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Home My Public Portal AboutForm 460 (Nov 22, 2004 - Jan 22, 2005) , Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Date Stamp CALIFORNIA 460 2001¡l)¿ FORM COVER PAGE RE'tF""àÍ!-;'i \ l!I:, ..D~"" ,. ,",.. £::.;. I V 1:.. ' Statement covers period from 11/22/04 Date of election if applicable: (Month, Day, Year) JAN 2 7 2005 Page 1 of 23 SEE INSTRUCTIONS ON REVERSE through 1/22/05 03/08/05 erN CLERK f::rrv Df CUHŒMON1' For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4. 0 Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 2. Type of Statement: !KI 0 0 0 Preelection Statement Semi-annual Statement Termination Statement Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 I1ëI Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3 Committee Information , I.D. NUMBER . 1272663 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Corey Calaycay Treasurer(s) NAME OF TREASURER Robert W. Bowcock STREET ADDRESS (NO P.O, BOX) 1555 West Baseline Road CITY Claremont MAILING ADDRESS 1021 Belleville Court STATE CA ZIP CODE 91711 AREA CODE/PHONE (909) 621-2079 CITY Claremont NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE 91711 AREA CODE/PHONE (909) 621-1266 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 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best"",O~kn9\"~,dge the"i,nform"a",tion conta, i'1~çI herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is ,.true and corrtct. ,'>~~"'. ,.,.'. 01/26/05 :( ", / r / '/ , ~" ,." , E Y' ~, ~~ o""-*C/ ,"), , \"". : ( xecuted on By ", ", '" ' ~,?....,..,~. "'. ""'-'L¡'~"",,?,.,'1. ' Ex t d 0~;7/05 B (~~.~~C'-:: OfTretZL:~~. r~, ecu e on y '---, """ ."...... of Co"""", ~, c.no - ~.. of oblol""',........, Executed on By ~" Date Signature OfCOntrol~ng~, ¡date, State Mea~~t OPTIONAL: FAX / E-MAIL ADDRESS (909) 621-1196 / bbowcock@irmwater.com Date By Executed on Signature ofControUjng OIIiceholder, Candidate, State Measure Proponent FPPC Fonn 460 (JuneJO1) 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 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA 460 FORM Page 2 of 23 0 SUPPORT 0 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 Corey Calaycay NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD City Council OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD Attach continuation sheets if necessary KJ SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE FPPC Fonn 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to EJect Corey Calaycay Contributions Received 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 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, Une3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ................................................... CoIumnA,Une3above 14. Miscellaneous Increases to Càsh ........................... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA. Line 8 above 16. ENDING CASH BAlANCE """"" AddUnes 12+ 13+ 14, thensubtractUne 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddUne 2 +Une9in Column 8 above Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDUlES) $ 10,115.00 0.00 10,115.00 247.50 10,262.50 $ $ $ 2,695.00 0.00 2,695.00 0.00 0.00 2,695.00 $ $ $ 0.00 10,115.00 0.00 2,695.00 7,420.00 $ $ 0.00 $ $ 0.00 0.00 from through Column B CALENDAR YEAR TOTAL TO DATE $ 2,825.00 0.00 2,825.00 247.50 3,072.50 $ $ $ 103.50 0.00 103.50 0.00 0.00 103.50 $ $ To calculate Column 8, add amounts in Column A to the corresponding amounts from Column 8 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). SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM 11/22/04 1/22/05 3 of 23 Page 1.0. NUMBER 1272663 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 $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary expenditure Umltl Date of Election Total to Date (mm/dd/yy) I I $ / I $ I I $ I I $ I / $ / I $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Fann 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 from 11/22/04 CALIFORNIA 460 FORM SCHEDULE A SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay through 1/22/05 Page I.D. NUMBER 4 of 23 1272663 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATNETODATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/22/04 Linda Kovach gIND Housewife $250.00 $0.00 DeeM 916 Glenville Drive OaTH Claremont, California 91711-1501 OPTY osec 11/22/04 Richard G. Hall KlIND Retired $100.00 $0.00 OCOM 1943 Judson Court OaTH Claremont, California 91711-2829 OPTY osec 11/22/04 Jon Hart KlIND Teacher $250.00 $0.00 DCOM 1046 Pomello Drive OaTH Chaffey Union High Claremont, California 91711-2050 DPTY School District osec 11/22/04 Lester Boring KlIND Retired $99.00 $0.00 DCOM 528 Clarion Place OaTH Claremont, California 91711-2929 DPTY oscc 11/30/04 Gary Mizumoto KlIND Insurance Investigator $200.00 $0.00 OCOM 4056 North Olive Knoll OaTH Progressive Insurance Claremont, California 91711-1411 OPTY Company OSCC SUBTOTAL $ $899.00 I 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 $ 7.194.00 2,921.00 , *Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee 10.115.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Type or print in ink. Amounts may be rounded to whole dollars. 11/22/04 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 12/02/04 12/02/04 12/09/04 12/09/04 12/09/04 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ÄLSOENTERI.D.NUMBER) CODE * Beatrice Niu 325 Bennett Place Claremont, California 91711-1974 ~IND OCOM OaTH OPTY OSCC ~IND OCOM OaTH OPTY OSCC ¡gjIND OCOM OaTH OPTY OSCC ~IND OCOM OaTH OPTY OSCC ~IND OCOM OaTH OPTY OSCC Lillian Lee 626 Willamette Lane Claremont, California 91711-2833 Lawrence M. Woodruff 4060 Olive Knoll Place Claremont, California 91711-1411 Margaret E. Woodruff 4060 Olive Knoll Place Claremont, California 91711-1411 Gene R. Block 2788 Westfield Place Claremont, California 91711-1818 , "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee ~ Statement covers period CALIFORNIA 460 FORM from through 1/22/05 of 23 Page 5 I.D. NUMBER 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Retired $250.00 $0.00 Retired $99.00 $0.00 Retired $249.00 $0.00 Retired $249.00 $0.00 Retired $75.00 $0.00 SUBTOTAL $ 922.00 I 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. 11/22/04 NAME OF FILER Committee to Elect Corey Calaycay DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 12/17/04 Kris M. Meyer IKJ INO DCOM 801 Deep Springs Drive DOTH Claremont, California 91711-1449 DPTY DsCC 12/18/04 Mountain View Centers DINO DCOM 715 West Baseline Road ~OTH Claremont, California 91711-1615 DPTY oscc 12/19/04 Herbert Schisler IKIIND DCOM 956 West Baseline Road OaTH Claremont, California 91711-1507 OPTY osee 12/22/04 National Roofing Consultants, Inc. OINO OCOM 118 Lincoln Avenue I8J OTH Pomona, California 91767-3818 DPTY osee 12/22/04 Robert W. Bowcock IKJINO OCOM 1021 Belleville Court OaTH Claremont, California 91711-5800 OPTY oscc 1 , "'Contributor Codes INO -Individual eOM - Recipient Committee (other than PTY or See) OTH - Other PTY - Political Party sce - Small Contributor Committee ~ ... SCHEDULE A (CONT.) Statement covers period CALIFORNIA 460 FORM from through 1/22/05 of 23 Page 6 1.0. NUMBER 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPlOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Businessman $150.00 $0.00 Construction Manager Ledesma & Meyer Construction Co. Inc. $250.00 $0.00 Retired $99.00 $0.00 $250.00 $0.00 Consultant Integrated Resource Management, LLC $250.00 $0.00 SUBTOTAL $ 999.00 ¡ 1 FPPC Form 460 (June/O1) 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 DATE RECEIVED 12/22/04 12/24/04 12/28/04 12/28/04 12/30/04 FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE * Roy Clonts 1050 Fuller Drive Claremont, California 91711-1496 IKIIND OCOM OaTH OPTY OSCC KJIND OCOM OOTH OPTY OSCC OIND g COM OOTH OPTY OSCC IKIIND OCOM OOTH OPTY OSCC KJIND OCOM OaTH OPTY OSCC H. Gene Hawkins 855 West Baseline Road Claremont, California 91711-1506 Committee to Re-Elect Bob Margett 145 Wisteria Avenue Arcadia, California 91007-8008 Adam Kotowski 590 Laurent Road Hillsborough, California 94010-6514 Susan Schenk 845 North Indian Hill Boulevard Claremont, California 91711-4353 , "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) Contractor National Roofing Consultants, Inc. Retired 1253163 Retired Professor Claremont Colleges SUBTOTAL $ SCHEDULE A (CONT.) from Statement covers period 11/22/04 CALIFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD $250.00 $200.00 $250.00 $100.00 $250.00 1,050.00 I 1/22/05 Page 7 I.D. NUMBER of 23 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) $0.00 $0.00 $0.00 $0.00 $0.00 FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC c Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. 11/22104 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 12/30/04 12/31/04 12/31/04 1/2/05 1/5/05 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER LD.NUMBER) CODE * Elizabeth Cramer 314 West Seventh Street Claremont, California 91711-4313 IKIIND OCOM OaTH OPTY OSCC KlIND OCOM OaTH OPTY OSCC KlIND OCOM OaTH OPTY OSCC IKIIND OCOM OaTH OPTY OSCC KlIND OCOM OaTH OPTY OSCC Buzz K. Lloyd 4722 West Mission Boulevard Ontario, California 91764-4413 Earl Carter 1042 Fuller Drive Claremont, California 91711-1496 Elizabeth Cramer 314 West Seventh Street Claremont, California 91711-4313 Donald Barr 20625 Adam Circle Yorba Linda, California 92886-4599 ... , "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee ) SCHEDULE A (CONT.) Statement covers period CALIFORNIA 460 FORM from through 1/22/05 of 23 Page 8 I.D. NUMBER 1272663 IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF.EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Retired $150.00 $0.00 Businessman CalSpas $250.00 $0.00 Attorney Law Office of Earl Carter $99.00 $0.00 Retired $100.00 $100.00 $200.00 $200.00 SUBTOTAL $ 799.00 I 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. 11/22/04 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 1/6/05 1/6/05 1/6/05 1/8/05 1/9/05 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * Friends of Todd Spitzer 2004 2230 West Chapman Avenue #101 Orange, California 92868-2333 DIND ~COM DOTH DPTY DsCC KJIND DCOM DOTH DPTY DsCC OIND DCOM ~OTH DPTY oscc IKIIND DCOM OaTH OPTY OSCC K]IND OCOM OaTH DPTY DsCC Kenneth R. Casey 4176 Oak Hollow Road Claremont, California 91711-2328 Schaefer Ambulance Services, Inc. 4627 Beverly Boulevard Los Angeles, California 90004-0609 Meredith A. Richey 1383 Cedarview Drive Claremont, California 91711-3049 lona Miranda 1070 Pomelo Drive Claremont, California 91711-2050 .., , *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee ... SCHEDULE A (CO NT.) Statement covers period CALIFORNIA 460 FORM from through 1/22/05 23 Page 9 /.D. NUMBER of 1272663 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF.EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1251355 $250.00 $250.00 Retired Rancher $100.00 $100.00 $250.00 $250.00 Homemaker $100.00 $100.00 Retired $100.00 $100.00 SUBTOTAL $ 800.00 I 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 DATE RECEIVED 1/12/05 1/17/05 1/17/05 1/17/05 1-20-05 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER J.D. NUMBER) CODE * Ceferina Gonzales 521 West Baseline Road Claremont, California 91711-1610 IKIINO oeOM OaTH OPTY osee OINO oeOM ~OTH OPTY osee OINO oeOM 1&1 OTH OPTY osec IKIINO oeOM OaTH OPTY osec IKJIND DeOM OaTH OPTY osee Paradigm Publishing, Inc. 545 College Commerce Way Upland, California 91786-4377 Coye Management Company 783 East Arrow Highway Pomona, California 91767 Tom lamb 620 East Miramar Avenue Claremont, California 91711-2031 Susan Suchocki 1652 Bridgeport Avenue Claremont, California 91711-2516 ., *eontributor Codes (NO -Individual COM - Recipient Committee (other than PTY or seC) OTH - Other PTY - Political Party see - Small Contributor Committee ~ IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPlOYED, ENTER NAME OF BUSINESS) Medical lab Scientist Kaiser Retired Retired Education SUBTOTAL $ SCHEDULE A (eONT.) from Statement covers period 11/22/04 CALIFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD $100.00 $250.00 $100.00 $200.00 $100.00 750.00 I 1/22/05 Page 10 1.0. NUMBER of 23 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 - DEC, 31) PER ELECTION TO DATE (IF REQUIRED) $100.00 $250.00 $100.00 $200.00 $100.00 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. from Statement covers period 11/22/04 through NAME OF FILER Committee to Elect Corey Calaycay 1/22/05 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 11 1.0. NUMBER of 23 1272663 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1/20/05 Robert Nunez fKIND Manager $75.00 $75.00 DCOM 4417 North Rhodelia Avenue DOTH North American Claremont, California 91711-2132 DPTY Configuration DsCC 1/22/05 Sonya Whatley KJIND Secretary $150.00 $150.00 DCOM 4700 Halaga Circle DOTH City of La Verne La Verne, California 91750 DPTY DsCC 1/22/05 Coastal Value Publications OIND $250.00 $250.00 DCOM 2355 Foothill Boulevard ~OTH La Verne, California 91750 DPTY oscc 1/22/05 Patricia Bowcock - fKIND Property Manager $250.00 $250.00 OCOM 1021 Belleville Court OaTH Claremont, California 91711-5800 OPTY Oscc 1/22/05 Candice Bowcock fKIND Urban Planning Student $250.00 $250.00 OCOM 1021 Belleville Court OaTH Claremont, California 91711-5800 OPTY osce SUBTOTAL $ 975.00 ! . , *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party FPPC Form 460 (June/O1) SCC - Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK-FPPC .. J 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 SCHEDULE B - PART 1 Statement covers period CALIFORNIA 460 FORM from 11/22/04 through 1/22/05 of 23 Page 12 J.D. NUMBER 1272663 If) ORIGINAL AMOUNT OF LOAN fg) CUMULATIVE CONTRIBUTIONS TO DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMIITEE, ALSO ENTER 1.0. NUMBER) fel fd) fe) fa) (b) OUTSTANDING INTEREST IF AN INDIVIDUAL. ENTER OUTSTANDING AMOUNT AMOUNT PAID BALANCE AT PAID THIS OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD * PERIOD NAME OF BUSINESS) PERIOD 0 PAID to 'ND $ 0 COM 0 OTH 0 P1Y 0 SCC to 'NO $ 0 COM 0 OTH 0 P1Y 0 SCC to IND $ 0 COM 0 OTH 0 P1Y 0 SCC SUBTOTALS $ CALENDAR YEAR $ $ $ $ % $ 0 FORGIVEN RATE $ $ $ DATE DUE DATE INCURRED 0 PAID CALENDAR YEAR $ S % $ $ 0 FORGIVEN RATE PER ELECTION ** $ S $ DATE DUE DATE INCURRED 0 PAID CALENDAR YEAR S $ % $ $ 0 FORGIVEN RATE PER ELECTION ** $ $ $ DATE DUE DATE INCURRED 0.00 $ 0.00 $ 0.00 $ 0.00 I (Enter (e) on Schedule E, Une 3) 0.00 , , *Amounts forgiven or paid by another party also must be 0.00 reported on Schedule A. ** If required. PER ELECTION** $ $ Schedule 8 Summary 1. Loans received this period """" .......... ... .............. .".... ........ ..".. ............... ..,........,... ...,.... ....,...... ... ......., $ (Total Column (b) plus un itemized loans less than $100.) 2. Loans paid or forgiven this period ............................................."................................................"........ $ (Total Column (c) plus loans under $1 00 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. [t Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party 0.00 (May be 8 negative number) sCC - Small Contributor committee] FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC , Schedule B - Part 2 Loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE OIND DeeM OOTH OPTY osee OIND DeeM OaTH OPTY osee OIND DeeM OaTH OPTY osee OIND DeeM OaTH OPTY osee SCHEDULE B - PART 2 Type or print in ink. Amounts may be rounded to whole dollars. CALIFORNIA 460 FORM Statement covers period from 11/22/04 through 1/22/05 IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Page 13 of 23 1.0. NUMBER 1272663 AMOUNT CUMULATIVE BALANCE LOAN GUARANTEED OUTSTANDING THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR $ DATE PER ELECTION (IF REQUIRED) S CALENDAR YEAR LENDER $ PER ELECTION DATE (IF REQUIRED) $ CALENDAR YEAR LENDER $ PER ELECTION DATE (IF REQUIRED) $ CALENDAR YEAR LENDER $ PER ELECTION DATE (IF REQUIRED) $ Enteron SUBTOTAL $ 0.00 SummaIY Page, Une 17 only. 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 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 1/19/05 Integrated Resource Management, LLC 405 North Indian Hill Boulevard Claremont, California 91711-4600 1/19/05 Integrated Resource Management, LLC 405 North Indian Hill Boulevard Claremont, California 91711-4600 Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DIND DOOM K1 OTH OPTY osee OIND DOOM fXlOTH OPTY osee OIND oeOM OaTH OPTY osee OIND oeoM OOTH OPTY osee Attach additional information on appropriately labeled continuation sheets. DESCRIPTION OF GOODS OR SERVICES Postage Printing 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 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 1 0.) ...................,.. TOTAL $ Statement covers period from 11/22/04 through 1/22/05 AMOUNT! FAIR MARKET VALUE $185.00 $62.50 $247.50 247.50 0.00 247.50 SCHEDULE C CALIFORNIA 460 FORM Page 14 of 23 I.D. NUMBER 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) $185.00 $247.50 l , *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC c Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SCHEDULE D from 11/22/04 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 through 1/22/05 15 Page !.D. NUMBER of 23 Committee to Elect Corey Calaycay 1272663 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITIEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) PER ELECTION TO DATE (IF REQUIRED) 0 Support 0 Oppose 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Support 0 Oppose 0 Independent Expenditure 0 Support 0 Oppose 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure SUBTOTAL $ 0.00 Schedule D Summary 1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.) ....,....................,.................... $ 2. Un itemized contributions and independent expenditures made this period of under $1 00 .........................................................................,............ $ 0.00 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 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 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE 0 Support 0 Oppose 0 Support D Oppose 0 Support D Oppose 0 Support D Oppose Type or print In Ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure 0 Monetary Contribution D Nonmonetary Contribution 0 Independent Expenditure D Monetary Contribution 0 Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution 0 Independent Expenditure SUBTOTAL $ Statement covers period . CALIFORNIA 460 FORM from 11/22/04 Page 16 of 23 I.D. NUMBER 1272663 CUMULATIVE TO DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) through 1/22/05 0.00 I I FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 8&&/ASK-FPPC from 11/22/04 CALIFORNIA 460 FORM SCÆDULE 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 1/22/05 17 Page of I.D. NUMBER 23 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. alP campaign paraphernalia/misc. tÆ3R 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 tv. or cable airtime and production costs FIL candidate filinglballot fees PH) phone banks lRC candidate travel, lodging, and meals A\D fundraising 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 VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMM ITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Mark Young dba Master Sign 1846 B West Eleventh Street Upland, California 91786-3591 PRT Check 1001 Down Payment for Yard Signs $350.00 Coastal Value Publications, Inc. . 2355 Foothill Boulevard #552 La Verne, California 91750-3027 PRT Check 1002 Claremont Quarterly $1,295.00 Mark Young dba Master Sign 1846 B West Eleventh Street Upland, California 91786-3591 PRT Check 1 003 Final Payment for Yard Signs $1,050.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,695.00 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Unitemizedpaymentsmadethisperiodofunder$100 ..............,.......................................""""""""""""""""""""""""""".............................. $ 3. Total interest paid this period on loans. (Enter amount from 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 $ 2,798.50 0.00 0.00 2,798.50 FPPC Fonn 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 (CaNT.) from 11/22/04 1/22/05 CALIFORNIA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay through 18 Page I.D. NUMBER 1272663 of 23 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 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 tv. or cable airtime and production costs FIL candidate filinglballot fees Pf-() phone banks TRC candidate travel, lodging, and meals FN:> fundraising 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 UT campaign literature and mailings PRT print ads Vl.£B information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Claremont Courier 111 South College Avenue Claremont, California 91711-5051 PRT Check 1004 Advertisement $103.50 .,. Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 103.50 FPPC Form 460 (JuneIO1) FPPC Toll-Free Helpline: 866/ASK-FPPC .; Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE F SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay Statement covers period from 11/22/04 1/22/05 CALIFORNIA 460 FORM through Page I.D. NUMBER 19 of 23 1272663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OIIP campaign paraphernalia/misc. M3R member communications RAD radio airtime and production costs CNS campaign consultants MrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)'" OFC office expenses SAL campaign workers' salaries CVC civic donations ÆT petition circulating TEL tv. or cable airtime and production costs RL candidate filinglballot fees PH) phone banks lRC candidate travel, lodging, and meals Ff\D 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) VaT voter registration LIT campaign literature and mailings PRT print ads V\EB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 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 0 00 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ .' May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC 0.00 0.00 , Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE F (CaNT.) Statement covers period f 11/22/04 rom 1/22/05 CALIFORNIA 460 FORM through Page I.D. NUMBER 20 of 23 NAME OF FILER 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. eM' campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions cm contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations Æf petition circulating TEL tv. or cable airtime and production costs AL candidate filinglballot fees PH) phone banks TRC candidate travel, lodging, and meals Ff\I) fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals tV 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) VaT voter registration LIT campaign literature and mailings PRT print ads V\£B infonnation technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (e) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 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) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 11/22/04 CALIFORNIA 460 FORM SCHEDULE G SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay NAME OF AGENT OR INDEPENDENT CONTRACTOR through 1/22/05 Page 21 I.D. NUMBER 1272663 of 23 NONE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. eM' campaign paraphernalia/misc. tJI3R 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 ÆT petition circulating TEL t.v. or cable airtime and production costs RL candidate filinglballot fees PI-() phone banks 1RC candidate travel, lodging, and meals Ft<l) fundraising events POL polling and sulVey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger selVices TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional selVices (legal, accounting) VaT voter registration ur campaign literature and mailings PRf print ads \l\r£B 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 1.0. 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 reporled on Schedule E. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC c' SCHEDULE H from 11/22/04 CALIFORNIA 460 FORM Schedule H Loans Made to Others* Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period Committee to Elect Corey Calaycay Page 22 of 23 I.D. NUMBER 1272663 IF AN INDIVIDUAL. ENTER (I) (bl (el OUTST~~D/NG (el IfI (gl OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT REPAYMENT OR INTEREST ORIGINAL CUMULATIVE BALANCE BALANCE AT (IF SELF-EMPLOYED. ENTER BEGINNING THIS LOANED THIS FORGIVENESS CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE 0 PAID CALENDAR YEAR $ $ % $ S 0 FORGIVEN RATE PER ELECTION** $ $ $ $ $ DATE DUE DATE INCURRED 0 PAID CAlENDAR YEAR $ S % $ $ 0 FORGIVEN RATE PER ELECTION** $ $ $ $ $ DATE DUE DATE INCURRED through 1/22/05 SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER J.D. NUMBER) *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 $ 0.00 $ 0.00 $ 0.00 $ 0.00 (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period ................................................................'...................................................,..................,.......... $ (Total Column (b) plus unitemized loans less than $100.) 0.00 I **If Required I 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 negative number) 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. from Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through Committee to Elect Corey Calaycay DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT Attach additional information on appropriately labeled continuation sheets. 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 $ 11/22/04 1/22/05 SCHEDULE I CALIFORNIA 460 FORM Page 23 I.D. NUMBER of 23 1272663 AMOUNT OF INCREASE TO CASH SUBTOTAL $ 0.00 0.00 0.00 0.00 0.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC