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Home My Public Portal AboutForm 460 (Jan 23 - Feb 21, 2005) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) RECE~ !1!"'.,"D', ' i::, " CALIFORNIA 4 6 0 2001/02 FORM COVER PAGE Type or print in Ink, Date Stamp Statement covers period from 1/23/05 Date of election if applicable: (Month, Day, Year) ¡~~ "'t' (j' ') j, ? i ~, p.; ~ . " ~ 1...,.,,«'; , , ,,", , Page 1 of 20 SEE INSTRUCTIONS ON REVERSE through 2/21/05 03/08/05 CTlY CL~¡"K {;rrv Of CtAR£MON) 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 Comp/ete Pari 5) 0 Sponsored (Also Complete Pari 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 2. Type of Statement: !KJ 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 IX! Primarily Formed Candidate/ Officeholder Committee (A/so Complete Pari?) 3. Committee Information , 1.1272663R 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 DR 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 ?,t tlT my knclwlqdge", ,th',e, ,information c~~ 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 foregoi".g is true and co'1ect. - ;~-~ / . I"", ¡ .. 02/24/05 \., ~' / ~~:. i',...;", ~,\" .,:' '. , .,. ' , .,., '"'t' Executed on By ~', \, r_~ j' :).,.._......,~ Dale i;'t'-'~" Si ature of treasurer or 'jssi:5nt Treasurer" 02/24/05 ~^J:" - , ,( . ! .,'"' ' ~ _.,,-,,' By '- ~"~~-"-'-"~"'... "'--- ' ~":",,-,,-,;'~-",,,":"' ,---- '" '. '" Date Signature of Controlfing Officeholder, ~idate, State Measure PrdJlQnent or Re~le Officer of SP~ '" ,,~...'~ " '.., " ",', -""'- "'-,:', Signature Of~lIing Office~r, Candidate, State Measure F'I'bsIo,nent "'-""" . ""'"" ~,.'.....,-'...... \,"4-"""-' Signature of Controlling Officeholder, Candidate. State Measure Proponent OPTIONAL: FAX / E-MAIL ADDRESS (909) 621-1196 / bbowcock@irmwater.com Executed on Executed on Date By Dale By Executed on .-' "-... -'.. '~{C Fonn 460 (June/01) FPPC T';;¡r=Fr"'!f~'line: 866/ASK-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, COMMllTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D 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 LElTER JURISDICTION COVER PAGE- PART 2 CALIFORNIA 460 FORM Page 2 of 20 D SUPPORT D 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 candldate(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 iii SUPPORT D OPPOSE City Council OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (JunefO1) FPPC Toll-Free Helpline: 8661ASK.FPPC State of California '0; Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received............. .............. ....... ....... ...... ""'" Schedule B, 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. Line 3 10. Nonmonetary Adjustment.... ..................... ................. Schedule Co Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines B + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts. ........ ..... ........ ............................. Column A. Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule " Line 4 15. Cash Payments .................................................. ColumnA, Line Babove 16. ENDING CASH BALANCE .......... 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......................... AddLine2+Line9inCoIumnBabove Type or print in ink, Amounts may be rounded to whole dollars, Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDUlES) $ 5,641,00 0,00 5,641,00 0,00 5,641,00 $ $ $ 4,032,62 0,00 4,032,62 0,00 0,00 4,032,62 $ $ $ 7,420,00 5,641,00 0.00 4,032,62 9,028,38 $ $ 0,00 $ $ 0.00 0,00 from through Column B CALENDAR YEAR TOTAL TO DATE $ 8,466,00 0,00 8,466,00 247,50 8,713.50 $ $ $ 4,136,12 0,00 4,136.12 0,00 0,00 4,136,12 $ $ 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 CALIFORNIA 460 FORM 1/23/05 2/21/05 3 of 20 Page I.D.NUMBER 1272663 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Volunålry Expenditure Umlt) Date of Election Total to Date (mm/dd/yy) I I $ I 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 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 Committee to Elect Corey Calaycay DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * 1/31/05 Virgilio P. Vargas P,O, Box 9594 Glendale, California 91226 1/31/05 Ruitson Ouyang 8641 Hillcrest Road Buena Park, California 90621 1/31/05 John Davis 894 Highpoint Claremont, California 91711 1/31/05 Claralou La Barge 431 Lewis Court Claremont, California 91711 1/31/05 Brenda Monahan 429 West Eleventh Street Claremont, California 91711 KjIND OCOM OaTH OPTY OSCC KJIND OCOM OaTH OPTY OSCC KJIND OCOM OaTH OPTY OSCC KJIND OCOM OOTH OPTY OSCC KJIND OCOM OOTH OPTY OSCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF. EMPLOYED. ENTER NAME OF BUSINESS) Contractor Vi-Va Construction Company Retired Retired Attorney Businesswoman Three French Hens SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of $100 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 from Statement covers period 1/23/05 CALIFORNIA 460 FORM through AMOUNT RECEIVED THIS PERIOD $100,00 $250.00 $199.00 $250,00 $99,00 $898.00 ¡ 3,948,00 1,693,00 5,641,00 2/21/05 4 of 20 Page I.D. NUMBER 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) $100.00 $250,00 $199,00 $250,00 $99,00 ,.. *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC '.; Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period SCHEDULE A (eONT.) NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 1/31/05 2/10/05 2/10/05 2/10/05 2/10/05 FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * Karl Benjamin 875 West Eighth Street Claremont, California 91711 ~INO DeoM DOTH DPTY Dsee 181 IND DeoM DOTH DPTY Dsee 181 INO DCOM DOTH DPTY Dsee f&IND DeoM DOTH DPTY Dsce 181 IND DeoM OaTH DPTY Dsec Toni Wood 464 West Eleventh Street Claremont, California 91711 Buzz Lloyd 4277 West Mission Boulevard Ontario, California 91762 Norma Pontello 1538 Highland Oaks Drive Arcadia, California 91006 Ethel Rogers 920 Occidental Drive Claremont, California 91711 , .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or See) OTH - Other PTY - Political Party SCC - Small Contributor Committee from 1/23/05 CALIFORNIA 460 FORM through 2/21/05 of 20 Page 5 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) Artist $250.00 $250.00 Retired $100,00 $100.00 Businessman Cal Spas $250.00 $250.00 Office Manager California State Senator Bob Margett $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 SCHEDULE A (CONT.) Type or print in ink, Amounts may be rounded to whole dollars. 1/23/05 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * William W, Stoner 2341 Oxford Avenue Claremont, California 91711 fi]IND OCOM OaTH OPTY OSCC KJIND OCOM OaTH OPTY OSCC IKIIND OCOM OaTH OPTY osec (KJIND OCOM OaTH OPTY osee OIND OCOM 1&1 OTH OPTY oscc Alan Medak P,O. Box 995 Claremont, California 91711 Betty Giannos 1832 Hanover Claremont, California 91711 Andy Giannos 1832 Hanover Claremont, California 91711 Los Angeles County Lincoln Club 11001 East Valley Mall; Suite 200 EI Monte, California 91731 , "'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 2/21/05 of 17 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) Retired $100.00 $100.00 Businessman Kumho Electric $100.00 $100.00 Retired $250.00 $250.00 Retired $250.00 $250,00 PAC $250.00 $250.00 SUBTOTAL $ 950.00 I i FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC .; Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CaNT.) Type or print in ink, Amounts may be rounded to whole dollars, 1/23/05 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED 2/12/05 2/12/05 2/12/05 2/14/05 2/14/05 FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER LD. NUMBER) CODE * Hutton Development 3505 Cadillac Avenue Irvine, California 92626 OIND I&] COM OOTH OPTY OSCC OINO ~COM OOTH OPTY OSCC IKJ INO OCOM OaTH DPTY oscc IKIINO OCOM OaTH OPTY OSCC IKIIND OCOM OaTH OPTY OSCC Level Oil Corporation 9425 Las Tunas Drive Temple City, California 91780 Dick Hall 1943 Judson Court Claremont, California 91711 Marc Maury 1679 Sumner Avenue Claremont, California 91711 Lawrence Woodruff 4060 Olive Knoll Place Claremont, California 91711 ~ , *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee .J Statement covers period CALIFORNIA 460 FORM from through 2/21/05 of 17 Page 7 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) $250.00 $250.00 $150.00 $150.00 Retired $100.00 $100.00 Businessman Maury Microwave Corporation $200.00 $200.00 Retired $250.00 $250.00 SUBTOTAL $ $950.00 r I 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, 1/23/05 NAME OF FILER Committee to Elect Corey Calaycay DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.Q,NUMBER) CODE * 2/14/05 IKJ IND oeOM OaTH OPTY osee fKIlND OCOM OaTH OPTY OSCC OIND OCOM OaTH OPTY osee OIND OCOM OOTH OPTY osce OIND oeOM DOTH OPTY osec Margret Woodruff 4060 Olive Knoll Place Claremont, California 91711 2/16-05 Robert Ferguson 4237 La Junta Drive Claremont, California 91711 ,.. *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 46 0 FORM from through 2121/05 of 17 Page 8 !.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 $250.00 Attorney $100.00 $100.00 SUBTOTAL $ 350.00 I FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 1 Loans Received Type or print in ink, Amounts may be rounded to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay Statement covers period from 1/23/05 through 2/21/05 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE. AlSO ENTER 1.0. NUMBER) (el (dl (el (I) (bl 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 $ 0 FORGIVEN $ $ $ to IND 0 COM 0 OTH 0 PTY 0 sec 0 PAID $ 0 FORGIVEN $ $ $ to 'NO 0 COM 0 OTH 0 PTY 0 SCC 0 PAID $ 0 FORGIVEN $ s $ to IND 0 COM 0 OTH 0 PTY 0 see SUBTOTALS $ 0.00 $ Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. s % RATE SCHEDULE B - PART 1 CALIFORNIA 460 FORM Page 9 1.0. NUMBER 20 of 1272663 (fl ORIGINAL AMOUNT OF LOAN (gl CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR s s PER ELECTION** $ $ DATE DUE DATE INCURRED CALENDAR YEAR $ % $ $ RATE PER ELECTION ** $ S DATE DUE DATE INCURRED CALENDAR YEAR $ % $ $ RATE PER ELECTION ** $ $ DATE DUE DATE INCURRED 0.00 $ 0.00 ] (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. 4 0.00 $ 0,00 (May be a negative number) [t Contributor Codes !NO -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Conbibutor 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 DIND DeOM DOTH DPTY osee DIND DeOM DOTH DPTY osee DIND DeoM DOTH DPTY osee DIND DeOM OaTH OPTY osee SCHEDULE B - PART 2 Type or print in ink, Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from 1/23/05 through 2/21/05 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) Page 10 of 20 I.D. NUMBER 1272663 AMOUNT CUMULATIVE BALANCE LOAN GUARANTEED OUTSTANDING THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR $ DATE PER ELECTION (IF REQUIRED) $ 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 Summary Page, Line 17 only. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC , Schedule C Nonmonetary Contributions 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 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL. ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE * (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES [gJIND DCOM DOTH DPTY DSCC fKllND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH OPTY OSCC Attach additional information on appropriately labeled continuation sheets. 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 1 0.) ...................". TOTAL $ Statement covers period from 1/23/05 through 2/21/05 AMOUNT! FAIR MARKET VALUE $0,00 I I SCHEDULE C CALIFORNIA 460 FORM 11 of 20 Page I.D. NUMBER 1272663 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) ,.. 0.00 0,00 .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee 0,00 FPPC Form 460 (June/O1) FPPC TolI~Free Helpline: 866/ASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees from 1/23/05 CALIFORNIA 460 FORM SCI-EDULE D Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/21/05 12 Page 1.0. NUMBER of 20 Committee to Elect Corey Calaycay 1272663 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATNE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 0 Monetary Contribution 0 Nonmonetary Contribution 0 Support 0 Oppose 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. Unitemized contributions and independent expenditures made this period of under $100 ............."..... ......................................................,........... $ 0.00 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............., TOTAL $ 0.00 FPPC Form 460 (June/O1) 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 0 Oppose 0 Support 0 Oppose 0 Support 0 Oppose Type or print in ink. Amounts may be rounded to whole dollars, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure SUBTOTAL $ from Statement covers period 1/23/05 through AMOUNT THIS PERIOD 2/21/05 Page 13 !.D. NUMBER of 20 1272663 CUMULATNETO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 0,00 FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ..; SCI-EDULE E from 1/23/05 CALIFORNIA 460 FORM 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 2/21/05 14 Page of I.D. NUMBER 20 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. OJP 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 Ær petition circulating T8.. tv. or cable airtime and production costs RL candidate filinglballot fees PI-D phone banks TRC candidate travel, lodging, and meals Ft-l) fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) vaT voter registration LIT campaign literature and mailings PRY print ads 'v'ÆB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Covina Postmaster 170 East College Street Covina, California 91723-9998 Checks 1005, 1008, 1012, 1113 $1,651,98 POS Coastal Value Publications, Inc. 2355 Foothill Boulevard #552 La Verne, California 91750-3027 Check 1006 PRT $881,88 Printing Works 681 East Foothill Boulevard Pomona, California 91767 Check 1007, 1009, 1011 PRT $898.46 * Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL S 3,432.32 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Unitemized payments made this periodofunder$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 $ 4,032,62 0,00 0,00 4,032.62 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ,,' , Schedule E (Continuation Sheet) Payments Made Type or print in ink, Amounts may be rounded to whole dollars, SCHEDULE E (CaNT.) through 1/23/05 2/21/05 CALIFORNIA 460 FORM Statement covers period from SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay 15 Page 1.0. NUMBER 1272663 of 20 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Q¡P campaign paraphernalia/misc. MBR 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 Ær petition circulating 1EL tv. or cable airtime and production costs RL candidate filinglballot fees PI-{) phone banks mc candidate travel, lodging, and meals ~ fundraising events POL polling and survey research ms 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) VaT voter registration LIT campaign literature and mailings PRT print ads V\,£B 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 Claremont Courier 111 South College Avenue Claremont, California 91711-5051 PRT Check 1010 Advertisement $600.30 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 600,30 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ..> , SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period from 1/23/05 2/21/05 CALIFORNIA 460 FORM through Page I.D. NUMBER 16 of 20 SEE INSTRUCTIONS ON REVERSE 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. ~ 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 RL candidate filinglballot fees PJ-K) phone banks 1RC candidate travel, lodging, and meals Fr-.Ð fund raising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings PRf print ads V\.£B information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER !.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 on the Summary Page, Column A, Line 9.) """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" NET $ 0,00 0.00 0,00 May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule 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 from 1/23/05 2/21/05 CALIFORNIA 460 FORM through Page 1.0. NUMBER 17 of 20 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. Q.P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MrG meetings and appearances RFD returned contributions cm contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations ÆT petition circulating TEL tv. or cable airtime and production costs AL candidate filinglballot fees A-() phone banks TRC candidate travel, lodging, and meals Ff\I) fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals m 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 UT campaign literature and mailings PRT print ads V\Æ: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 CREDITOR (IF COMMITTEE. ALSO ENTER 1.0. 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 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 1/23/05 CALIFORNIA 460 FORM SCHEDULE G SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Corey Calaycay NAME OF AGENT OR INDEPENDENT CONTRACTOR through 2/21/05 18 Page I.D. NUMBER 1272663 of 20 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. MBR 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 cve civic donations ÆT petition circulating TEL tv. or cable airtime and production costs RL candidate filing/ballot fees PHJ phone banks TRC candidate travel, lodging, and meals A>l) fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. 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 reported on Schedule E. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC :; Schedule H Loans Made to Others* Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period from 1/23/05 SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/21/05 Committee to Elect Corey Calaycay FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER I.D. NUMBER) fe) OUTST~~DING Ie) fa) Ib) INTEREST IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT REPAYMENT OR BALANCE AT RECEIVED OCCUPATION AND EMPLOYER BALANCE LOANED THIS FORGIVENESS CLOSE OF THIS (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD* PERIOD NAME OF BUSINESS) PERIOD 0 PAID $ $ s s 0 FORGIVEN S DATE DUE 0 PAID S $ 0 FORGIVEN $ DATE DUE $ % RATE s % RATE $ $ *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 $ (Enter (e) on Schedule " Line 3) Schedule H Summary 1, Loans made this period .................................................................................................................................................. $ (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans .......................................................................................................................................,... $ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ 0.00 (Enter the net here and on the Summary Page, Column A, Une 7.) (May be a negative number) SCHEDULE H CALIFORNIA 460 FORM 0.00 0.00 19 Page I.D.NUMBER 1272663 (f) ORIGINAL AMOUNT OF LOAN $ DATE INCURRED $ DATE INCURRED I I 0.00, , , of 20 Ig) CUMULATIVE LOANS TO DATE CALENDAR YEAR $ PER ELECTION*" $ CALENDAR YEAR $ PER ELECTION*" $ I **If Required I 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 1.0, 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 I 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 1/23/05 2/21/05 SUBTOTAL $ SCHEDULE I CALIFORNIA 460 FORM 20 of 20 Page 1.0. NUMBER 1272663 AMOUNT OF INCREASE TO CASH 0,00 0.00 0.00 0.00 0,00 FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC '.;