, Day, Year) of 4 ZIP CODE 1 Page 6/30/07 3/8/05 CITY CLERK CITY OF CLAREMONT 2. Type of Statement: 0 Preelection Statement 0 Quarterly Statement IKI Semi-annual Statement 0 Special Odd-Year Report 0 Termination Statement 0 Supplemental Preelection 0 Amendment (Explain below) Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Cindy Sullivan MAILING ADDRESS 1016 Emory Drive CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE 909-624-4051 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I 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 con1ained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct. I Executed on Executed on Executed on Executed on D., 8y 8y 8y 8y v Omceholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Prnponent FPPC Form 460 (June/Oil FPPC Toll-Free Helpline: 8661ASK.FPPC State of California Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Ellen Taylor OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Claremont RESIDENTlAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 612 West 12 Street, 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 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? o YES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? o YES ONO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS 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 ofofficeholder(s) orcandidate(s) for which this committee is primarily formed. 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 D SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT D OPPOSE Attach cont;nuation sheets if necessary FPPC Fonn 460 (JuneJ01) FPPC Toli-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ellen Taylor, Ellen Taylor for City Council SUMMARY PAGE from through Statement covers period CALIFORNIA 460 FORM 1/1/07 6/30/07 3 of 4 Page I.D. NUMBER Contributions Received 1272843 Schedule A, Line 3 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 0 $ 0 $ 0 $ 0 $ 0 $ 1. Monetary Contributions ......... 2. 3. Loans Received Schedule e, Line 3 SUBTOTAL CASH CONTRIBUTIONS ... Add Lines 1+2 4. Nonmonetary Contributions ........... Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ......AddLines3+4 Expenditure Limit Summary for State Candidates Expenditures Made 6. Payments Made... .................................. ScheduleE, Line 4 $ 7. Loans Made ...... ..................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......... .... AddUn.s'.' $ 9. Accrued Expenses (Unpaid Bills) ........................ ...... Schedule F, Line 3 10. Nonmonetary Adjustment .............. ............... ScheduleC, Line 3 11. TOTAL EXPENDITURES MADE ......................... ......AddUn.s 8.9.'0 $ 150.00 o 150.00 o o 150.00 Current Cash Statement 12. Beginning Cash Balance ............... Previous Summary Page, Line 16 13. Cash Receipts ................ ColumnA, Line 3 above $ 2,691.59 o o 150.00 2,541.59 14. Miscellaneous Increases to Cash 15. Cash Payments Schedule I, Line 4 Column A, Line 8 above 16. ENDINGCASHBALA.NCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B. Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents .................. .................... See instructions on reverse $ $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above Column B CALENDAR YEAR TOTAL TO DATE $ 150.00 o 150.00 o o 150.00 $ $ 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). o o o o o Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1lhrough 6/30 7/1 10 Dale 20. Contributions Received $ 21. Expenditures Made $ $ $ 22. Cumulative Expenditures Made'" (If Subject to Voluntary Expendih.lre limit) Date of Election Total to Date (mm/ddlyy) ---1---1_ $ ---1---1_ $ ---1---1_ $ ---1---1_ $ ---1---1_ $ ---1---1_ $ "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 from 1/1/07 CALIFORNIA 460 FORM SCHEDUlE E .sooedule E Payments Made Type or print in ink. Amounts may be rounded to whale dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 6/30107 4 4 Page of l.O. NUMBER Ellen Taylor, Ellen Taylor for City Council 1272843 CODES: If one of the following codes accurately describes the payment, you may enter the code. C1vP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses evc civic donations PET petition circulating FIL candidate filing/ballot fees PI-O phone banks FND fund raising events POL polling and survey research N) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) UT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs lRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VaT voter registration VvEB 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 Ellen Taylor Independence Day Banner 612 West 12th Street City of Claremont 150.00 Claremont, CA 91711 1700 Danbury Road, Claremont, CA 91711 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 150.00 Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotais.) .................................................................................................. $ 2. Un itemized payments made this period ofunder$100 ..... ........................... ......................... .......................................... ..................... ............. $ 3. Total interest paid this period on loans. (Enter amountfrom Scheduie 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 $ 150.00 o o 150.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC