The URL can be used to link to this page

Home My Public Portal AboutForm 460 (Nov 18, 2004 - Jan 22, 2005) COVER PAGE Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) RE~r""f"'!!j -'.~.~...,; ~D' L~ CALJFORNIA 4 6 0 2001/02 FORM Type or print in ink. Date Stamp from 11/18/04 Date of election if applicable: (Month. Day, Year) J A hi ~) -I'" ..~ ¡~ l. { ':,,: J Page 1 of 24 Statement covers period SEE INSTRUCTIONS ON REVERSE through 1/22/05 March 8, 2005 CiTV C:"EU::K errv OF ClMU:.MOf'n For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 00 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) 2. Type of Statement: 00 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 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3 C "tt I f t" I LD. NUMBER . amml ee n arma Ion 1272843 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Ellen Taylor for City Council Treasurer(s) NAME OF TREASURER Cindy Sullivan MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) 1016 Emory Drive CITY 1016 Emory Drive, Claremont, CA 91711 CITY STATE ZIP CODE (909) 624-4051 AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE (909) 626-1801 NAME OF ASSISTANT TREASURER, IF ANY Claremont, CA 91711 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 I E-MAIL ADDRESS OPTIONAL: FAX / 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 contained 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 correct., r t . Executed 01'1 // J 7 J 0 0- By ~ ,C I ;j LI ,J 1.(lIlú(V¡~ toll 3;:: ~reOf'tleaSUrerOrAssistantTreasurer Executed on [2. 1 () r-- By ~ (¿ ~ S;gM"'" of Co"","", 0"""""'" <Iaooi-, 51.. M_~ P"""oont" .""",obl. Ofli~ of Spo~' Dale By Executed on Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866JASK-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 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) 612 West 12th Street, Claremont, CA 91711 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 COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE-PART2 CALJFORNIA 4 6 0 FORM Page 2 of 24 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 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 offlceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 4õO (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ellen Taylor, Ellen Taylor for City Council Contributions Received 1. Monetary Contributions """".......................,........... ScheduleA. Una 3 2. Loans Received ...................................................... Schedule B, Une 3 3. SUBTOTAL CASH CONTRIBUTIONS """""""""""'" Add Unes 1 + 2 4. Nonmonetary Contributions ........................".......... Schedule C, Una 3 5. TOTAL CONTRIBUTIONS RECEIVED """"""""""""'" Add Unes 3 + 4 Expenditures Made 6. Payments Made """"""""""""""""""""""""""'" Schedule E, Una 4 7. Loans Made """""""""""""""""""""""""""""'" Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS """""""""""""""""" Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) """"""""""""""'" Schedule F, Une 3 10. Nonmonetary Adjustment """"""""""""""""""""" ScheduleC, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Unes 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance """"""""""'" Previous Summary Page, Une 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 + 13 + 14, then subtract Une 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 9in Columna above Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 12,886.01 0 12,886.01 405.00 13,291.01 $ $ $ 5,345.15 0 5,345.15 530.00 405.00 6,280.15 $ $ $ 0 12,886.01 0 5,345.15 7,540.86 $ $ $ $ 0 530.00 from through Column B CALENDAR YEAR TOTAl TO DATE $ 12,886.01 0 12,886.01 405.00 13,291.01 $ $ $ 5,345.15 0 5,345.15 530.00 405.00 6,280.15 $ $ 0 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). SUMMARY PAGE Statement covers period CALlFORNJA 4.6 0 FORM 11/18/04 1/22/05 3 of 24 Page 1.0. NUMBER 1272843 Calendar Year Summary for Candidates I 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 Umit) Date of Election Total to Date (mm/dd/yy) I I $ J I $ I I $ J / $ / / $ I I $ *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. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 11/18/04 Marshall Taylor 612 West 12th Street Claremont, CA 91711 11/18/04 Patrick Sullivan 1016 Emory Drive Claremont, CA 91711 12/1/04 Zoe TeBeau 1009 Butte Street Claremont, CA 91711 ~IND DCOM DoTH DPTY DsCC IX] IND DCOM DOTH DPTY DsCC IX] IND DcOM DoTH DPTY DsCC IX] INO DCOM DOTH DPTY DsCC IX] INO DCOM DOTH DPTY DsCC 12/5/04 Mary Jane Merrill 842 Hood Drive Claremont, CA 91711 12/14/04 Chris Ulrich 808 Northwestern Drive Claremont, CA 91711 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Attorney, Taylor Simonson & Winter LLP Architect, Patrick Sullivan Associates Appraiser, Self Employed Retired Retired 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 $ SCHEDULE A . Statement covers period f 11/18/04 rom CALJFORNIA 4 6 0 FORM through AMOUNT RECEIVED THIS PERIOD 250.00 100.00 100.00 100.00 100.00 650.00 I 9,583.01 3,303.00 12,886.01 1/22/05 4 24 Page 1.0. NUMBER of 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 250.00 (2004) 100.00 (2004) 100.00 (2004) 100.00 (2004) 100.00 (2004) ". *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 TolI~Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period CAUFORNIA 46 0 FORM NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMIITEE, ALSO ENTER 1.0. NUMBER) CODE * 12/14/04 Pat Lightfoot 2311 La Sierra Way Claremont, CA 91711 12/14/04 Claralou LaBarge 431 Lewis Court Claremont, CA 91711 12/15/04 Suzan Smith 2634 N. Mountain Claremont, CA 91711 IiJIND DCOM OOTH OPTY oscc Ii] INO DCOM OOTH OPTY oscc Ii] INO DeoM OOTH DPTY DsCC IX! IND DCOM DOTH DPTY DSCC IKIIND DCOM DOTH DPTY Dscc 12/21/04 Georgeann and Bill Andrus 231 West 10th Street Claremont, CA 91711 12/21/04 Robert and Virginia Fossum 403 University Circle Claremont, CA 91711 r "Contributor Codes INO -Individual COM - Recipient Committee (other than pry or SCe) OTH - Other pry - Political Party SCC - Small Contributor Committee ~ ~ ..J SCHEDULE A (CONY) from 11/18/04 through 1/22/05 of 24 Page 5 I.D. NUMBER 1272843 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) Director, 150.00 150.00 (2004) Coalition Concerned with End of Life Issues Retired 250.00 250.00 (2004) Community Volunteer, None 100.00 100.00 (2004) Retired College Professor 100.00 100.00 (2004) Retired 100.00 100.00 (2004) SUBTOTAL $ 700.00 I 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 Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 12/21/04 Frank Hungerford 1559 N. Webster Claremont, CA 91711 12/21/04 Jeanne Kennedy 1559 N. Webster Claremont, CA 91711 12/21/04 Donald Pattison P.O. Box 414 Claremont, CA 91711 12/21/04 Joan and Nick Presecan 727 Alamosa Drive Claremont, CA 91711 12/21/04 Brad and Mary Anne Blaine 586 West 11th Street Claremont, CA 91711 !Xl INO DCOM OOTH DPTY DsCC IXINO OCOM OOTH DPTY DsCC IXIINO DcOM OaTH OPTY OSCC IXJIND OCOM DOTH DPTY OSCC IXIIND DCOM OaTH DPTY DSCC ,. *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other pry - Political Party SCC - Small Contributor Committee .J '- SCHEDULE A (CaNT.) from Statement covers period 11/18/04 CALJFOR. NIA 46 0 FORM through 1/22/05 6 of 24 Page 1.0. NUMBER 1272843 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 100.00 100.00 (2004) Retired 100.00 Development, Pomona College 100.00 Retired 100.00 Retired 250.00 SUBTOTAL $ 650.00 [ 100.00 (2004) 100.00 (2004) 100.00 (2004) 250.00 (2004) FPPC Form 460 (June/Ot) 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 Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED 12/22/04 12/22/04 12/22/04 12/22/04 12/23/04 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * Susan Hyland 2739 San Angelo Drive Claremont, CA 91711 IXIINO DeoM DoTH DPTY DsCC IK! INO DcOM DoTH DPTY DsCC fiJlND DcOM DoTH DPTY DsCC fiJ IND DcOM DoTH DPTY DsCC IKIIND DcOM DoTH DPTY DscC Diann and Robert Ring 816 Peninsula Avenue Claremont, CA 91711 Bob and Marylouise Stafford 900 E. Harrison Avenue, Apt. H4 Pomona, CA 91767 Matthew Taylor 334 E. Cucamonga Avenue Claremont, CA 91711 Alice Oglesby 1190 Whitman Avenue Claremont, CA 91711 ,. *Contributor Codes INO -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} Owner, The Claremont Club Community Volunteer and Physician, Memrad Radiology Retired Attorney, Self Employed Retired SUBTOTAL $ SCHEDULE A (CONT) from Statement covers period 11/18/04 CALIFORNIA 4 6 Q. FORM through AMOUNT RECEIVED THIS PERIOD 100.00 100.00 100.00 250.00 100.00 650.00 I 1/22/05 of 24 Page 7 /.0. NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 100.00 (2004) 100.00 (2004) 100.00 (2004) 250.00 (2004) 100.00 (2004) FPPC Form 460 (JuneJO1) 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 Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 12/24/04 Miriam Hawley ~IND DcOM 1925 Hopkins Street DOTH Berkeley, CA 94707 OPTY oscc Agnes and Michael McGaha IX] INO 12/24/04 DcOM 424 W. Harrison Avenue OOTH Claremont, CA 91711 DPTY DsCC Norm and Eloise Cadman IXIINO 12/27/04 DCOM 530 West 11 th Street DOTH Claremont, CA 91711 OPTY DsCC 12/28/04 Amy Fass IRIINO DcOM 470 Baughman Avenue OaTH Claremont, CA 91711 OPTY Oscc 12/29/04 Geoff Hamill IiIINO OCOM 2287 N. La Paz Drive OOTH Claremont, CA 91711 DPTY DsCC ,. *Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee ~ SCHEDULE A (CaNT) from Statement covers period 11/18/04 CALiFORNIA 46 0 FORM through 1/22/05 of 24 Page 8 1.0. NUMBER 1272843 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 100.00 100.00 (2004) Retired Teacher and Professor, Pomona College 180.00 Retired 100.00 Director of Leadership Gifts (Development), Claremont School of Theology 75.00 Real Estate Broker, Prudential Wheeler Steffen Real Estate 100.00 SUBTOTAL $ 555.00 I 180.00 (2004) 100.00 (2004) 75.00 (2004) 100.00 (2004) 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 Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * Gary Soto IKIIND 12/29/04 OCOM 821 Trinity Lane OaTH Claremont, CA 91711 OPTY Oscc Susan and Thomas Wait IKJ IND 12/29/04 DcoM 3113 Montana Lane OOTH Claremont, CA 91711 OPTY Oscc Lissa and Dan Petersen IKJIND 12/30/04 OCOM 487 West 6th Street OOTH Claremont, CA 91711 OPTY oscc Ann and Charles Doskow IK]IND 12/30/04 OCOM 2205 Villa Maria Road OOTH Claremont, CA 91711 OPTY Oscc Catherine Henley-Erickson and IX/IND 12/30/04 DCOM Dr. Joseph A. Erickson OOTH 764 Valparaiso Drive DPTY Claremont, CA 91711 Oscc ~ *Contributor Codes 'NO -Individual COM - Recipient Committee (other than pry or SCe) OTH - Other pry - Political Party SCC - Small Contributor Committee IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Executive Director, Action Learning Systems Office Manager, Wait & Childs Attorney, Wait & Childs Professors, Pitzer College and Harvey Mudd College Calligrapher, Doskow Studios Law Professor, University of La Verne Retired Professor Clinical Psychologist, Self Employed SUBTOTAL $ SCHEDULE A (CONI.) from Statement covers period 11/18/04 CALJFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD 150.00 250.00 80.00 100.00 100.00 680.00 I 1/22/05 9 of 24 Page 1.0. NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 150.00 (2004) 250.00 (2004) 80.00 (2004) 100.00 (2004) 100.00 (2004) FPPC Fonn 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 Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMIITEE. ALSO ENTER 1.0. NUMBER) CODE * 12/30/04 Randy and Rhonda Prout IXIIND OCOM 651 West 9th Street OOTH Claremont, CA 91711 OPTY Oscc Roy and Janet Taylor IXIIND 12/30/04 OCOM 6679 Elm Road, RR2 OaTH Lantzville, BC VCR 2HO OPTY Canada Oscc 12/30/04 Teddie and Kent Warner IXIIND DcOM 1585 Queens Court OOTH Claremont, CA 91711 OPTY oscc 12/31/04 Choice Point Applied Research OIND OCOM Jack Mills IXIOTH 2560 N. King Way OPTY Claremont, CA 91711 oscc 12/31/04 Carol Tanenbaum IXIIND OCOM 611 Delaware Drive OOTH Claremont, CA 91711 OPTY oscc ~ *Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee ~ IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Insurance Agent, State Farm Interior Designer, Self Employed Retired Education, Claremont Unified School District Development, Pomona College Research Consultant, Choice Point Applied Research Attorney, Lewis, Brisbois, Bisgaard & Smith SUBTOTAL $ SCHEDULE A (CONT.) from Statement covers period 11/18/04 CALJFORNIA 46 0 FORM through AMOUNT RECEIVED THIS PERIOD 100.00 100.00 100.00 100.00 125.00 525.00 I 1/22/05 10 of 24 Page 10. NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 100.00 (2004) 100.00 (2004) 100.00 (2004) 100.00 (2004) 125.00 (2004) 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 Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Sam Tanenbaum fillND 12/31/04 OCOM 611 Delaware Drive OOTH Claremont, CA 91711 OPTY oscc Sharon and Jim Hightower IKIIND 1/3/05 OCOM 798 Via Santo Tomas OOTH Claremont, CA 91711 OPTY oscc Robin Leonhard IXIINO 1/4/05 OCOM 1480 Lafayette OaTH Claremont, CA 91711 OPTY oscc Alan Medak IXIIND 1/4/05 OCOM 809 N. Indian Hill Boulevard OOTH Claremont, CA 91711 DPTY oscc 1/4/05 Jean and Joe Platt IKIIND OCOM 452 West 11 th Street OaTH Claremont, CA 91711 OPTY oscc ~ *Contributor Codes INO -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) Engineer, Claremont McKenna College Urban Planner, Hightower/Associates Retired Professor Community Volunteer Lighting Professional, Self Employed Community Volunteer Education, Harvey Mudd College SUBTOTAL $ SCHEDULE A (CaNT.) from Statement covers period 11/18/04 CAUFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD 125.00 100.00 99.00 100.00 200.00 624.00 I 1/22/05 11 of 24 Page 1.0. NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 125.00 (2004) 100.00 99.00 100.00 200.00 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. NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 1/5/05 Ed and Hanne Ansell 907 W. Bonita Avenue Claremont, CA 91711 IX! IND OCOM OaTH OPTY OSCC IiIIND DCOM OOTH DPTY OSCC lXI/NO OCOM DOTH DPTY DSCC IX! IND OCOM OOTH OPTY DSCC fXllND OCOM DOTH DPTY OSCC 1/5/05 Roger Ginsburg 114 N. Indian Hill Boulevard Claremont, CA 91711 1/5/05 Diane Cushman 320 Canyon Way Arroyo Grande. CA 93420 1/5/05 Marilyn Dale 433 Baughman Avenue Claremont, CA 91711 1/5/05 Helaine Goldwater 2331 N. Coalinga Court Claremont, CA 91711 , *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee .. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Attorney, Law Offices of Edward O. Ansell Retired Attorney, Self Employed Teacher, Santa Maria Bonita Unified School District Community Volunteer Interior Designer, Helaine's Interiors SUBTOTAL $ SCHEDULE A (CONI.) from Statement covers period 11/18/04 CALJFORNIA 46 0 FORM through AMOUNT RECEIVED THIS PERIOD 75.00 99.00 100.00 1 00.00 100.00 474.00 ¡ 1/22/05 12 of 24 Page 10. NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 75.00 99.00 100.00 100.00 100.00 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. " NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * John Maguire fXllND 1/5/05 OCOM 537 West 11 th Street OOTH Claremont, CA 91711 OPTY oscc James Bawek and fKllND 1/6/05 OCOM Yolanda Moses OOTH 1101 N. Indian Hill Boulevard OPTY Claremont, CA 91711 oscc Debra and R. E. Beltran IKIIND 1/7/05 OCOM 2317 Coalinga Court OOTH Claremont, CA 91711 OPTY oscc Barbara Inatsugu IXIIND 1/7/05 OCOM 1126 Ashland Avenue OOTH Santa Monica, CA 90405 OPTY oscc Jess and Marion Swick IXIIND 1/8/05 OCOM 463 West 7th Street OOTH Claremont, CA 91711 OPTY oscc ,. .Contributor Codes IND -Individual COM - Recipient Committee (other than prYor SCC) OTH - Other pry - Political Party see - Small Contributor Committee ~ ~ .. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Educator, Claremont Graduate University Real Estate, Self Employed Administrator, UC Riverside Receptionist, Taylor Simonson & Winter LLP V.P. Sales, DTR Business Systems Volunteer Finance, Northwestern Mutual Investment Services Homemaker SUBTOTAL $ SCHEDULE A (CO NT.) from Statement covers period 11/18/04 CALJFORNIA 46 0 FORM through AMOUNT RECEIVED THIS PERIOD 100.00 125.00 100.00 100.00 100.00 525.00 1/22/05 Page 13 1.0. NUMBER of 24 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 100.00 125.00 100.00 100.00 100.00 FPPC Form 460 (JuneJ01) 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. Statement covers period CALJFORNIA 460 FORM NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * Nicholas Quackenbos IX]IND 1/8/05 DCOM 675 W. Foothill Boulevard, Suite 302 DOTH Claremont, CA 91711 DPTY DsCC IKIIND 1/9/05 Julie Albert DcOM 1096 Harvard Avenue DOTH Claremont, CA 91711 DPTY DsCC Sam and Barbara Mowbray IKIIND 1/9/05 DcOM 3913 Northampton Avenue DOTH Claremont, CA 91711 DPTY DsCC Dennis and Laura Wheeler fXllND 1/9/05 DCOM 470 West 7th Street DOTH Claremont, CA 91711 DPTY DsCC Claralou La Barge ~IND 1/9/05 DcOM 431 Lewis Court DOTH Claremont, CA 91711 DPTY DsCC I' *Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee .) SCHEDULE A (CaNT) from 11/18/04 through 1/22/05 of 24 Page 14 1.0. NUMBER 1272843 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) Realtor, 150.00 150.00 Quackenbos-Bell Commerical Real Estate Clinical Social Worker, 150.00 150.00 Lorna Linda Unviersity Lab Manager, Orange County Sanitation Nurse, City of Hope 150.00 150.00 Retired 200.00 200.00 Retired 250.00 250.00 SUBTOTAL $ 900.00 FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A {CO NT.) Type or print in ink. Amounts may be rounded to whole dollars. 11/18/04 NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 1/10/05 Walter's Restaurant DIND DCOM Nangyalai Ghafarshad filOTH 310 N. Yale Avenue DPTY Claremont, CA 91711 DsCC Nina Munoz OOIND 1/10/05 DCOM 3011 Lansbury Avenue DOTH Claremont, CA 91711 DPTY DsCC 1/12/05 Larry and Janice Hoffmann fillND DcOM 2605 N. Mountain Avenue DOTH Claremont, CA 91711 DPTY DsCC 1/12/05 Louise Kestenbaum OOIND DCOM 4803 Webb Canyon Road DOTH Claremont, CA 91711 DPTY DsCC 1/13/05 Janet Horwood /KIND DCOM 290 Old Green Bay Road DOTH Glencoe, IL 60022 DPTY DsCC , .Contrìbutor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee .... " Statement covers period CALJFORNIA 46 0 FORM from through 1/22/05 Page 15 of 24 1.0. NUMBER 1272843 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Owner, Walter's Restaurant 100.00 100.00 Lawyer, 100.00 100.00 The Law Offices of Ramon Otero Financial Advisors, 100.00 100.00 Smith Barney Retired 100.00 100.00 Retired 100.00 100.00 SUBTOTAL $ 500.00 FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK.FPPC Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULEA (CaNT.) Type or print in ink. Amounts may be rounded to whole dollars. 11/18/04 NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * Taylor Simonson & Winter LLP DIND 1/13/05 DCOM 144 N. Indian Hill Boulevard filOTH Claremont, CA 91711 DPTY DsCC Andrew Taylor IX]IND 1/14/05 DcOM 822 S. Main Street, Apt. 4 DOTH Ann Arbor, MI48104 DPTY DsCC Bill and Francine Baker IX]IND 1/14/05 DcOM 488 West 6th Street DOTH Claremont, CA 91711 DPTY DSCC 1/15/05 Judith Tanenbaum fillND DCOM 1045 Yale Avenue DOTH Claremont, CA 91711 DPTY DsCC 1/15/05 David Tanenbaum IX]IND DcOM 1045 Yale Avenue DOTH Claremont, CA 91711 DPTY DsCC , .Contributor Codes INO-Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee 1 Statement covers period CALJFORNIA 46 0 FORM from through 1/22/05 Page 16 of 24 LD. NUMBER 1272843 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) 250.00 250.00 Student 50.01 50.01 Attorney, Self Employed Public Art Coordinator, City of Claremont 100.00 100.00 Homemaker 100.00 100.00 Professor, Pomona College 100.00 100.00 SUBTOTAL $ 600.01 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CO NT.) Type or print in ink. Amounts may be rounded to whole dollars. 11/18/04 NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER J.D. NUMBER) CODE * Lois NeSmith IXIIND 1/18/05 OCOM 6729 Hermosa, #225 OOTH Rancho Cucamonga, CA 91701 OPTY oscc fillND 1/18/05 John Regan OCOM 574 West 12th Street OaTH Claremont, CA 91711 OPTY Oscc 1/19/05 Rosemary and Butch Henderson IilIND DcOM 606 Delaware Drive DOTH Claremont, CA 91711 OPTY oscc 1/19/05 Sarah Smizer fKJ IND DcOM 776 West 10th Street DOTH Claremont, CA 91711 DPTY oscc 1/19/05 Myers & Siegel, P.C. DIND DcOM 675 W. Foothill Boulevard, Suite 200 filOTH Claremont, CA 91711 DPTY DsCC ,. *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other pry - Political Party SCC - Small Contributor Committee ~ Statement covers period CAL. JFORNIA 46 0 FORM from through 1/22/05 Page 17 of 24 I.D. NUMBER 1272843 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 100.00 100.00 Professor, Claremont Graduate University 100.00 100.00 Teacher, Bonita Unified School District Senior Pastor, Claremont UCC 100.00 100.00 Community Volunteer 100.00 100.00 250.00 250.00 SUBTOTAL $ 650.00 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. NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * Mary Ellen and Bud Kilsby IXJIND 1/20/05 DCOM 4647 East 4th Street DoTH Long Beach, CA 90814-3075 DPTY DsCC Leanne and Charles Kerchner IKIIND 1/21/05 DCOM 438 Baughman Avenue DOTH Claremont, CA 91711 DPTY DsCC Dawn and Peter Sharp IXJIND 1/21/05 DCOM 1044 Harvard Avenue DOTH Claremont, CA 91711 DPTY DsCC Joke and Dick Johnson IXJIND 1/22/05 DcOM 1745 Bridgeport Avenue DOTH Claremont, CA 91711 DPTY DsCC Judy and Colin Wright IXJIND 1/22/05 DCOM 472 West 10th Street DoTH Claremont, CA 91711 DPTY DsCC , .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee ~ SCHEDULE A (CaNT.) from Statement covers period 11/18/04 CALJFORNIA 460 FORM through 1/22/05 18 of 24 Page 1.0. NUMBER 1272843 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 100.00 100.00 Retired Teacher Professor, Claremont Graduate University Retired Asst. Dean, Claremont McKenna College Faculty, Cal Poly Pomona Writer, Claremont Historic Research Professor, Claremont McKenna College SUBTOTAL $ 100.00 250.00 100.00 100.00 650.00 100.00 250.00 100.00 100.00 FPPC Fonn 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 Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 1/22/05 Michelle and Alan Siegel 1501 Tulane Road Claremont, CA 91711 fi1IND OCOM OOTH DPTY osee OIND OCOM OOTH OPTY Oscc OIND DCOM OaTH OPTY OSCC DIND OCOM OOTH OPTY OSCC OIND OCOM OaTH OPTY DsCC , .Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party see - Small Contributor Committee , ~ ~ IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Administrator, Shoes That Fit Attorney, Myers & Siegel SUBTOTAL $ SCHEDULE A (CaNT.) from Statement covers period 11/18/04 CAUFORNIA 46 0 FORM through AMOUNT RECEIVED THIS PERIOD 250.00 250.00 I 1/22/05 of 24 Page 19 1.0, NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC, 31) PER ELECTION TO DATE (IF REQUIRED) 250.00 FPPC Form 460 (JuneJO1) 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 11/18/04 CAUFORNIA 4 6 0 FORM Statement covers period SUBTOTALS $ Page 20 of 24 1.0. NUMBER 1272843 (a) Ib) Ie) Idl Ie) If) (g) OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL eUMULA TlVE BALANCE BALANCE AT BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD PERIOD THIS PERIOD * PERIOD PERIOD LOAN TO DATE IX! PAID CALENDAR YEAR 3,000.00 0 0 3,000.00 3,000.00 s S % S S 0 FORGIVEN RATE PER ELEcnON** 3,000.00 s o 12/9/04 s s S $ DATE DUE DATE INCURRED 0 PAID CALENDAR YEAR S $ % S S 0 FORGIVEN RATE PER ELEcnON 1rt $ S S DATE DUE DATE INCURRED 0 PAID CALENDAR YEAR $ S % S S 0 FORGIVEN RATE PER ELECTION ** $ 5 S DATE DUE DATE INCURRED 0 $ ° ¡ (Enter (e) an Schedule E. Une 3) 3,000.00 " "'I *Amounts forgiven or paid by another party also must be 3,000.00 reported on Schedule A. ** If required. through 1/22/05 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ellen Taylor, Ellen Taylor for City Council FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF-EMPLOYED. ENTER NAME OF BUSINESS) Ellen Taylor 612 West 12th Street Claremont, CA 91711 Office Manager Taylor Simonson & Winter LLP t IX! INO 0 COM 0 OTH 0 PTY 0 scc $ $ to IND 0 COM 0 OTH 0 PTY 0 see $ $ to ¡ND 0 COM 0 OTH 0 PTY 0 scc 3,000.00 $ 3,000.00 $ Schedule B 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 $100 paid orforgiven.) (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. ° (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] FPPC Form 460 (June/O1) FPPC TolI.Free Helpline: 866/ASK-FPPC Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ellen Taylor, Ellen Taylor for City Council DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITIEE. ALSO ENTER 1.0. NUMBER) 12/15/04 Steven Markley 465 West 12th Street Claremont, CA 91711 1/9/05 Linda Heilpern 1713 Shenandoah Drive Claremont, CA 91711 1/17/05 Schenck & Schenck Photography 114 N. Indian Hill Boulevard, Suite D Claremont, CA 91711 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) /KIND DCOM DOTH DPTY DSCC IX] IND DCOM DOTH DPTY DsCC ¡g]IND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC Elementary School Principal Cucamonga School District Personal Chef Cooking Light with Lotsa Flavor! Photographers Schenck & Schenck Photography Attach additional information on appropriately labeled continuation sheets. DESCRIPTION OF GOODS OR SERVICES Domain name and 3 months website service Food for kick-off party Portrait session and formatted disk SUBTOTAL $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of $1 00 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 10.) ...................... TOTAL $ Statement covers period from 11/18/04 through 1/22/05 AMOUNT/ FAIR MARKET VALUE $180.00 $100.00 $125.00 405.00 I 405.00 0 405.00 SCHEDULE C CALJFOR. NIA 4 6 O. FORM Page 21 of 24 I.D. NUMBER 1272843 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) $180.00 $100.00 $125.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee .., FPPC Fonn 460 (June/01) FPPC Tol/-Free Helpline: 866/ASK-FPPC Schedule E Payments Made from 11/18/04 CALJFORNIA 4 6 0 FORM SCHEDULEE 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 22 Page 1.0. NUMBER of 24 Ellen Taylor, Ellen Taylor for City Council 1272843 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a,.p 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 ÆT petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PI-kJ phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IN) 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 LfT campaign literature and mailings PRT print ads IfIJEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER /.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Vilma Caldwell Sales 11557 Embree Drive EI Monte, CA 91732 CMP 1,784.53 Coastal Value Publications, Inc. 2355 Foothill Boulevard, Suite 552 La Verne, CA 91750 PRT 895.00 Ware & Associates P.O. Box 292 1949 Lock Haven Way Claremont, CA 91711 LIT 1,247.04 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,926.57 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Unitemized payments made this period of under $1 00 ................................................. ......................................................................................... $ 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 $ 5,095.59 249.56 0 5,345.15 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. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ellen Taylor, Ellen Taylor for City Council Statement covers period SCHEDULE E (CONT) from 11/18/04 CALJFORNrA 460 FORM through 1/22/05 24 23 Page 1.0. NUMBER of CODES: If one of the following codes accurately describes the payment, you may enter the code. OthelWise, 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 em contribution (explain nonmonetary)' OFC office expenses SAL campaign wo rke¡g , salaries eve civic donations Æf petition circulating TEL tv. or cable airtime and production costs FIL candidate filinglballot fees PI-KJ phone banks lRC candidate travel. lodging, and meals FMJ lundraising events POL polling and survey research TRS staff/spouse travel. lodging, and meals N) independent expenditure supporting/opposing others (exptain)' POS postage. detivery and messenger services TSF transfer between committees of tile same candidate/sponsor lEG legal defense ffiO professlonat services (legal. accounting) VaT voter registration UT campaign literature and mailings PRT print ads \IIÆ8 inlonnation technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 10. NUMBER) CODE Marshall Taylor 612 West 12th Street Claremont, CA 91711 pas loe TeBeau 1009 West Butte Street Claremont, CA 91711 FND Linda Heilpern Cooking Light with Lotsa Flavor! 1713 Shenandoah Drive Claremont, CA 91711 FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 1272843 OR DESCRIPTION OF PAYMENT AMOUNT PAID Subvendor: United States Postal Service ($518.00) 140 Harvard Avenue Claremont, CA 91711 518.00 379.45 271.57 SUBTOTAL $ 1,169.02 FPPC Form 460 (June/01) 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 Ellen Taylor, Ellen Taylor for City Council Statement covers period from 11/18/04 1/22/05 CALJFORNIA 460 FORM through Page 1.0. NUMBER 24 of 24 1272843 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 eve civic donations ÆT petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PI-D phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel. lodging, and meals INO 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 IJIÆ:B information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 10. NUMBER) (a) (b) (c) (d) CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD PRT 0 530.00 0 530.00 Claremont Courier 111 South College Avenue Claremont, CA 91711 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0 $ 530.00 $ 0 $ 530.00 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 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ 530.00 0 530.00 May be a negative number FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC